Variations in Carotid Artery Intima–Media Thickness during the Cardiac Cycle in Children

2010 ◽  
Vol 23 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Spencer Menees ◽  
Danna Zhang ◽  
Joseph Le ◽  
Jie Chen ◽  
Geetha Raghuveer
VASA ◽  
2017 ◽  
Vol 46 (4) ◽  
pp. 275-281 ◽  
Author(s):  
Kuna Rueb ◽  
Jonathan Mynard ◽  
Richard Liu ◽  
Melissa Wake ◽  
Peter Vuillermin ◽  
...  

Abstract. Background: Carotid intima-media thickness (CIMT), an ultrasonographic marker of cardiovascular risk, is increasingly used in adults and children. The choice of specific images used to quantify CIMT from a cine sequence is often based on image quality rather than on a consistent point in the cardiac cycle. This methodological study quantified the imprecision that may be introduced by variation of CIMT during the cardiac cycle. Probands and methods: Data from four-year-olds, 11 to 12-year-olds, and adults (n=30 each age group) were selected retrospectively from two population-derived studies. Far wall CIMT of the right common carotid artery was measured at end-diastole and peak systole using standardized protocols. All images were analysed using semi-automated edge-detection software. Results: In all age groups CIMT varied significantly during the cardiac cycle and was largest at end-diastole. The mean difference in CIMT between end-diastole and peak systole was greater in four-year-olds (38 μm; 95 % confidence interval (CI) 33 to 43 μm) and 11 to 12-year-olds (31 μm; CI 26 to 36 μm) than in adults (18 μm; CI 16 to 22 μm). Carotid IMT increased by 8.8 % (CI 7.7 to 9.8 %), 6.9 % (CI 5.8 to 8.1 %), and 3.8 % (CI 3.1 to 4.5 %) between minimum and maximum arterial diameter in four-year-olds, 11 to 12-year-olds, and adults, respectively. The greatest variation in CIMT during the cardiac cycle was observed in children (up to 14 %). Conclusions: Inconsistent timing of CIMT measurement during the cardiac cycle is an avoidable source of imprecision, especially in children, in whom inter-individual differences are smallest. As CIMT is largest at end-diastole, this is the most appropriate time point for consistent and comparable measurements to be made.


2015 ◽  
Author(s):  
Dilek Tuzun ◽  
Ayten Oguz ◽  
Murat Sahin ◽  
Safa Ersen Ganidagli ◽  
Didem Atay ◽  
...  

2018 ◽  
Vol 69 (6) ◽  
pp. 1550-1553
Author(s):  
Rosana Manea ◽  
Bianca Elena Popovici ◽  
Carmen Daniela Neculoiu ◽  
Dan Minea ◽  
Alina Calin

Hypertension is a major risk factor for progression of the atherosclerotic process and for developing of degenerative cardiovascular diseases in adulthood. The aim of this study is to evaluate how the measurement of carotid intima - media thickness for prediction of essential hypertension in children can be used.The study group included 81 children and the control group 61 children, all aged between 5 - 17 years and 11 months old, and admitted in Children Hospital Brasov in the period of 2009 � 2014. The study protocol included: BMI, blood pressure and Doppler echography of the common carotid artery for each group. Mean age of the patients from the study group was 13.67 years, 43.20 % girls and 56.80 % boys, while in the control group, the mean age was 14.07 years, 54.10% girls and 45.90 % boys. 70.37% of the children from the study group presented obesity, while in the control group 40.98% were obese. The IMTC study group ranged from 0.52 - 0.69 mm and the limits of the normotensive subjects were 0.32 -0.54 mm. In both groups the obese patients were found to have increased carotid artery intima-media, which means that IMTC was positively correlated with BMI (p=0.000001).It is necessary to identify diagnostic methods easily applicable for children, allowing involvement of the characteristics of the arterial wall in the degenerative pathological processes. Increased intima-media ratio is positively correlated with high values of blood pressure.


2008 ◽  
Vol 63 (3) ◽  
pp. 309-313 ◽  
Author(s):  
H. Heuten ◽  
I. Goovaerts ◽  
G. Ennekens ◽  
C. Vrints

2005 ◽  
Vol 30 (5) ◽  
pp. 464-468 ◽  
Author(s):  
J.A. Reid ◽  
C. Wolsley ◽  
L.L. Lau ◽  
R.J. Hannon ◽  
B. Lee ◽  
...  

Andrologia ◽  
2021 ◽  
Author(s):  
Khaled Fawzy El Mulla ◽  
Amr El Abd ◽  
Hanaa Mahmoud Donia ◽  
Reham Magdy Hussein ◽  
Amira Abulfotooh Eid

2009 ◽  
Vol 31 (10) ◽  
pp. 713-716 ◽  
Author(s):  
Aydın Erdemir ◽  
Neşat Çullu ◽  
Uluç Yiş ◽  
Fatih Demircioğlu ◽  
Mustafa Kır ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document