Arterial distensibility in Wegener’s granulomatosis: a carotid - femoral pulse wave velocity study
1Kartal Koşuyolu Heart Education and Research Hospital, Cardiology, Istanbul, Turkey
2Department of Rheumatology/Internal Medicine School of Medicine, Trakya University, Edirne
3Department of Cardiology, School of Medicine, Trakya University, Edirne
4Department of Internal Medicine, Dr Lütfi Kırdar Kartal Educational and Research Hospital, İstanbul
Anatol J Cardiol 2007; 7(3): 281-285 PubMed ID: 17785217
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Abstract

Objective: The purpose of this study was to test the hypothesis; that chronic inflammation may impair vascular function and lead to an increase of arterial pulse wave velocity (PWV) in patients with Wegener’s granulomatosis (WG). Methods: We recruited 5 patients with WG and 5 healthy age and sex matched controls in this cross-sectional case-controlled study. Aortic PWV was determined by using an automatic device (Complior Colson, France), which allowed on-line pulse wave recording and automatic calculation of PWV. Results: The carotid-femoral (aortic) PWV was increased in patients with WG as compared with control group (p=0.04). Although we found positive correlation between PWV and heart rate (r=0.75, p=0.01), we did not find any significant correlation between PWV and anthropometric and other hemodynamic parameters (p>0.05). In addition, we found positive correlation between PWV and erythrocyte sedimentation rate in patients with WG (r=0.90, p=0.03). Conclusion: Pulse wave velocity is increased and arterial distensibility decreased in patients with WG. Measurements of carotid-femoral (aortic) PWV may provide an easy and noninvasive technique to identify patients at increased risk of arterial disease.


Wegener granülomatozu’nda karotis-femoral nab›z dalga hızı ile belirlenen arteryel geniflleyebilirlik
1Kartal Koşuyolu Heart Education and Research Hospital, Cardiology, Istanbul, Turkey
2Department of Rheumatology/Internal Medicine School of Medicine, Trakya University, Edirne
3Department of Cardiology, School of Medicine, Trakya University, Edirne
4Department of Internal Medicine, Dr Lütfi Kırdar Kartal Educational and Research Hospital, İstanbul
The Anatolian Journal of Cardiology 2007; 7(3): 281-285 PMID: 17785217