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The Association of Cardio-Ankle Vascular Index and Ankle-Brachial Index with Macroangiopathy in Patients with Type 2 Diabetes Mellitus
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| Title: | The Association of Cardio-Ankle Vascular Index and Ankle-Brachial Index with Macroangiopathy in Patients with Type 2 Diabetes Mellitus |
| Authors: | Niwa, Hirokatsu Browse this author | | Takahashi, Kiyohiko Browse this author | | Dannoura, Midori Browse this author | | Oomori, Kazuno Browse this author | | Miyoshi, Arina Browse this author | | Inada, Toshihiro Browse this author | | Miyoshi, Hideaki Browse this author →KAKEN DB |
| Keywords: | Ankle-brachial pressure index | | Cardio-ankle vascular index | | Macroangiopathy |
| Issue Date: | 1-Jul-2019 |
| Publisher: | Japan Atherosclerosis Society |
| Journal Title: | Journal of Atherosclerosis and Thrombosis |
| Volume: | 26 |
| Issue: | 7 |
| Start Page: | 616 |
| End Page: | 623 |
| Publisher DOI: | 10.5551/jat.45674 |
| PMID: | 30487347 |
| Abstract: | Aims: This study elucidates the association of macroangiopathy development in type 2 diabetes patients with various arteriosclerosis risk factors (ARFs) and results of cardio-ankle vascular index (CAVI) and ankle-brachial pressure index (ABI).Methods: The correlation between current and past macroangiopathy development, with ARFs or CAVI/ABI data, was retrospectively analyzed using multivariate logistic regression in 816 patients with type 2 diabetes at a single center. C-statistics combining some independent variables selected using the stepwise method were evaluated.Results: CAVI was significantly correlated with microangiopathies, including coronary artery disease (CAD), arteriosclerosis obliterans (ASO), and stroke with odds ratios (OR) of 1.20, 1.22, and 1.19, respectively. ABI significantly correlated with ASO and stroke with respective OR of 13.6 and 2.47, but not with CAD. Areas under the receiver operating characteristic curves (ROCs) revealed the accuracy of detecting ASO and stroke was increased by the combination of CAVI＋ABI (0.94 and 0.74, respectively). However, areas under the ROC for the presence of CAD can be increased by the combination of CAVI and ARFs especially including dyslipidemia.Conclusion: CAVI/ABI and some ARFs are useful tools in daily clinical care units to identify the current and past existence of macroangiopathy in patients with type 2 diabetes, but the prediction weights using these factors were different among CAD, ASO, and stroke. |
| Rights: | https://creativecommons.org/licenses/by-nc-sa/4.0 |
| Type: | article |
| URI: | http://hdl.handle.net/2115/74952 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 三好 秀明
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