Skip to main content

Assessment of Associations Between Arterial Mechanical Properties and Biochemical Blood Markers for Early Detection of Atherosclerosis

  • Conference paper
  • First Online:
8th European Medical and Biological Engineering Conference (EMBEC 2020)

Abstract

Extensive research has been carried out to find associations between arterial stiffness markers and blood levels of low-density lipoprotein cholesterol (LDL-Chol), triglycerides (TG), total cholesterol (TC) and high-density lipoprotein cholesterol (HDL-Chol) relating to assessment of cardiovascular diseases’ (CVD) risk factors and early detection of atherosclerosis. However, data on levels of atherogenic lipoproteins as apolipoprotein B (apoB), low-density lipoprotein(a) (Lp(a)) and high-density apolipoprotein A (apoA) related to arterial biomechanical properties are scarce.

The aim of this study was to investigate whether stratification of the population according to serum levels of atherogenic lipoproteins (apoB, Lp(a), TG, TC, LDL-Chol) and high-density lipoproteins (HDL-Chol, apoA) are related to arterial biomechanical properties for early and non-invasive cardiovascular risk diagnosis.

The investigation was conducted on 44 healthy subjects with familial hypercholesterolemia in their anamnesis. A SphygmoCor device for the aortic pulse wave velocity (PWVao) and augmentation index estimation, and an ultrasound device for carotid intima-media thickness, the radial artery, and the femoral artery wall thickness and lumen diameter measurements, were utilized.

An association between the serum apoB values and the radial artery wall thickness (p = 0.03) and the radial artery wall thickness to lumen diameter ratio was found (p = 0.05), indicating that the apoB level may be related to the arterial remodeling process. Also, a dependence between TG levels and age-related PWVao (p = 0.02) was discovered, which needs further investigation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. WHO. https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1. Accessed 28 Jan 2020

  2. Mach, F., Baigent, C., Catapano, A.L., Koskinas, K.C., Casula, M., Badimon, L., Chapman, M.J., De Backer, G.G., Delgado, V., Ference, B.A., Graham, I.M., Halliday, A., Landmesser, U., Mihaylova, B., Pedersen, T.R., Riccardi, G., Richter, D.J., Sabatine, M.S., Taskinen, M.-R., Tokgozoglu, L., Wiklund, O.: 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur. Heart J. 41, 1–78 (2019)

    Google Scholar 

  3. Langlois, M.R., Chapman, M.J., Cobbaert, C., Mora, S., Remaley, A.T., Ros, E., Watts, G.F., Boren, J., Baum, H., Bruckert, E., Catapano, A., Descamps, O.S., von Eckardstein, A., Kamstrup, P.R., Kolovou, G., Kronenberg, F., Langsted, A., Pulkki, K., Rifai, N., Sypniewska, G., Wiklund, O., Nordestgaard, B.G.: Quantifying atherogenic lipoproteins: current and future challenges in the era of personalized medicine and very low concentrations of LDL cholesterol. A consensus statement from EAS and EFLM. Clin. Chem. 64(7), 1006–1033 (2018)

    Article  Google Scholar 

  4. Castellon, X., Bogdanova, V.: Screening for subclinical atherosclerosis by noninvasive methods in asymptomatic patients with risk factors. Clin. Interv. Aging 8, 573–580 (2013)

    Article  Google Scholar 

  5. Myredal, A., Osika, W., Ming Gan, L., Friberg, P., Johansson, M.: Increased thickness of the radial artery in patients with coronary disease. Vasc. Med. 15(1), 33–37 (2009)

    Article  Google Scholar 

  6. Takahara, M., Katakami, N., Osonoi, T., Saitou, M., Sakamoto, F., Matsuoka, T., Shimomura, I.: Different impacts of cardiovascular risk factors on arterial stiffness versus arterial wall thickness in Japanese patients with type 2 diabetes mellitus. J. Atherosclerosis Thromb. 22(9), 971–980 (2015)

    Article  Google Scholar 

  7. Aznaouridis, K., Vlachopoulos, C., Dima, I., Ioakeimidis, N., Stefanadis, C.: Triglyceride level is associated with reflections and arterial stiffness in apparently healthy middle-aged men. Heart 93, 613–614 (2007)

