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Year : 2019  |  Volume : 32  |  Issue : 1  |  Page : 14-17

Aortic stiffness is increased with premature coronary artery disease: a tissue Doppler imaging study

Department of Cardiology, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Correspondence Address:
Nader Nabil
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_569_17

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Objective The objective of this study was to review the relationship of the aortic wall structure velocities evaluated by tissue Doppler imaging echocardiography in coronary artery disease (CAD). Materials and methods Data resources included Medline directories (PubMed, Medscape, Research Direct) and all material available in the internet from 1985 to 2017. The original search offered 104 articles, of which 47 fulfilled the inclusion standards. The articles analyzed aortic rigidity in patients with early CAD. Studies that did not fulfill the inclusion criteria were excluded. Research quality evaluation included determining whether honest authorization was gained, eligibility conditions were specified, appropriate settings were used, enough information was present, and whether assessment measures were described. Evaluations were created by organized review with the results tabulated. Results Altogether, 47 possibly relevant magazines were included. The studies suggested that aortic rigidity is increased in patients with early CAD. Conclusion Increased aortic rigidity has been named a predictor of cardiovascular incidents. Our conclusions verify this finding. Pulse-wave tissue Doppler imaging of the ascending aorta is an easily available way for estimating aortic flexible properties, and early aortic velocities are correlated with recently defined variables of aortic rigidity. Thus, early aortic velocities may show increased aortic rigidity in patients with early CAD. The medical use of the parameter needs further investigation.

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