A prospective study of brachial ankle pulse wave velocity and the incidence of cardio-cerebral events in people aged over 40
10.11958/20160079
- VernacularTitle:40岁以上人群肱踝脉搏波传导速度与心脑血管事件关系的前瞻性研究
- Author:
Shengxian ZHAO
;
Nianchun PENG
;
Lixin SHI
;
Qiao ZHANG
;
Ying HU
;
Shujing XU
;
Miao ZHANG
;
Song ZHANG
- Publication Type:Journal Article
- Keywords:
pulse;
cardiovascular system;
prospective studies;
follow-up studies;
brachial ankle pulse wave velocity;
cardio-cerebral events
- From:
Tianjin Medical Journal
2016;44(8):963-966
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between brachial ankle pulse wave velocity and the incidence of cardio-cerebral events in people aged over 40. Methods Cluster sampling method was used to prospectively study 4 380 residents aged over 40 in Guiyang City District from May to August in 2011. Data of ba-PWV were collected. The follow-up examination was conducted from July to November of 2014. According to ba-PWV values, participants were divided into three groups:<14 m/s (control, n=1 039) group, 14-17.9 m/s group (n=1 393) and≥18 m/s group (n=809). Multi-factor Logistic regression model was used to analyze the relationship between ba-PWV values and risk factors of cardio-cerebral events. Results After three-year follow-up, a total of 3 241 participants were included in the final analysis. The cardio-cerebral events were identified in 63 (2.0%) cases, which were 0.6%, 2.2%and 3.2%in control group, 14-17.9 m/s group and≥18 m/s group. The value of ba-PWV increased significantly in those two groups compared with that of normal group. Logistic regression analysis showed that the incidence rates of cardiovascular and cerebralvascular events in 14-17.9 m/s group and≥18 m/s group were 2.777 (1.123-6.864) and 2.786 (1.032-7.526) times of control group after adjusting age, gender, systolic blood pressure, risk factors of diabetes, hypertension and blood lipids. Conclusion There is higher incidence rate of cardio-cerebral events in people aged over 40 in higher ba-PWV group. The value of Ba-PWV can be used to predict the occurrence of cardio-cerebral events.