    Article  Google Scholar 

  8. Gepner, A., Lazar, K., Van Hulle, C., Korcerz, C.E., Asthana, S., Carlsson, C.M.: Effects of Simvastatin on Augmentation index are transient: outcomes from a randomized controlled trial. J. Am. Heart Assoc. 8, 1–8 (2019)

    Article  Google Scholar 

  9. Sup Byun, D., Won Han, S., Hyun Park, J., Yeon Kim, J., Sam Baik, J., Hyeon Park, J.: Relationship between augmentation index and acute ischemic stroke. J. Clin. Neurosci. 21, 1220–1224 (2014)

    Article  Google Scholar 

  10. Holewijn, S., Heijer, M., Swinkels, D.W., Stalenhoef, A.F., Graaf, J.: Apolipoprotein B, non-HDL cholesterol and LDL cholesterol for identifying individuals at increased cardiovascular risk. J. Intern. Med. 268, 567–577 (2010)

    Article  Google Scholar 

  11. Steffen, B.T., Guan, W., Remaley, A.T., Stein, J.H., Tattersall, M.C., Kaufman, J., Tsai, M.Y.: Apolipoprotein B is associated with carotid atherosclerosis progression independent of individual cholesterol measures in a 9-year prospective study of multi-ethic study of atherosclerosis participants. J. Clin. Lipidol. 11, 1181–1191 (2017)

    Article  Google Scholar 

  12. Butlin, M., Qasem, A.: Large artery stiffness assessment using SphygmoCor technology. Pulse 4(4), 180–192 (2016)

    Article  Google Scholar 

  13. McEniery, C.M., Yasmin, N., Hall, I.R., Qasem, A., Wilkinson, I.B., Cockcroft, J.R.: Normal vascular aging: differential effects on wave reflection and aortic pulse wave velocity. J. Am. Coll. Cardiol. 46(9), 1753–1760 (2005)

    Article  Google Scholar 

  14. Soljanlahti, S., Autti, T., Vuorio, A.F., Keto, P., Turtola, H., Lauerma, K.: Aorta of young and middle-aged heterozygous familial hypercholesterolemia patients shows no functional or morphological impairment assessed by MRI. Vasc. Health Risk Manag. 4(4), 923–929 (2008)

    Article  Google Scholar 

  15. Meershoek, A., Van Dijk, R.A., Verhage, S., Hamming, J.F., Van den Bogaerdt, A.J., Bogers, A.J.J.C., Schaapherder, A.F., Lindeman, J.H.: Histological evaluation disqualifies IMT and calcification scores as surrogates for grading coronary and aortic atherosclerosis. Int. J. Cardiol. 224, 328–334 (2016)

    Article  Google Scholar 

  16. Fernandez-Friera, L., Fuster, V., Lopez-Melgar, B., Oliva, B., Garcia-Ruiz, J.M., Mendiguren, J., Bueno, H., Pocock, S., Ibáñez, B., Fernández-Ortiz, A., Sanz, J.: Normal LDL-cholesterol levels are associated with subclinical atherosclerosis in the absence of risk factors. J. Am. Coll. Cardiol. 70(24), 2979–2991 (2017)

    Article  Google Scholar 

  17. Hayashi, K., Kakoi, D., Makina, A.: Remodeling of the arterial wall: response to restoration of normal blood flow after flow reduction. Biorheology 56(4), 95–108 (2018)

    Article  Google Scholar 

Download references

Acknowledgements

The research was funded partly by the Estonian Ministry of Education and Research under institutional research financing IUT 19-2 and by Estonian Centre of Excellence in IT (EXCITE) funded by the European Regional Development Fund.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kristina Kööts .

Editor information

Editors and Affiliations

Ethics declarations

All authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Kööts, K. et al. (2021). Assessment of Associations Between Arterial Mechanical Properties and Biochemical Blood Markers for Early Detection of Atherosclerosis. In: Jarm, T., Cvetkoska, A., Mahnič-Kalamiza, S., Miklavcic, D. (eds) 8th European Medical and Biological Engineering Conference. EMBEC 2020. IFMBE Proceedings, vol 80. Springer, Cham. https://doi.org/10.1007/978-3-030-64610-3_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-64610-3_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-64609-7

  • Online ISBN: 978-3-030-64610-3

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics