Assessment of Carotid Arterial Stiffness in Community Settings With ARTSENS®.

ARTSENS Carotid artery stiffness carotid distensibility endothelial dysfunction population distribution population study pulse wave velocity ultrasound vascular stiffness

Journal

IEEE journal of translational engineering in health and medicine
ISSN: 2168-2372
Titre abrégé: IEEE J Transl Eng Health Med
Pays: United States
ID NLM: 101623153

Informations de publication

Date de publication:
2021
Historique:
received: 29 06 2020
revised: 25 09 2020
revised: 14 11 2020
accepted: 16 11 2020
entrez: 17 12 2020
pubmed: 18 12 2020
medline: 18 12 2020
Statut: epublish

Résumé

We investigate the field feasibility of carotid stiffness measurement using ARTSENS® Touch and report the first community-level data from India. In an analytical cross-sectional survey among 1074 adults, we measured specific stiffness index ([Formula: see text]), pressure-strain elastic modulus ([Formula: see text]), arterial compliance (AC), and one-point pulse wave velocity (PWV[Formula: see text]) from the left common carotid artery. Data for established risk factors (waist circumference, blood pressure, plasma glucose, triglycerides, and HDL-C) were also collected. The association of carotid stiffness with age, gender, hypertension/diabetes, smoking, and clustering of risk factors was studied. Measurements were repeatable with a relative difference (RD) between consecutive readings of < 5% for blood pressure and < 15% for [Formula: see text]% of arterial diameter values. The average RDs for [Formula: see text], [Formula: see text], AC, and PWV[Formula: see text], were 20.51%, 22.31%, 25.10%, and 14.13%, respectively. Typical range for stiffness indices among females and males were [Formula: see text]: 8.12 ± 3.59 vs 6.51 ± 2.78, [Formula: see text]: 113.24 ± 56.12 kPa vs 92.33 ± 40.65 kPa, PWV[Formula: see text]: 6.32 ± 1.38 ms The study demonstrated the feasibility of carotid stiffness measurement in a community setting. A positive association between the risk factors and carotid artery stiffness provides evidence for the device's use in resource-constrained settings. Clinical Impact: The device paves the way for epidemiological and clinical studies that are essential for establishing population-level nomograms for wide-spread use of carotid stiffness in clinical practice and field screening of 'at-risk' subjects.

Identifiants

pubmed: 33329943
doi: 10.1109/JTEHM.2020.3042386
pii: 1900111
pmc: PMC7732146
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1900111

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Auteurs

Jayaraj Joseph (J)

Department of Electrical EngineeringIndian Institute of Technology MadrasChennai600036India.

P M Nabeel (PM)

Healthcare Technology Innovation CentreIndian Institute of Technology MadrasChennai600113India.

Sudha Ramachandra Rao (SR)

Indian Council of Medical ResearchNational Institute of EpidemiologyChennai600077India.

Ramachandran Venkatachalam (R)

Indian Council of Medical ResearchNational Institute of EpidemiologyChennai600077India.

Malay Ilesh Shah (MI)

Healthcare Technology Innovation CentreIndian Institute of Technology MadrasChennai600113India.

Prabhdeep Kaur (P)

Indian Council of Medical ResearchNational Institute of EpidemiologyChennai600077India.

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Classifications MeSH