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Vlachakis PK, Tsiachris D, Doundoulakis I, Tsioufis P, Kordalis A, Botis M, Leontsinis I, Antoniou CK, Papachrysostomou C, Dimitroula V, Maneta E, Chalkitis V, Kotsakis T, Skantzikas P, Kafkas N, Sidiropoulos G, Roussos D, Trikas A, Koudounis G, Kolettis TM, Smyrnioudis N, Christakos D, Chasikidis C, Gatzoulis KA, Tsioufis K. Therapeutic inertia in rhythm control strategies in hospitalized patients with fibrillation: Insights from Hellenic Cardiorenal Morbidity Snapshot (HECMOS) study. J Cardiol 2024; 83:313-317. [PMID: 37979719 DOI: 10.1016/j.jjcc.2023.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Revised: 11/10/2023] [Accepted: 11/10/2023] [Indexed: 11/20/2023]
Abstract
BACKGROUND Current guidelines recommend a rhythm control strategy in patients with symptomatic atrial fibrillation (AF) while catheter ablation has been shown to be a safer and more efficacious approach than antiarrhythmic medications. METHODS HECMOS was a nationwide snapshot survey of cardiorenal morbidity in hospitalized cardiology patients. In this sub-study, we included 276 cases who had a history of AF, particularly on the rhythm strategy, and catheter ablation procedures had been performed before the index admission. RESULTS Among 276 AF patients (mean age: 76.4 ± 11.5 years, 58 % male), 60.9 % (N = 168) had persistent AF and 39.1 % (N = 108) had paroxysmal AF. Heart failure was the main cause of admission in 54.3 % (N = 145) of the patients, while 14.1 % (N = 39) were admitted due to paroxysmal AF, 7.3 % (N = 20) due to bradyarrhythmic reasons, and 6.5 % (N = 18) suffered from acute coronary syndrome. Most importantly, heart failure with reduced ejection fraction was present in 76 (27 %) patients. Only 10 patients out of the total (3 %, mean age 59.7 years) had undergone AF ablation while electrical cardioversion had been attempted in 37 (13.4 %) patients. Interestingly, in this AF population with heart failure, 3.6 % (N = 10) had a defibrillator implanted (4 single-chamber), and only 1.5 % (N = 4) had a cardiac resynchronization therapy defibrillator (CRT-D). CONCLUSION High prevalence of persistent AF was detected in hospitalized patients, with heart failure being the leading cause of admission and main co-morbidity. Rhythm control strategies are notably underused, along with CRT-D implantation in patients with AF and heart failure.
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Affiliation(s)
- Panayotis K Vlachakis
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece
| | - Dimitris Tsiachris
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece; Athens Heart Center, Athens Medical Center, Athens, Greece.
| | - Ioannis Doundoulakis
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece
| | - Panagiotis Tsioufis
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece
| | - Athanasios Kordalis
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece
| | - Michail Botis
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece
| | - Ioannis Leontsinis
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece
| | - Christos-Konstantinos Antoniou
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece; Athens Heart Center, Athens Medical Center, Athens, Greece
| | | | - Vasiliki Dimitroula
- Department of Cardiology, G. Hatzikosta General Hospital of Ioannina, Ioannina, Greece
| | - Eleni Maneta
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens Medical School, Athens, Greece
| | | | - Theodoros Kotsakis
- Department of Cardiology, Democritus University of Thrace, Medical School, Alexandroupoli, Greece
| | | | - Nikolaos Kafkas
- Department of Cardiology, General Hospital of Attica "KAT", Athens, Greece
| | - Georgios Sidiropoulos
- Department of Cardiology, Georgios Papanikolaou General Hospital, Thessaloniki, Greece
| | - Dimitris Roussos
- Department of Cardiology, Argos General Hospital, Nafplio, Argolis, Greece
| | | | - Georgios Koudounis
- Cardiology Department & Department of Cardiac Catheterization, General Hospital of Messinia, Kalamata, Greece
| | | | | | | | - Christos Chasikidis
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece
| | - Konstantinos A Gatzoulis
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece
| | - Konstantinos Tsioufis
- First Department of Cardiology, National and Kapodistrian University, "Hippokration" Hospital, Athens, Greece
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Theofilis P, Oikonomou E, Chasikidis C, Tsioufis K, Tousoulis D. Inflammasomes in Atherosclerosis-From Pathophysiology to Treatment. Pharmaceuticals (Basel) 2023; 16:1211. [PMID: 37765019 PMCID: PMC10537692 DOI: 10.3390/ph16091211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 08/20/2023] [Accepted: 08/23/2023] [Indexed: 09/29/2023] Open
Abstract
Atherosclerosis, a chronic inflammatory disease characterized by arterial plaque accumulation, remains a significant global health challenge. In recent years, inflammasomes, the intracellular multiprotein complexes crucial for initiating innate immune responses, have emerged as key players in atherosclerosis pathophysiology. This review article aims to provide a comprehensive overview of the current understanding of inflammasome activation and its impact on atherosclerosis development and progression. We explore the intricate interplay between traditional cardiovascular risk factors and inflammasome activation, leading to the perpetuation of inflammatory cascades that drive plaque formation and instability. The review focuses on the molecular mechanisms underlying inflammasome activation, including the role of pattern recognition receptors and cytokines in this process. Moreover, we discuss the contribution of inflammasomes to endothelial dysfunction, foam cell formation, and vascular inflammation. Additionally, recent advances in therapeutic strategies targeting inflammasomes are examined, including pharmacological agents and potential immunomodulatory approaches. By collating and analyzing the current evidence, this review provides valuable insights into the potential of inflammasome-targeted therapies for atherosclerosis management and treatment. Understanding the pivotal role of inflammasomes in atherosclerosis pathophysiology offers promising prospects for developing effective and personalized therapeutic interventions that can mitigate the burden of this prevalent cardiovascular disorder and improve patient outcomes.
