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Circulation. 1986;74:1399-1406

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Circulation, Vol 74, 1399-1406, Copyright © 1986 by American Heart Association


ARTICLES

Intimal plus medial thickness of the arterial wall: a direct measurement with ultrasound imaging

P Pignoli, E Tremoli, A Poli, P Oreste and R Paoletti

A study in vitro of specimens of human aortic and common carotid arteries was carried out to determine the feasibility of direct measurement (i.e., not from residual lumen) of arterial wall thickness with B mode real-time imaging. Measurements in vivo by the same technique were also obtained from common carotid arteries of 10 young normal male subjects. Aortic samples were classified as class A (relatively normal) or class B (with one or more atherosclerotic plaques). In all class A and 85% of class B arterial samples a characteristic B mode image composed of two parallel echogenic lines separated by a hypoechoic space was found. The distance between the two lines (B mode image of intimal + medial thickness) was measured and correlated with the thickness of different combinations of tunicae evaluated by gross and microscopic examination. On the basis of these findings and the results of dissection experiments on the intima and adventitia we concluded that results of B mode imaging of intimal + medial thickness did not differ significantly from the intimal + medial thickness measured on pathologic examination. With respect to the accuracy of measurements obtained by B mode imaging as compared with pathologic findings, we found an error of less than 20% for measurements in 77% of normal and pathologic aortic walls. In addition, no significant difference was found between B mode-determined intimal + medial thickness in the common carotid arteries evaluated in vitro and that determined by this method in vivo in young subjects, indicating that B mode imaging represents a useful approach for the measurement of intimal + medial thickness of human arteries in vivo.


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Diabetes CareHome page
N. Katakami, M. Matsuhisa, H. Kaneto, T.-a. Matsuoka, K. Sakamoto, Y. Nakatani, K. Ohtoshi, R. Hayaishi-Okano, K. Kosugi, M. Hori, et al.
Decreased Endogenous Secretory Advanced Glycation End Product Receptor in Type 1 Diabetic Patients: Its possible association with diabetic vascular complications
Diabetes Care, November 1, 2005; 28(11): 2716 - 2721.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
P. Raggi, A. Bellasi, and C. Ratti
Ischemia Imaging and Plaque Imaging in Diabetes: Complementary tools to improve cardiovascular risk management
Diabetes Care, November 1, 2005; 28(11): 2787 - 2794.
[Abstract] [Full Text] [PDF]


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StrokeHome page
B. M. Mayosi, P. J. Avery, M. Baker, N. Gaukrodger, H. Imrie, F. R. Green, M. Farrall, H. Watkins, and B. Keavney
Genotype at the -174G/C Polymorphism of the Interleukin-6 Gene Is Associated With Common Carotid Artery Intimal-Medial Thickness: Family Study and Meta-Analysis
Stroke, October 1, 2005; 36(10): 2215 - 2219.
[Abstract] [Full Text] [PDF]


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Eur. J. Cardiothorac. Surg.Home page
V. Aboyans, J. Guilloux, P. Lacroix, C. Yildiz, A. Postil, and M. Laskar
Common carotid intima-media thickness measurement is not a pertinent predictor for secondary cardiovascular events after coronary bypass surgery. A prospective study
Eur. J. Cardiothorac. Surg., September 1, 2005; 28(3): 415 - 419.
[Abstract] [Full Text] [PDF]


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StrokeHome page
S. Soljanlahti, T. Autti, K. Lauerma, R. Raininko, P. Keto, H. Turtola, and A. F. Vuorio
Familial Hypercholesterolemia Patients Treated With Statins at No Increased Risk for Intracranial Vascular Lesions Despite Increased Cholesterol Burden and Extracranial Atherosclerosis
Stroke, July 1, 2005; 36(7): 1572 - 1574.
[Abstract] [Full Text] [PDF]


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StrokeHome page
B. Iglseder, P. Cip, L. Malaimare, G. Ladurner, and B. Paulweber
The Metabolic Syndrome Is a Stronger Risk Factor for Early Carotid Atherosclerosis in Women Than in Men
Stroke, June 1, 2005; 36(6): 1212 - 1217.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
R. S. Reneman, J. M. Meinders, and A. P.G. Hoeks
Non-invasive ultrasound in arterial wall dynamics in humans: what have we learned and what remains to be solved
Eur. Heart J., May 2, 2005; 26(10): 960 - 966.
[Abstract] [Full Text] [PDF]


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J Ultrasound MedHome page
K. W. Beach
D. Eugene Strandness, Jr, MD, and the Revolution in Noninvasive Vascular Diagnosis: Part 3: Seeking Precision
J. Ultrasound Med., May 1, 2005; 24(5): 567 - 581.
[Full Text] [PDF]


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Diabetes CareHome page
N. Gungor, T. Thompson, K. Sutton-Tyrrell, J. Janosky, and S. Arslanian
Early Signs of Cardiovascular Disease in Youth With Obesity and Type 2 Diabetes
Diabetes Care, May 1, 2005; 28(5): 1219 - 1221.
[Full Text] [PDF]


