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Evaluation of carotid arterial elasticity in patients with obstructive sleep apnea hypopnea syndrome by two-dimensional speckle tracking imaging.

Abstract The objective is to evaluate carotid arterial elasticity in patients with obstructive sleep apnea hypopnea syndrome (OSAHS) by two-dimensional speckle tracking imaging (2D-STI).Sixty-two hospitalized patients with OSAHS and 20 healthy subjects were studied. The OSAHS patients were divided into 3 subgroups: a mild group, a moderate group, and severe group. All subjects underwent complete left common carotid artery (LCCA) examination by echo-tacking technique and 2D-STI. The stiffness parameter (β), elastic modulus (Eρ), stiffness β single pulse wave velocity (PWVβ), and arterial compliance (AC) were automatically calculated by echo-tracking technique. And the global and segmental peak systolic circumferential artery strain (CAS) values were made off-line using 2D-STI.The β, Ep, and PWVβ values of the carotid artery in the moderate and severe groups were greater than those in the control group (P < .05). In addition, the systolic peak global CAS and the segments between 5 and 7 o'clock in the moderate and severe groups were lower than those in the control group (P < .05). Compared with mild group, the β, PWVp, and Ep values of the carotid artery in the moderate and severe groups were higher (P < .05) and the systolic peak global CAS lower than in the control group (P < .05). The systolic peak global CAS was significantly inversely correlated with stiffness (β, r = - 0.61, P < .05) and stiffness β single pulse wave velocity (PWVβ, r = -0.59, P < .05). Through stepwise multiple linear regression analysis, age and SaO2 were the significant variables that determined the systolic peak global CAS2D-STI provides a new method to investigate carotid arterial elasticity in patients with OSAHS.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390418
OWN - NLM
STAT- In-Process
LR  - 20180204
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Evaluation of carotid arterial elasticity in patients with obstructive sleep
      apnea hypopnea syndrome by two-dimensional speckle tracking imaging.
PG  - e8817
LID - 10.1097/MD.0000000000008817 [doi]
AB  - The objective is to evaluate carotid arterial elasticity in patients with
      obstructive sleep apnea hypopnea syndrome (OSAHS) by two-dimensional speckle
      tracking imaging (2D-STI).Sixty-two hospitalized patients with OSAHS and 20
      healthy subjects were studied. The OSAHS patients were divided into 3 subgroups: 
      a mild group, a moderate group, and severe group. All subjects underwent complete
      left common carotid artery (LCCA) examination by echo-tacking technique and
      2D-STI. The stiffness parameter (beta), elastic modulus (Erho), stiffness beta
      single pulse wave velocity (PWVbeta), and arterial compliance (AC) were
      automatically calculated by echo-tracking technique. And the global and segmental
      peak systolic circumferential artery strain (CAS) values were made off-line using
      2D-STI.The beta, Ep, and PWVbeta values of the carotid artery in the moderate and
      severe groups were greater than those in the control group (P &lt; .05). In
      addition, the systolic peak global CAS and the segments between 5 and 7 o'clock
      in the moderate and severe groups were lower than those in the control group (P &lt;
      .05). Compared with mild group, the beta, PWVp, and Ep values of the carotid
      artery in the moderate and severe groups were higher (P &lt; .05) and the systolic
      peak global CAS lower than in the control group (P &lt; .05). The systolic peak
      global CAS was significantly inversely correlated with stiffness (beta, r = -
      0.61, P &lt; .05) and stiffness beta single pulse wave velocity (PWVbeta, r = -0.59,
      P &lt; .05). Through stepwise multiple linear regression analysis, age and SaO2 were
      the significant variables that determined the systolic peak global CAS2D-STI
      provides a new method to investigate carotid arterial elasticity in patients with
      OSAHS.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - You, Manjie
AU  - You M
AD  - Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong
      University of Science and Technology.
AD  - Hubei Province Key Lab of Molecular Imaging, Wuhan, China.
FAU - Zhang, Li
AU  - Zhang L
AD  - Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong
      University of Science and Technology.
AD  - Hubei Province Key Lab of Molecular Imaging, Wuhan, China.
FAU - Fang, Lingyun
AU  - Fang L
AD  - Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong
      University of Science and Technology.
AD  - Hubei Province Key Lab of Molecular Imaging, Wuhan, China.
FAU - Li, Jie
AU  - Li J
AD  - Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong
      University of Science and Technology.
AD  - Hubei Province Key Lab of Molecular Imaging, Wuhan, China.
FAU - Xie, Mingxing
AU  - Xie M
AD  - Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong
      University of Science and Technology.
AD  - Hubei Province Key Lab of Molecular Imaging, Wuhan, China.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
PMC - PMC5758120
EDAT- 2018/02/03 06:00
MHDA- 2018/02/03 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/03 06:00 [medline]
AID - 10.1097/MD.0000000000008817 [doi]
AID - 00005792-201712220-00005 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e8817. doi: 10.1097/MD.0000000000008817.