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Affiliation(s)
- Panagiotis Theofilis
- 1st Department of Cardiology, “Hippokration” General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece; (P.T.)
| | - Evangelos Oikonomou
- 3rd Department of Cardiology, Thoracic Diseases General Hospital “Sotiria”, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Christos Chasikidis
- Department of Cardiology, General Hospital of Corinth, 20100 Corinth, Greece
| | - Konstantinos Tsioufis
- 1st Department of Cardiology, “Hippokration” General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece; (P.T.)
| | - Dimitris Tousoulis
- 1st Department of Cardiology, “Hippokration” General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece; (P.T.)
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Dimitroglou Y, Aggeli C, Theofilis P, Tsioufis P, Oikonomou E, Chasikidis C, Tsioufis K, Tousoulis D. Novel Anti-Inflammatory Therapies in Coronary Artery Disease and Acute Coronary Syndromes. Life (Basel) 2023; 13:1669. [PMID: 37629526 PMCID: PMC10455741 DOI: 10.3390/life13081669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 07/27/2023] [Accepted: 07/30/2023] [Indexed: 08/27/2023] Open
Abstract
Evidence suggests that inflammation plays an important role in atherosclerosis and the consequent clinical presentation, including stable coronary artery disease (CAD) and acute coronary syndromes (ACS). The most essential elements are cytokines, proteins with hormone-like properties that are produced by the immune cells, endothelial cells, platelets, fibroblasts, and some stromal cells. Interleukins (IL-1β and IL-6), chemokines, interferon-γ (IFN-γ), and tumor necrosis factor-alpha (TNF-α) are the cytokines commonly associated with endothelial dysfunction, vascular inflammation, and atherosclerosis. These molecules can be targeted by commonly used therapeutic substances or selective molecules that exert targeted anti-inflammatory actions. The most significant anti-inflammatory therapies are aspirin, statins, colchicine, IL-1β inhibitors, and IL-6 inhibitors, along with novel therapies such as TNF-α inhibitors and IL-1 receptor antagonists. Aspirin and statins are well-established therapies for atherosclerosis and CAD and their pleiotropic and anti-inflammatory actions contribute to their efficacy and favorable profile. Colchicine may also be considered in high-risk patients if recurrent ACS episodes occur when on optimal medical therapy according to the most recent guidelines. Recent randomized studies have also shown that therapies specifically targeting inflammatory interleukins and inflammation can reduce the risk for cardiovascular events, but these therapies are yet to be fully implemented in clinical practice. Preclinical research is also intense, targeting various inflammatory mediators that are believed to be implicated in CAD, namely repeated transfers of the soluble mutant of IFN-γ receptors, NLRP3 inflammasome inhibitors, IL-10 delivery by nanocarriers, chemokine modulatory treatments, and reacting oxygen species (ROS) targeting nanoparticles. Such approaches, although intriguing and promising, ought to be tested in clinical settings before safe conclusions can be drawn. Although the link between inflammation and atherosclerosis is significant, further studies are needed in order to elucidate this association and improve outcomes in patients with CAD.
