Brachial-Ankle Pulse Wave Velocity Is Useful for Evaluation of Complications in Type 2 Diabetic Patients

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著者

    • ASO Katsumi
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University
    • MIYATA Masaaki
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University
    • KUBO Tadahiro
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University
    • HASHIGUCHI Hiroshi
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University
    • FUKUDOME Michiyo
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University
    • FUKUSHIGE Eriko
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University
    • KORIYAMA Nobuyuki
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University
    • NAKAZAKI Mitsuhiro
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University
    • MINAGOE Shinihci
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University
    • TEI Chuwa
    • First Department of Internal Medicine, Faculty of Medicine, Kagoshima University

抄録

<B>Pulse wave velocity (PWV) is useful for the evaluation of aortic stiffness. The brachial-ankle PWV (baPWV) and carotid PWV (from heart to carotid) were compared to study the relation of these two types of PWVs to diabetic complications in patients with type 2 diabetes mellitus. The baPWV was determined by oscillometrically measuring the pulse volume record at the upper arm and ankles. The carotid PWV was measured tonometrically. Ninety patients with type 2 diabetes mellitus were divided into tertile groups on the basis of baPWV or carotid PWV. The correlations of these variables with albuminuria, peripheral neuropathy, coefficient of variation of R-R intervals (CV R-R) on the electrocardiogram at rest, and retinopathy were examined by logistic regression analysis. After adjustment for age, systolic blood pressure, and duration of diabetes, logistic regression analysis showed that baPWV was directly related to the frequencies of albuminuria, decreased CV R-R, peripheral neuropathy, and retinopathy. In contrast, carotid PWV did not significantly correlate with any diabetic complications. We conclude that oscillometrically determined baPWV is related to the risk of diabetic microvascular disease in patients with type 2 diabetes mellitus and suggested to be useful for assessing risk factors of diabetic complications. (<I>Hypertens Res</I> 2003; 26: 807-813)</B>

収録刊行物

  • Hypertension research : clinical and experimental : official journal of the Japanese Society of Hypertension

    Hypertension research : clinical and experimental : official journal of the Japanese Society of Hypertension 26(10), 807-813, 2003-10-01

    The Japanese Society of Hypertension

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各種コード

  • NII論文ID(NAID)
    10012457625
  • NII書誌ID(NCID)
    AA10847079
  • 本文言語コード
    ENG
  • 資料種別
    ART
  • ISSN
    09169636
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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