Key result
Ratios of areas under peripheral arterial pulse wave contours significantly discriminated atherosclerotic patients from controls, with areas under the ROC curve ranging from 0.802 to 0.906.
Why the study?
Can the ratios of areas under peripheral arterial pulse wave contours accurately detect atherosclerotic changes?
Case-Control (n=92)
Can the ratios of areas under peripheral arterial pulse wave contours accurately detect atherosclerotic changes?
Ratios of areas under peripheral arterial pulse wave contours show potential as a non-invasive diagnostic marker for atherosclerotic changes.
Answers are grounded in this paper and cite their sources.
Pulse wave area ratios may aid noninvasive atherosclerosis detection; hypothesis-generating and requires larger validation before clinical use.
OBJECTIVE: In this study, we propose a method for finding atherosclerotic changes based on the ratios of areas under peripheral arterial pulse wave (PW) contours and analyze its performance. APPROACH: The PW signals were recorded with force sensors and photoplethysmographic sensors from ankle, wrist, cubital fossa, index finger and second toe from 30 atherosclerotic patients and 52 control subjects. In addition, the day-to-day repeatability of the method was studied with 10 test subjects examined on three different days. The ratios of areas under the PWs were computed and the results were evaluated by means of receiver operating characteristic (ROC) analysis, intra-class correlation (ICC) coefficient and multiple linear regression analysis. MAIN RESULTS: Areas under ROC curves of 0.802-0.906 were found for different area ratios having statistically significant differences between the atheroslerotic group and control groups. ICCs over 0.80 were found widely for the beat-by-beat analyzed data and over 0.95 for the data based on the averages over different numbers of PWs. Multiple linear regression analysis showed linear dependence between the area ratios and age and the diagnosis of atherosclerosis. SIGNIFICANCE: Our findings may facilitate development of novel diagnostic approaches and preventive strategies against cardiovascular disorders. However, further studies are needed to confirm the results. The presented study demonstrates the potential of arterial PW analysis in finding vascular abnormalities.
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Peltokangas et al. (2017) conducted a case-control in Atherosclerosis (n=92). Ratios of areas under peripheral arterial pulse wave (PW) contours vs. Control subjects was evaluated on Discrimination between atherosclerotic patients and controls (AUC 0.802-0.906). Ratios of areas under peripheral arterial pulse wave contours significantly discriminated atherosclerotic patients from controls, with areas under the ROC curve ranging from 0.802 to 0.906.
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