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November 17, 2008Angiology

Comparison of Atherosclerotic Indicators between Cardio Ankle Vascular Index and Brachial Ankle Pulse Wave Velocity

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Why the study?

Does cardio ankle vascular index improve diagnostic accuracy for coronary artery disease compared to brachial ankle pulse wave velocity in patients with chest pain undergoing coronary angiography?

Population

696 patients with chest pain who underwent coronary angiography

Comparison

Cardio ankle vascular index (CAVI) measurement vs Brachial ankle pulse wave velocity measurement

Design

Cross-sectional

Authors

SHShigeo HorinakaAYAkihisa YabeHYHiroshi Yagi

Discussion

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Overview

CAVI may aid CAD detection over baPWV in chest pain; leaves open prospective validation before any practice change.

Structured PICO

Does cardio ankle vascular index improve diagnostic accuracy for coronary artery disease compared to brachial ankle pulse wave velocity in patients with chest pain undergoing coronary angiography?

P
Population
696 patients with chest pain who underwent coronary angiography
I
Intervention
Cardio ankle vascular index (CAVI) measurement
C
Comparator
Brachial ankle pulse wave velocity (baPWV) measurement
O
Outcome
Diagnostic accuracy for coronary artery disease (assessed by number of major coronary vessels involved)surrogate

The cardio ankle vascular index provides superior diagnostic accuracy over brachial ankle pulse wave velocity for predicting coronary artery disease, potentially due to its independence from blood pressure effects.

Cite This Study

Horinaka et al. (2008) studied this question.

synapsesocial.com/papers/6a892e93f1df03d55b28be7ahttps://doi.org/10.1177/0003319708325443
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