Simultaneous assessment of vascular distensibility and vessel wall area at coronary, carotid, and aortic level in diabetic patients using CMR: detection of vascular remodeling.

Details

Serval ID
serval:BIB_5DF1A691EA5C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Simultaneous assessment of vascular distensibility and vessel wall area at coronary, carotid, and aortic level in diabetic patients using CMR: detection of vascular remodeling.
Journal
American journal of cardiovascular disease
Author(s)
Winkel D.J., Stoiber L., Xiong T., Stuber M., Hays A.G., Plöckinger U., Doeblin P., Stehning C., Kelle S.
ISSN
2160-200X (Print)
ISSN-L
2160-200X
Publication state
Published
Issued date
04/2023
Peer-reviewed
Oui
Volume
13
Number
2
Pages
73-86
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
No data is available about the significance of cardiovascular magnetic resonance (CMR) derived vascular distensibility (VD) and vessel wall ratio (VWR) for risk stratification in patients with type 2 diabetes mellitus (T2DM). Therefore, this study aimed to investigate the effects of T2DM on VD and VWR using CMR in both central and peripheral territories.
Thirty-one T2DM-patients and nine controls underwent CMR. Angulation of the aorta, the common carotid, and the coronary arteries was performed to obtain cross-sectional vessel areas.
In T2DM the Carotid-VWR and the Aortic-VWR correlated significantly. Mean values of Carotid-VWR and Aortic-VWR were significantly higher in T2DM than in controls. Coronary-VD was significantly lower in T2DM than in controls. No significant difference in Carotid-VD or Aortic-VD in T2DM vs. controls, respectively, could be observed. In a subgroup of thirteen T2DM patients with coronary artery disease (CAD), Coronary-VD was significantly lower and Aortic-VWR was significantly higher compared to T2DM patients without CAD.
CMR allows a simultaneous evaluation of the structure and function of three important vascular territories to detect vascular remodeling in T2DM.
Keywords
CMR, Coronary artery disease, aorta distensibility, cardiac MRI, caritid, cross-sectional studies, diabetes mellitus, magnetic resonance imaging, type 2, vascular remodeling
Pubmed
Web of science
Create date
30/05/2023 10:22
Last modification date
21/10/2023 6:09
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