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Affiliation(s)
- Yannis Dimitroglou
- First Department of Cardiology, “Hippokration” General Hospital, University of Athens Medical School, 11527 Athens, Greece; (Y.D.); (C.A.); (P.T.); (K.T.); (D.T.)
| | - Constantina Aggeli
- First Department of Cardiology, “Hippokration” General Hospital, University of Athens Medical School, 11527 Athens, Greece; (Y.D.); (C.A.); (P.T.); (K.T.); (D.T.)
| | - Panagiotis Theofilis
- First Department of Cardiology, “Hippokration” General Hospital, University of Athens Medical School, 11527 Athens, Greece; (Y.D.); (C.A.); (P.T.); (K.T.); (D.T.)
| | - Panagiotis Tsioufis
- First Department of Cardiology, “Hippokration” General Hospital, University of Athens Medical School, 11527 Athens, Greece; (Y.D.); (C.A.); (P.T.); (K.T.); (D.T.)
| | - Evangelos Oikonomou
- Third Department of Cardiology, Thoracic Diseases General Hospital “Sotiria”, University of Athens Medical School, 11527 Athens, Greece;
| | - Christos Chasikidis
- Department of Cardiology, General Hospital of Corinth, 20100 Corinth, Greece;
| | - Konstantinos Tsioufis
- First Department of Cardiology, “Hippokration” General Hospital, University of Athens Medical School, 11527 Athens, Greece; (Y.D.); (C.A.); (P.T.); (K.T.); (D.T.)
| | - Dimitris Tousoulis
- First Department of Cardiology, “Hippokration” General Hospital, University of Athens Medical School, 11527 Athens, Greece; (Y.D.); (C.A.); (P.T.); (K.T.); (D.T.)
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Theofilis P, Oikonomou E, Chasikidis C, Tsioufis K, Tousoulis D. Pathophysiology of Acute Coronary Syndromes-Diagnostic and Treatment Considerations. Life (Basel) 2023; 13:1543. [PMID: 37511918 PMCID: PMC10381786 DOI: 10.3390/life13071543] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 07/03/2023] [Accepted: 07/10/2023] [Indexed: 07/30/2023] Open
Abstract
Coronary artery disease and acute coronary syndromes are accountable for significant morbidity and mortality, despite the preventive measures and technological advancements in their management. Thus, it is mandatory to further explore the pathophysiology in order to provide tailored and more effective therapies, since acute coronary syndrome pathogenesis is more varied than previously assumed. It consists of plaque rupture, plaque erosion, and calcified nodules. The advancement of vascular imaging tools has been critical in this regard, redefining the epidemiology of each mechanism. When it comes to acute coronary syndrome management, the presence of ruptured plaques almost always necessitates emergent reperfusion, whereas the presence of plaque erosions may indicate the possibility of conservative management with potent antiplatelet and anti-atherosclerotic medications. Calcified nodules, on the other hand, are an uncommon phenomenon that has largely gone unexplored in terms of the best management plan. Future studies should further establish the importance of detecting the underlying mechanism and the role of various treatment plans in each of these distinct entities.
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Affiliation(s)
- Panagiotis Theofilis
- First Department of Cardiology, "Hippokration" General Hospital, University of Athens Medical School, 115 27 Athens, Greece
| | - Evangelos Oikonomou
- Third Department of Cardiology, Thoracic Diseases General Hospital "Sotiria", University of Athens Medical School, 115 27 Athens, Greece
| | - Christos Chasikidis
- Department of Cardiology, General Hospital of Corinth, 201 00 Corinth, Greece
| | - Konstantinos Tsioufis
- First Department of Cardiology, "Hippokration" General Hospital, University of Athens Medical School, 115 27 Athens, Greece
| | - Dimitris Tousoulis
- First Department of Cardiology, "Hippokration" General Hospital, University of Athens Medical School, 115 27 Athens, Greece
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Kanakakis I, Stafylas P, Tsigkas G, Nikas D, Synetos A, Avramidis D, Tsiafoutis I, Dagre A, Tzikas S, Latsios G, Patsourakos N, Sanidas I, Skalidis E, Pipilis A, Bamidis P, Davlouros P, Kanakakis I, Tselegkidi M, Sertedaki E, Mamarelis I, Fraggos E, Mantzouranis E, Karvounis C, Manolis A, Chatzilymperis G, Chiotelis I, Gryllis D, Poulimenos L, Triantafyllis A, Alexopoulos D, Varlamos C, Almpanis G, Aggeli A, Sakkas A, Trikas A, Tsiamis S, Triantafylloy K, Mpenia D, Oikonomou D, Papadopoulou E, Avramidis D, Kousta M, Moulianitaki E, Poulianitis G, Mavrou G, Latsios G, Synetos A, Tousoulis D, Kafkas N, Godwin S, Mertzanos G, Koytouzis M, Tsiafoutis I, Papadopoulos A, Tsoumeleas A, Barbetseas I, Sanidas I, Athanasiou A, Paizis I, Kakkavas A, Papafanis T, Mantas I, Neroutsos