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Diabetes CareHome page
F. Piarulli, A. Lapolla, G. Sartore, C. Rossetti, G. Bax, M. Noale, N. Minicuci, C. Fiore, L. Marchioro, E. Manzato, et al.
Autoantibodies Against Oxidized LDLs and Atherosclerosis in Type 2 Diabetes
Diabetes Care, March 1, 2005; 28(3): 653 - 657.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
S.-i. Kawachi, N. Takeda, A. Sasaki, Y. Kokubo, K. Takami, H. Sarui, M. Hayashi, N. Yamakita, and K. Yasuda
Circulating Insulin-Like Growth Factor-1 and Insulin-Like Growth Factor Binding Protein-3 Are Associated With Early Carotid Atherosclerosis
Arterioscler Thromb Vasc Biol, March 1, 2005; 25(3): 617 - 621.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
E. D. Beishuizen, M. A. van de Ree, J. W. Jukema, J. T. Tamsma, J. C. M. van der Vijver, A. E. Meinders, H. Putter, and M. V. Huisman
Two-Year Statin Therapy Does Not Alter the Progression of Intima-Media Thickness in Patients With Type 2 Diabetes Without Manifest Cardiovascular Disease
Diabetes Care, December 1, 2004; 27(12): 2887 - 2892.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
Y. Aso, K.-i. Okumura, S. Wakabayashi, K. Takebayashi, S. Taki, and T. Inukai
Elevated Pregnancy-Associated Plasma Protein-A in Sera from Type 2 Diabetic Patients with Hypercholesterolemia: Associations with Carotid Atherosclerosis and Toe-Brachial Index
J. Clin. Endocrinol. Metab., November 1, 2004; 89(11): 5713 - 5717.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
G. K. Hovingh, A. Brownlie, R. J. Bisoendial, M. P. Dube, J. H.M. Levels, W. Petersen, R. P.F. Dullaart, E. S.G. Stroes, A. H. Zwinderman, E. de Groot, et al.
A novel apoA-I mutation (L178P) leads to endothelial dysfunction, increased arterial wall thickness, and premature coronary artery disease
J. Am. Coll. Cardiol., October 6, 2004; 44(7): 1429 - 1435.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
T. Temelkova-Kurktschiev, M. Hanefeld, G. Chinetti, C. Zawadzki, S. Haulon, A. Kubaszek, C. Koehler, W. Leonhardt, B. Staels, and M. Laakso
Ala12Ala Genotype of the Peroxisome Proliferator-Activated Receptor {gamma}2 Protects against Atherosclerosis
J. Clin. Endocrinol. Metab., September 1, 2004; 89(9): 4238 - 4242.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
F. Orio Jr., S. Palomba, T. Cascella, B. De Simone, S. Di Biase, T. Russo, D. Labella, F. Zullo, G. Lombardi, and A. Colao
Early Impairment of Endothelial Structure and Function in Young Normal-Weight Women with Polycystic Ovary Syndrome
J. Clin. Endocrinol. Metab., September 1, 2004; 89(9): 4588 - 4593.
[Abstract] [Full Text] [PDF]


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Am J EpidemiolHome page
L. E. Chambless, G. Heiss, E. Shahar, M. J. Earp, and J. Toole
Prediction of Ischemic Stroke Risk in the Atherosclerosis Risk in Communities Study
Am. J. Epidemiol., August 1, 2004; 160(3): 259 - 269.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
M. Rema, V. Mohan, R. Deepa, and R. Ravikumar
Association of Carotid Intima-Media Thickness and Arterial Stiffness With Diabetic Retinopathy: The Chennai Urban Rural Epidemiology Study (CURES-2)
Diabetes Care, August 1, 2004; 27(8): 1962 - 1967.
[Abstract] [Full Text] [PDF]


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CirculationHome page
G. B. J. Mancini, B. Dahlof, and J. Diez
Surrogate Markers for Cardiovascular Disease: Structural Markers
Circulation, June 29, 2004; 109(25_suppl_1): IV-22 - IV-30.
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CirculationHome page
E. de Groot, G. K. Hovingh, A. Wiegman, P. Duriez, A. J. Smit, J.-C. Fruchart, and J. J.P. Kastelein
Measurement of Arterial Wall Thickness as a Surrogate Marker for Atherosclerosis
Circulation, June 15, 2004; 109(23_suppl_1): III-33 - III-38.
[Abstract] [Full Text]


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CirculationHome page
K.-i. Aihara, H. Azuma, N. Takamori, Y. Kanagawa, M. Akaike, M. Fujimura, T. Yoshida, S. Hashizume, M. Kato, H. Yamaguchi, et al.
Heparin Cofactor II Is a Novel Protective Factor Against Carotid Atherosclerosis in Elderly Individuals
Circulation, June 8, 2004; 109(22): 2761 - 2765.
[Abstract] [Full Text] [PDF]


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StrokeHome page
M. Hanefeld, J. L. Chiasson, C. Koehler, E. Henkel, F. Schaper, and T. Temelkova-Kurktschiev
Acarbose Slows Progression of Intima-Media Thickness of the Carotid Arteries in Subjects With Impaired Glucose Tolerance
Stroke, May 1, 2004; 35(5): 1073 - 1078.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
S. A. Wickline
Plaque characterization: surrogate markers or the real thing?
J. Am. Coll. Cardiol., April 7, 2004; 43(7): 1185 - 1187.
[Full Text] [PDF]


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CirculationHome page
P. Y. Hsue, J. C. Lo, A. Franklin, A. F. Bolger, J. N. Martin, S. G. Deeks, and D. D. Waters
Progression of Atherosclerosis as Assessed by Carotid Intima-Media Thickness in Patients With HIV Infection
Circulation, April 6, 2004; 109(13): 1603 - 1608.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. Sramek, P. Bucciarelli, A.B. Federici, P.M. Mannucci, V. De Rosa, G. Castaman, M. Morfini, M.G. Mazzucconi, A. Rocino, M. Schiavoni, et al.
Patients With Type 3 Severe von Willebrand Disease Are Not Protected Against Atherosclerosis: Results From a Multicenter Study in 47 Patients
Circulation, February 17, 2004; 109(6): 740 - 744.
[Abstract] [Full Text] [PDF]