| Literature DB >> 29749701 |
Yueh-Hung Lin1,2, Kuo-Tzu Sung1,2, Cheng-Ting Tsai1,2, Pei-Chen Wu3, Yau-Huei Lai1,4,5, Chi-In Lo1,2, Fa-Chang Yu1,2, Hsu-Ping Wu1,5, Wei-Ran Lan1,2, Jen-Yuan Kuo1,2,4, Charles Jia-Yin Hou1,2,4, Chi-Hsuan Yen1,2,4, Ming-Cheng Peng1,2, Ta-Chuan Hung1,2,4, Chung-Lieh Hung1,2,6, Edward Lai7, Hung-I Yeh1,2.
Abstract
The authors consecutively assessed various arterial pulse-wave velocity (PWV) indices and ankle-brachial index (ABI) by an automatic device (VP2000, OMRON Health Care Co. Ltd., Kyota, Japan) in outpatients with ≥ 1 cardiovascular risk. PAD was defined as ABI ≤ 0.9. Among 2309 outpatients (mean age 62.4 years), worse renal function was associated with higher brachial-ankle PWV, heart-carotid PWV, heart-femoral PWV (hf-PWV), and lower ABI (all P < .001). Multivariate regression models showed independent associations between lower eGFR, lower ABI (Coef: 0.42 & 0.41 for right and left), higher hf-PWV (Coef: -11.4 [95% CI: -15.4, -7.3]) and greater PAD risk (adjusted OR: 0.83 [95% CI: 0.76, 0.91], all P < .05). eGFR set at 77 mL/min/1.73m2 was observed to be useful clinical cutoff (c-statistics: 0.67) for identifying PAD (P for ΔAUROC: .009; likelihood X2 : 93.82 to 137.43, P < .001) when superimposed on clinical risks. This study suggested early renal insufficiency is tightly linked to region-specific vascular stiffness and PAD. ©2018 Wiley Periodicals, Inc.Entities:
Keywords: ankle-brachial index; peripheral artery disease; pulse-wave velocity; renal insufficiency; vascular stiffness
Mesh:
Year: 2018 PMID: 29749701 PMCID: PMC8031290 DOI: 10.1111/jch.13297
Source DB: PubMed Journal: J Clin Hypertens (Greenwich) ISSN: 1524-6175 Impact factor: 3.738