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Evaluation of subclinical atherosclerosis using ultrasound radiofrequency data technology in patients diagnosed with ankylosing spondylitis.
J Ultrasound Med. 2019 Mar; 38(3):703-711.JU

Abstract

OBJECTIVE

The present study aims to identify the cardiovascular risk associated with chronic inflammation and disease activity in patients with ankylosing spondylitis (AS) using noninvasive ultrasonographic radiofrequency data technology.

METHODS

In this study, a total of 87 participants, 38 patients with AS and 49 healthy controls, were evaluated by Doppler ultrasonography. Intima-media thickness (IMT) and arterial stiffness were measured from the bilateral common carotid artery using the radiofrequency method.

RESULTS

No statistically significant difference was found between the AS patients and healthy controls concerning the right common carotid artery, left common carotid artery, IMT, distensibility coefficient, elasticity coefficient, α and β stiffness indexes, and pulse wave velocities (P > .05). The symptom duration of the AS patients had a positive correlation that was moderate and was detected with the α stiffness index and pulse wave velocity (P < .05). The duration of diagnosis and treatment of the AS patients had a positive correlation that was moderate, was detected with the α stiffness index, the β stiffness index, and pulse wave velocity (P < .05). The mean IMT and elasticity coefficient values of the AS patients whose Bath Ankylosing Spondylitis Disease Activity Index score was 4 and above, were substantially higher than the values in the patients with scores lower than 4 (P = .038 and P = .33, respectively).

CONCLUSIONS

Subclinical atherosclerosis is not accelerated in AS patients with low disease activity, although insufficiently controlled disease activity may result in increased carotid IMT and atheromatosis. Radiofrequency data technology provides a noninvasive method for accurately and quantitatively demonstrating CCA-IMT elevation and the decrease in vascular elasticity in patients with AS.

Authors+Show Affiliations

Department of Radiology, Diskapi Yildirim Beyazit Research and Training Hospital, Ankara, Turkey.Department of Rheumatology, Diskapi Yildirim Beyazit Research and Training Hospital, Ankara, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30182506

Citation

Kaplanoglu, Hatice, and Cem Özişler. "Evaluation of Subclinical Atherosclerosis Using Ultrasound Radiofrequency Data Technology in Patients Diagnosed With Ankylosing Spondylitis." Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine, vol. 38, no. 3, 2019, pp. 703-711.
Kaplanoglu H, Özişler C. Evaluation of subclinical atherosclerosis using ultrasound radiofrequency data technology in patients diagnosed with ankylosing spondylitis. J Ultrasound Med. 2019;38(3):703-711.
Kaplanoglu, H., & Özişler, C. (2019). Evaluation of subclinical atherosclerosis using ultrasound radiofrequency data technology in patients diagnosed with ankylosing spondylitis. Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine, 38(3), 703-711. https://doi.org/10.1002/jum.14754
Kaplanoglu H, Özişler C. Evaluation of Subclinical Atherosclerosis Using Ultrasound Radiofrequency Data Technology in Patients Diagnosed With Ankylosing Spondylitis. J Ultrasound Med. 2019;38(3):703-711. PubMed PMID: 30182506.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of subclinical atherosclerosis using ultrasound radiofrequency data technology in patients diagnosed with ankylosing spondylitis. AU - Kaplanoglu,Hatice, AU - Özişler,Cem, Y1 - 2018/09/04/ PY - 2018/02/08/received PY - 2018/06/01/revised PY - 2018/06/10/accepted PY - 2018/9/6/pubmed PY - 2019/6/8/medline PY - 2018/9/6/entrez KW - ankylosing spondylitis KW - atherosclerosis KW - intima-media thickness KW - sonographic radiofrequency data technology SP - 703 EP - 711 JF - Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine JO - J Ultrasound Med VL - 38 IS - 3 N2 - OBJECTIVE: The present study aims to identify the cardiovascular risk associated with chronic inflammation and disease activity in patients with ankylosing spondylitis (AS) using noninvasive ultrasonographic radiofrequency data technology. METHODS: In this study, a total of 87 participants, 38 patients with AS and 49 healthy controls, were evaluated by Doppler ultrasonography. Intima-media thickness (IMT) and arterial stiffness were measured from the bilateral common carotid artery using the radiofrequency method. RESULTS: No statistically significant difference was found between the AS patients and healthy controls concerning the right common carotid artery, left common carotid artery, IMT, distensibility coefficient, elasticity coefficient, α and β stiffness indexes, and pulse wave velocities (P > .05). The symptom duration of the AS patients had a positive correlation that was moderate and was detected with the α stiffness index and pulse wave velocity (P < .05). The duration of diagnosis and treatment of the AS patients had a positive correlation that was moderate, was detected with the α stiffness index, the β stiffness index, and pulse wave velocity (P < .05). The mean IMT and elasticity coefficient values of the AS patients whose Bath Ankylosing Spondylitis Disease Activity Index score was 4 and above, were substantially higher than the values in the patients with scores lower than 4 (P = .038 and P = .33, respectively). CONCLUSIONS: Subclinical atherosclerosis is not accelerated in AS patients with low disease activity, although insufficiently controlled disease activity may result in increased carotid IMT and atheromatosis. Radiofrequency data technology provides a noninvasive method for accurately and quantitatively demonstrating CCA-IMT elevation and the decrease in vascular elasticity in patients with AS. SN - 1550-9613 UR - https://www.unboundmedicine.com/medline/citation/30182506/Evaluation_of_subclinical_atherosclerosis_using_ultrasound_radiofrequency_data_technology_in_patients_diagnosed_with_ankylosing_spondylitis_ L2 - https://doi.org/10.1002/jum.14754 DB - PRIME DP - Unbound Medicine ER -