Regional Arterial Stiffness Associated with Ischemic Heart Disease in Type 2 Diabetes Mellitus

• Hatsuda Sawako

  Department of Metabolism, Endocrinology and Molecular Medicine Osaka City University Graduate School of Medicine, Osaka, Japan.

• Shoji Tetsuo

  Department of Metabolism, Endocrinology and Molecular Medicine Osaka City University Graduate School of Medicine, Osaka, Japan.

• Shinohara Kayo

  Department of Metabolism, Endocrinology and Molecular Medicine Osaka City University Graduate School of Medicine, Osaka, Japan.

• Kimoto Eiji

  Department of Metabolism, Endocrinology and Molecular Medicine Osaka City University Graduate School of Medicine, Osaka, Japan.

• Mori Katsuhito

  Department of Metabolism, Endocrinology and Molecular Medicine Osaka City University Graduate School of Medicine, Osaka, Japan.

• Fukumoto Shinya

  Department of Metabolism, Endocrinology and Molecular Medicine Osaka City University Graduate School of Medicine, Osaka, Japan.

• Koyama Hidenori

  Department of Metabolism, Endocrinology and Molecular Medicine Osaka City University Graduate School of Medicine, Osaka, Japan.

• Emoto Masanori

  Department of Metabolism, Endocrinology and Molecular Medicine Osaka City University Graduate School of Medicine, Osaka, Japan.

• Nishizawa Yoshiki

  Department of Metabolism, Endocrinology and Molecular Medicine Osaka City University Graduate School of Medicine, Osaka, Japan.

抄録

Arterial stiffness is increased in type 2 diabetes mellitus, and diabetes preferentially affects arterial stiffness of the central (elastic, capacitive) over peripheral (muscular, conduit) arteries. We hypothesized that arterial stiffness of the central artery may be more closely associated with ischemic heart disease (IHD) than stiffness of peripheral arteries in type 2 diabetes mellitus. The subjects were 595 type 2 diabetes patients including 70 with IHD. Arterial stiffness was measured as pulse wave velocity (PWV) in the heart-carotid, heart-femoral, heart-brachial, and femoral-ankle regions. The PWV values of the four segments correlated with each other in patients without IHD. However, the correlations were less impressive in those with IHD, suggesting unequal stiffening of regional arteries in IHD. As compared with patients without IHD, the IHD group showed significantly higher PWV values of the four arterial segments, particularly of the heart-femoral region. The presence of IHD was significantly associated with higher heart-femoral PWV, and this association remained significant and independent of other factors in a multiple logistic regression analysis. Pulse pressure was more strongly correlated with PWV of the heart-femoral than other arterial regions. Thus, diabetic patients with IHD have increased stiffness of arteries, particularly of the aorta, supporting the concept that central arterial stiffness plays an important role in the development of IHD.

収録刊行物

• Ｊｏｕｒｎａｌ　ｏｆ　Ａｔｈｅｒｏｓｃｌｅｒｏｓｉｓ　ａｎｄ　Ｔｈｒｏｍｂｏｓｉｓ

  Ｊｏｕｒｎａｌ　ｏｆ　Ａｔｈｅｒｏｓｃｌｅｒｏｓｉｓ　ａｎｄ　Ｔｈｒｏｍｂｏｓｉｓ 13 (2), 114-121, 2006

  一般社団法人 日本動脈硬化学会

キーワード

• Arteriosclerosis
• Pulse wave velocity (PWV)
• Coronary artery disease
• Diabetes mellitus

詳細情報

• CRID: 1390282679409444736
• NII論文ID: 130004444164
• NII論文ID: 10020627595
• NII書誌ID: AA11018976
• DOI: 10.5551/jat.13.114
• COI: 1:STN:280:DC%2BD28zgsFGhtw%3D%3D
• ISSN: 18803873
• ISSN: 13403478
• ISSN: http://id.crossref.org/issn/13403478
• Web Site: https://www.jstage.jst.go.jp/article/jat/13/2/13_2_114/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007142348
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可