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June 1, 2007Annals of the New York Academy of Sciences

Systemic sclerosis was associated with impaired flow-mediated vasodilation (3.41% vs 7.66%; P<0.037) and increased carotid intima-media thickness (0.93 vs 0.77 mm; P<0.005) versus healthy controls.

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Why the study?

Does systemic sclerosis increase subclinical atherosclerosis as measured by FMD and IMT compared to healthy controls?

Population

35 patients with systemic sclerosis and 20 healthy controls.

Comparison

Systemic sclerosis (disease state) vs Healthy controls

Design

Case-control

Key result

Systemic sclerosis was associated with impaired flow-mediated vasodilation (3.41% vs 7.66%; P<0.037) and increased carotid intima-media thickness (0.93 vs 0.77 mm; P<0.005) versus healthy controls.

Authors

FBFrancesca BartoliJBJelena BlagojevićMBMarzia Bacci

Discussion

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Member takes

Overview

SSc patients exhibit impaired FMD and increased IMT independent of traditional risks; leaves open whether these changes warrant routine macrovascular screening or predict outcomes.

Study Design

Type

Case-Control (n=55)

Structured PICO

Does systemic sclerosis increase subclinical atherosclerosis as measured by FMD and IMT compared to healthy controls?

P
Population
35 patients with systemic sclerosis and 20 healthy controls evaluated for macrovascular involvement using flow-mediated vasodilation and carotid intima-media thickness.
E
Exposure
Systemic sclerosis (disease state)
C
Comparator
Healthy controls
O
Outcome
Brachial artery flow-mediated vasodilation (FMD) and carotid intima-media thickness (IMT)surrogate

Main Result

Absolute Event Rate: 3.41% vs 7.66%

p-value: p=<0.037

Systemic sclerosis is associated with impaired endothelial function and increased carotid intima-media thickness, indicating accelerated subclinical atherosclerosis independent of traditional risk factors.

Limitations

  • Lack of prospective design
  • Lack of clinical outcomes
  • Lack of prospective clinical outcomes

Cite This Study

Bartoli et al. (2007) conducted a case-control in Systemic sclerosis (n=55). Systemic sclerosis vs. Healthy controls was evaluated on Brachial artery flow-mediated vasodilation (FMD) (p=<0.037). Systemic sclerosis was associated with impaired flow-mediated vasodilation (3.41% vs 7.66%; P<0.037) and increased carotid intima-media thickness (0.93 vs 0.77 mm; P<0.005) versus healthy controls.

synapsesocial.com/papers/6a61eeafc72d59d08cf542fdhttps://doi.org/10.1196/annals.1422.030
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Endothelial dysfunction precedes atherosclerosis in systemic sclerosis--relevance for prevention of vascular complications2007 · 139 citations
  2. 2Endothelial dysfunction in patients with systemic sclerosis2020 · 25 citations
  3. 3Carotid and femoral arterial wall mechanics in scleroderma2003 · 73 citations
  4. 4Relationships between Brachial Artery Flow Mediated Dilation and Carotid Artery Intima-Media Thickness in Patients with Suspected Coronary Artery Disease.2002 · 51 citations
  5. 5Endothelial dysfunction and increased carotid intima–media thickness in patients with spondyloarthritis without traditional cardiovascular risk factors2022 · 10 citations