THE “EXTRA-MEDIA” THICKNESS OF CAROTID ARTERIES AS A NOVEL MARKER OF PERIVASCULAR VISCERAL ADIPOUS TISSUE: ACCENT ON THE RELATION WITH VASCULAR REMODELLING PARAMETERS

Aim. To perform ultrasound assessment of the “extra-media” thickness (EMT) of carotid arteries and to analyze its association with vascular stiffness and sonographical indexes of carotid arteries condition in patients with abdominal obesity.Material and methods. Totally, 84 normotensive men assessed...

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Main Authors: M. A. Druzhilov, Yu. E. Beteleva, I. V. Khein, T. Yu. Kuznetsova
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2016-04-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/682
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author M. A. Druzhilov
Yu. E. Beteleva
I. V. Khein
T. Yu. Kuznetsova
author_facet M. A. Druzhilov
Yu. E. Beteleva
I. V. Khein
T. Yu. Kuznetsova
author_sort M. A. Druzhilov
collection DOAJ
description Aim. To perform ultrasound assessment of the “extra-media” thickness (EMT) of carotid arteries and to analyze its association with vascular stiffness and sonographical indexes of carotid arteries condition in patients with abdominal obesity.Material and methods. Totally, 84 normotensive men assessed, non-sympthomatic by cardiovascular diseases and with non high risk by SCORE (mean age 44,7±4,2 y.) with abdominal obesity. We performed triplex scanning of brachiocephalic arteries with measurement of carotid EMT, echocardiographical measurement of epicardial fat and ultrasound assessment of abdominal visceral fat tissue; bifunctional 24-hour monitoring of blood pressure.Results. Carotid EMT was from 0,3 mm to 0,8 mm (mean 0,43±0,12 mm). Linear correlation coefficient of the parameter was 0,49 for the age (p<0,001), for body mass index 0,47 (p<0,001), for waist circumference 0,32 (p<0,01), for epicardial fat 0,71 (p<0,001), for abdominal visceral fat 0,48 (p<0,001), for fasting glucose 0,35 (p<0,001), for high-sensitive C-reactive protein of blood 0,42 (p<0,001), for carotid intima-media 0,41 (p<0,001), for aortic pulse wave velocity 0,56 (p<0,001). Significantly higher EMT of carotid arteries were found in patients with carotid atherosclerosis (0,63±0,08 mm vs 0,39±0,08 mm, р<0,001), increase of carotid “intima-media” thickness (0,49±0,12 mm vs 0,41±0,12 mm, р<0,01) and high levels of pulse wave velocity in aorta (0,51±0,12 mm vs 0,38±0,10 mm, р<0,001).Conclusion. The EMT correlation revealed, for carotid arteries with the age, indirect and direct markers of visceral obesity, metabolic risk factors, vascular remodeling parameters. Carotid atherosclerosis patients, with intima-media hypertrophy, increased vessel stiffness had higher levels of this perivascular visceral fat tissue marker.
