Autoinflammatory & rare systemic diseases

Greyscale, colour Doppler and oscillometric macroangiopathy indices in patients with autoinflammatory syndromes: the INFLAMMACARD cohort

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

In the first CV surrogate marker study in AIS combining oscillometry and arterial US, patients exhibited increased carotid pulsatility and altered flow dynamics vs controls. Aortic stiffness was lower in patients receiving biologics and mainly predicted by traditional CV factors and lymphadenopathy.

Study context

Population
Patients with autoinflammatory syndromes (AIS) and matched healthy controls1:2 matched
Participants
31 vs 62
Exposure
AIS patients vs matched healthy controls
  • AISn = 31
  • Controlsn = 62reference
Outcome
Common carotid artery (CCA) pulsatility index (colour Doppler ultrasound (CDUS))
Methodological detailsmatched (1:2) healthy controls, INFLAMMACARD cohort
  • Matched (1:2) healthy controls
  • INFLAMMACARD cohort

Main finding

As reported in the abstract

AIS

1.89

SD 0.46

Controls

1.59

SD 0.32

P = 0.024

Observational data: associations, not effects.

Further findings

CCA peak systolic velocity

P = 0.003

OutcomeP value
cfPWV in AIS patients not receiving biologic therapy (subgroup)AIS not on biologics vs Comparator · comparator group not named in abstractP = 0.001
  • Carotid-femoral pulse wave velocity (cfPWV) in AIS patients not receiving biologic therapy (subgroup): AIS not on biologics 6.99 (SD 1.71) m/s
  • cfPWV in AIS patients not receiving biologic therapy (subgroup): Comparator 5.86 (SD 0.81) m/s

Predictors of cfPWV and carotid intima-media thickness (cIMT)

Age with cfPWV, rho
0.573 (P < 0.001)
Age with cIMT, rho
0.675 (P = 0.002)
Systolic arterial pressure (SAP) with cfPWV, r
0.464 (P = 0.009)
SAP with cIMT, rho
0.514 (P = 0.029)
Lymphadenopathy with cfPWV, eta
0.373 (P = 0.039)

Associations of pulsatility index (PI) and flow-velocity integral (FVI)

PI with nicotine, rho
0.691 (P = 0.008)
FVI (inversely) with SAP, rho
−0.522 (v0.026)

Original publication

Greyscale, colour Doppler and oscillometric macroangiopathy indices in patients with autoinflammatory syndromes: the INFLAMMACARD cohort. Rheumatology (Oxford). Published 10 January 2026. doi:10.1093/rheumatology/keag017

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