The early evaluation of carotid atherosclerosis in patients with metabolic syndrome by Ultrafast imaging
YANG Ru1, WEI Zong-kai1, LIU Wen1, MA Chun-yan1, YANG Jun1, SHAN Zhong-yan2, LAI Ya-xin2
1.Department of Cardiovascular Ultrasound, The First Affiliated Hospital of China Medical University, Shenyang 110001, China; 2.Liaoning Provincial Key Laboratory of Endocrine Diseases, Department of Endocrinology and Matabolism,
The First Affiliated Hospital of China Medical University, Shenyang 110001, China
Abstract：Objective: To assess the application value of Ultrafast imaging for the early evaluation of carotid functional change in patients with metabolic syndrome. Methods: There were 48 metabolic syndrome cases(metabolic syndrome group), 55 metabolic abnormality cases(metabolic abnormality group) and 50 healthy cases(control group). The inter-media thickness(IMT) and pulse wave velocity(PWV), including the PWV at the beginning of the systole(PWV-BS) and the PWV at the ending of the systole(PWV-ES), were evaluated. Results: IMT, PWV-BS and PWV-ES in the metabolic syndrome group were higher than those in the control group and metabolic abnormality group(P<0.05). Those were no difference between the metabolic abnormality group and control group(P>0.05). Conclusion: The carotid artery elasticity in patients with metabolic syndrome decreased. The UltraFast technique is expected to be a new method to early rapidly evaluate the carotid atherosclerosis in patients with metabolic syndrome.
杨 茹1，韦宗凯1，刘 文1，马春燕1，杨 军1，单忠艳2，赖亚新2. 应用极速成像技术早期评价代谢综合征患者颈动脉硬化[J]. 中国临床医学影像杂志, 2017, 28(9): 614-614.
YANG Ru1, WEI Zong-kai1, LIU Wen1, MA Chun-yan1, YANG Jun1, SHAN Zhong-yan2, LAI Ya-xin2. The early evaluation of carotid atherosclerosis in patients with metabolic syndrome by Ultrafast imaging. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(9): 614-614.
[1]Timóteo AT, Mota Carmo M, Cruz Ferreira R. Does metabolic syndrome predict significant angiographic coronary artery disase?[J]. Revista Potuguesa De Cardiologia, 2012, 31(12): 769-778.
[2]Dangas GD, Serruys PW, Kereiakes DJ, et al. Meta-analysis of everolimus eluting versus paclitaxel eluting stents in coronary artery disease: Final 3 year results of SPIRIT clinical trials program(clinical evaluation of the xience V everolimus cluting coronary stent system in the treatment of patients with de novo native coronary artery lesions[J]. JACC Cardiovasc Interv, 2013, 6(9): 917-922.
[3]Salles S, Chee AJ, Garcia D, et al． 2-D arterial wall motion imaging using ultrafast ultrasound and transverse oscillations[J]． IEEE Trans Ultrason Ferroelectr Freq Control, 2015, 62(6): 1047-1058．
[4]王晓玉，刘永铭，周新人，等. 2型糖尿病患者脉搏波速度的变化及其影响因素[J]. 中国糖尿病杂志，2010，18（10）：767-769.
[5]Alberli KG, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation: International Atheroselerosis Society; and International Association for the Study of Obesity[J]. Circulation, 2009, 120(16): 1640-1645．
[6]张红，姜珏，周琦. 极速脉搏波技术定量评价健康成人颈动脉弹性的研究[J]. 临床超声医学杂志，2015，17（7）：457-460.
[7]Mottillo S, Filion KB, Genest J, et al. The metabolic syndrome and cardiovascular risk: a systematic review and meta-analysis[J]. JACC, 2010, 56(14): 1113-1132．
[8]Sandeep S, Gokulakrishnan K, Deepa M, et al. Insulin resistance is associated with increased cardiovascular risk in Asian Indians with normal glucose tolerance—the Chennai Urban Rural Epidemiology Study(Cures-66)[J]. J Assoc Physicians India, 2011, 59: 480-484.
[9]Watson NL, Sutton-Tyrrell K, Youk AO, et al． Anerial stiffness and gait speed in older adults with and without peripheral arterial disease[J]． Am J Hypertens, 2011, 24(1): 90-95．
[10]Hodis S, Zamir M. Pulse wave velocity as a diagnostic index: the pitfalls of tethering versus stiffening of the arterial wall[J]. J Biomech, 2011, 44(7): 1367-1373.
[11]邱兰燕，钱林学，刘冬，等. 极速成像技术检测的脉搏波传导速度与颈动脉硬化相关性的研究[J]. 中华超声影像学杂志，2014，23（3）：203-205.
2017, Vol. 28 