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spelling doaj-art-8337ee7c6c4045efb4c578061fc89b692025-08-20T03:21:08Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202016-04-0104252910.15829/1560-4071-2016-4-25-29607THE “EXTRA-MEDIA” THICKNESS OF CAROTID ARTERIES AS A NOVEL MARKER OF PERIVASCULAR VISCERAL ADIPOUS TISSUE: ACCENT ON THE RELATION WITH VASCULAR REMODELLING PARAMETERSM. A. Druzhilov0Yu. E. Beteleva1I. V. Khein2T. Yu. Kuznetsova3Medical-Sanitary Institution of the FSS of Russia in Karelia RepublicMedical-Sanitary Institution of the FSS of Russia in Karelia RepublicMedical-Sanitary Institution of the FSS of Russia in Karelia RepublicPetrozavodsk State UniversityAim. To perform ultrasound assessment of the “extra-media” thickness (EMT) of carotid arteries and to analyze its association with vascular stiffness and sonographical indexes of carotid arteries condition in patients with abdominal obesity.Material and methods. Totally, 84 normotensive men assessed, non-sympthomatic by cardiovascular diseases and with non high risk by SCORE (mean age 44,7±4,2 y.) with abdominal obesity. We performed triplex scanning of brachiocephalic arteries with measurement of carotid EMT, echocardiographical measurement of epicardial fat and ultrasound assessment of abdominal visceral fat tissue; bifunctional 24-hour monitoring of blood pressure.Results. Carotid EMT was from 0,3 mm to 0,8 mm (mean 0,43±0,12 mm). Linear correlation coefficient of the parameter was 0,49 for the age (p<0,001), for body mass index 0,47 (p<0,001), for waist circumference 0,32 (p<0,01), for epicardial fat 0,71 (p<0,001), for abdominal visceral fat 0,48 (p<0,001), for fasting glucose 0,35 (p<0,001), for high-sensitive C-reactive protein of blood 0,42 (p<0,001), for carotid intima-media 0,41 (p<0,001), for aortic pulse wave velocity 0,56 (p<0,001). Significantly higher EMT of carotid arteries were found in patients with carotid atherosclerosis (0,63±0,08 mm vs 0,39±0,08 mm, р<0,001), increase of carotid “intima-media” thickness (0,49±0,12 mm vs 0,41±0,12 mm, р<0,01) and high levels of pulse wave velocity in aorta (0,51±0,12 mm vs 0,38±0,10 mm, р<0,001).Conclusion. The EMT correlation revealed, for carotid arteries with the age, indirect and direct markers of visceral obesity, metabolic risk factors, vascular remodeling parameters. Carotid atherosclerosis patients, with intima-media hypertrophy, increased vessel stiffness had higher levels of this perivascular visceral fat tissue marker.https://russjcardiol.elpub.ru/jour/article/view/682perivascular visceral fat tissuevessel stiffnesscarotid atherosclerosis
spellingShingle M. A. Druzhilov
Yu. E. Beteleva
I. V. Khein
T. Yu. Kuznetsova
THE “EXTRA-MEDIA” THICKNESS OF CAROTID ARTERIES AS A NOVEL MARKER OF PERIVASCULAR VISCERAL ADIPOUS TISSUE: ACCENT ON THE RELATION WITH VASCULAR REMODELLING PARAMETERS
Российский кардиологический журнал
perivascular visceral fat tissue
vessel stiffness
carotid atherosclerosis
title THE “EXTRA-MEDIA” THICKNESS OF CAROTID ARTERIES AS A NOVEL MARKER OF PERIVASCULAR VISCERAL ADIPOUS TISSUE: ACCENT ON THE RELATION WITH VASCULAR REMODELLING PARAMETERS
title_full THE “EXTRA-MEDIA” THICKNESS OF CAROTID ARTERIES AS A NOVEL MARKER OF PERIVASCULAR VISCERAL ADIPOUS TISSUE: ACCENT ON THE RELATION WITH VASCULAR REMODELLING PARAMETERS
title_fullStr THE “EXTRA-MEDIA” THICKNESS OF CAROTID ARTERIES AS A NOVEL MARKER OF PERIVASCULAR VISCERAL ADIPOUS TISSUE: ACCENT ON THE RELATION WITH VASCULAR REMODELLING PARAMETERS
title_full_unstemmed THE “EXTRA-MEDIA” THICKNESS OF CAROTID ARTERIES AS A NOVEL MARKER OF PERIVASCULAR VISCERAL ADIPOUS TISSUE: ACCENT ON THE RELATION WITH VASCULAR REMODELLING PARAMETERS
title_short THE “EXTRA-MEDIA” THICKNESS OF CAROTID ARTERIES AS A NOVEL MARKER OF PERIVASCULAR VISCERAL ADIPOUS TISSUE: ACCENT ON THE RELATION WITH VASCULAR REMODELLING PARAMETERS
title_sort extra media thickness of carotid arteries as a novel marker of perivascular visceral adipous tissue accent on the relation with vascular remodelling parameters
topic perivascular visceral fat tissue
vessel stiffness
carotid atherosclerosis
url https://russjcardiol.elpub.ru/jour/article/view/682
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