Inflammatory myopathies

Integrating carotid Doppler, greyscale US, and aortic oscillometry to evaluate macroangiopathy in myositides: the MYOCARD cohort

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

In one of the largest CV surrogate marker studies in IIM, patients exhibited increased carotid pulsatility, resistance, and atherosclerosis compared with controls.

Study context

Population
Patients with idiopathic inflammatory myopathies (IIM) and healthy controls (MYOCARD cohort)
Participants
82 vs 88
Exposure
IIM patients vs healthy controls
  • IIMn = 82
  • Healthy controlsn = 88reference
Outcome
Colour Doppler US (CDUS), greyscale US (GSUS) and oscillometric indices of macroangiopathy (carotid intima-media thickness (cIMT), carotid RI and PI, cfPWV)
Methodological detailscase-control comparison with healthy controls
  • Case-control comparison with healthy controls

Main finding

As reported in the abstract

Carotid macroangiopathy markers, IIM vs controls
  • IIM vs Healthy controls: Padj = 0.032
  • IIM vs Healthy controls: Padj = 0.015
  • IIM vs Healthy controls: Padj = 0.013
  • IIM vs Healthy controls: Padj = 0.012
  • IIM vs Healthy controls: Padj = 0.039

Observational data: associations, not effects.

Further findings

Resistance (RI) and pulsatility (PI) of CCA and internal carotid arteries (ICA) vs lung function (vital capacity)

RI and PI of CCA and ICA higher in patients with lower lung function vital capacity (all Ps < 0.05)

Carotid-femoral pulse wave velocity (cfPWV) correlations

Age, ρ (P < 0.001)
0.546
Mean arterial pressure, ρ (P = 0.003)
0.331
Diabetes, P
0.007
Hyperlipidaemia, P
0.032
Lung CO diffusion, ρ (P = 0.031)
−0.329

Original publication

Integrating carotid Doppler, greyscale US, and aortic oscillometry to evaluate macroangiopathy in myositides: the MYOCARD cohort. Rheumatology (Oxford). Published 13 December 2024. doi:10.1093/rheumatology/keae682

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