TY - JOUR
T1 - Arterial stiffness is increased in families with premature coronary artery disease
AU - Mulders, Ties A.
AU - van den Bogaard, Bas
AU - Bakker, Annemieke
AU - Trip, Mieke D.
AU - Stroes, Erik S.
AU - van den Born, Bert-Jan H.
AU - Pinto-Sietsma, Sara-Joan
PY - 2012
Y1 - 2012
N2 - Objective A positive family history of premature coronary artery disease (CAD) is a risk factor for cardiovascular disease (CVD), independent of traditional risk factors. Therefore, currently used risk algorithms poorly predict risk in these individuals. Novel methods are thus needed to assess cardiovascular risk. Pulse-wave velocity (PWV) might be such a method, but it is unknown whether PWV is increased in first-degree relatives of patients with premature CAD. Design Observational case-control study. Setting Academic hospital. Patients Patients with premature CAD and a positive family history of premature CVD (n = 50), their first-degree relatives without CVD (n = 50) and unrelated controls (n = 50). Interventions None. Main Outcome Measures PWV was measured with using an Arteriograph system. Differences in PWV were assessed by a generalised linear model and multinomial logistic regression. Results Patients with premature CAD had a higher PWV compared with first-degree relatives and controls (9.69+/-2.90 m/s vs 8.15+/-61.96 m/s and 7.38+/-61.08 m/s; p <0.05 patients vs all groups). Linear regression showed all groups related to PWV, with patients having the highest PWV and controls the lowest (p <0.0001). Furthermore, PWV was associated with first-degree relatives (OR 1.32, 95% CI 1.02 to 1.72; p <0.05) and premature CAD (OR 1.72, 95% CI 1.32 to 2.24; p <0.05) compared with controls. These findings were independent of blood pressure and other traditional risk factors. Conclusions Patients with premature CAD and their first-degree relatives had higher PWV compared with controls, independent of other risk factors. This holds promise for the future, in which arterial stiffness might play a role in risk prediction within families with premature CAD
AB - Objective A positive family history of premature coronary artery disease (CAD) is a risk factor for cardiovascular disease (CVD), independent of traditional risk factors. Therefore, currently used risk algorithms poorly predict risk in these individuals. Novel methods are thus needed to assess cardiovascular risk. Pulse-wave velocity (PWV) might be such a method, but it is unknown whether PWV is increased in first-degree relatives of patients with premature CAD. Design Observational case-control study. Setting Academic hospital. Patients Patients with premature CAD and a positive family history of premature CVD (n = 50), their first-degree relatives without CVD (n = 50) and unrelated controls (n = 50). Interventions None. Main Outcome Measures PWV was measured with using an Arteriograph system. Differences in PWV were assessed by a generalised linear model and multinomial logistic regression. Results Patients with premature CAD had a higher PWV compared with first-degree relatives and controls (9.69+/-2.90 m/s vs 8.15+/-61.96 m/s and 7.38+/-61.08 m/s; p <0.05 patients vs all groups). Linear regression showed all groups related to PWV, with patients having the highest PWV and controls the lowest (p <0.0001). Furthermore, PWV was associated with first-degree relatives (OR 1.32, 95% CI 1.02 to 1.72; p <0.05) and premature CAD (OR 1.72, 95% CI 1.32 to 2.24; p <0.05) compared with controls. These findings were independent of blood pressure and other traditional risk factors. Conclusions Patients with premature CAD and their first-degree relatives had higher PWV compared with controls, independent of other risk factors. This holds promise for the future, in which arterial stiffness might play a role in risk prediction within families with premature CAD
U2 - https://doi.org/10.1136/heartjnl-2011-300999
DO - https://doi.org/10.1136/heartjnl-2011-300999
M3 - Article
C2 - 22194150
SN - 1355-6037
VL - 98
SP - 490
EP - 494
JO - Heart (British Cardiac Society)
JF - Heart (British Cardiac Society)
IS - 6
ER -