G, Gkoliopoulou A, Tafrali V, Diakakis G, Grammatikopoulos K, Sinanis T, Kartalis A, Afendoulis D, Voutas P, Kardamis C, Doulis A, Kalantzis N, Vergis K, Chasikidis C, Armatas G, Damelou A, Ntogka M, Serafetinidis I, Zagkas K, Tselempis T, Makridis P, Karantoumanis I, Karapatsoudi E, Oikonomou K, Foukarakis E, Kafarakis P, Pitarokoilis M, Rogdakis E, Stavrakis S, Koudounis G, Karampetsos V, Lionakis N, Panotopoulos C, Svoronos D, Tsorlalis I, Tsatiris K, Beneki E, Papadopoulos N, Sawafta A, Kozatsani D, Spyromitros G, Bostanitis I, Dimitriadis G, Nikoloulis N, Kampouridis N, Giampatzis V, Patsilinakos S, Andrikou E, Katsiadas N, Papanagnou G, Kotsakis A, Ioannidis E, Platogiannis N, Psychari S, Pissimissis E, Gavrielatos G, Maritsa D, Papakonstantinou N, Patsourakos N, Oikonomou G, Katsanou K, Lazaris E, Moschos N, Giakoumakis T, Papagiannis N, Goudis C, Daios S, Devliotis K, Dimitriadis F, Giannadaki M, Savvidis M, Tsinopoulos G, Zarifis I, Askalidou T, Vasileiadis I, Kleitsiotou P, Sidiropoulos S, Tsaousidis A, Tzikas S, Vassilikos V, Papadopoulos C, Zarvalis Ε, Gogos C, Moschovidis V, Styliadis I, Laschos V, Spathoulas K, Vogiatzis I, Kasmeridis C, Papadopoulos A, Pittas S, Sdogkos E, Dagre A, Mpounas P, Rodis I, Pipilis A, Konstantinidis S, Makrygiannis S, Masdrakis A, Magginas A, Sevastos G, Katsimagklis G, Skalidis E, Petousis S, Davlouros P, Tsigkas G, Hahalis G, Koufou E, Tziakas D, Chalikias G, Thomaidi A, Stakos D, Chotidis A, Nikas D, Sakellariou X, Skoularigkis I, Dimos A, Iakovis N, Mpourazana A, Zagouras A, Lygkouri G, Bamidis P, Lagakis P, Spachos D, Stafylas P, Chalitsios C, Karaiskou M, Tychala C. Epidemiology, reperfusion management and outcomes of patients with myocardial infarction in Greece: The ILIAKTIS study. Hellenic J Cardiol 2022; 67:1-8. [DOI: 10.1016/j.hjc.2022.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 01/20/2022] [Accepted: 03/08/2022] [Indexed: 11/26/2022] Open
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Tryfou E, Kostakou P, Chasikidis C, Kostopoulos V, Serafetinidis I, Olympios D, Kouris N. Biventricular myocardial function in Covid-19 recovered patients assessed by speckle tracking echocardiography: a prospective cohort echocardiography study. Eur Heart J Cardiovasc Imaging 2022. [PMCID: PMC9383374 DOI: 10.1093/ehjci/jeab289.255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Funding Acknowledgements Type of funding sources: None. Introduction Although severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes respiratory disease and affects primarily the lungs, it may also lead to cardiovascular complications and late manifestations like myocarditis, arrhythmias and myocardial damage. Nevertheless, it is not clear whether cardiovascular involvement remains after Covid-19 recovery. Two-dimensional speckle tracking echocardiography (2D-STE) can detect subclinical myocardial dysfunction, if present, and has been widely used for left (LV) and right (RV) ventricular function assessment in several clinical conditions. Purpose The aim of our study was to evaluate prospectively myocardial systolic function and hence cardiac involvement in patients after the recovery from Covid-19, using 2D-STE. Methods 100 Covid-19 recovered patients with preserved left ventricular ejection fraction (LVEF), were prospectively recruited from March 2021 until June 2021 at the General hospital of Korinthos and at the General hospital of Elefsina, "Thriassio". Based upon clinical manifestation of the disease, they were divided into two groups, those with mild symptoms, who were treated ambulant and those with respiratory insufficiency who were hospitalized. Conventional echo parameters as wells as LV global longitudinal strain (LVGLS), regional strain of all LV walls and right ventricular global longitudinal strain (RVGLS) were measured in all patients and compared to controls. Results The mean time of performed echo examination of all patients was 33.28 ± 9.4 days after the initial confirmed covid-19 infection diagnosis. Although overall LV systolic function expressed by EF was normal and similar to controls, LVGLS was found to be significantly lower in Covid-19 recovered patients in compare to controls (-18.47±-2.4 vs -21.07±-1.76% respectively, p < 0.0001). More specifically, it seemed that especially the lateral wall longitudinal strain (LATLS) and posterior wall longitudinal strain (POSTLS) were significantly reduced in all patients compared to controls (-17.77±-3.48 vs -20.97±-2.86% respectively, p < 0.0001 for LATLS and -19.52±-5.3 vs -22.23±-2.65% respectively, p = 0.01 for POSTLS). RVGLS was found significantly diminished only in the hospitalized group of Covid-19 recovered patients, compared to controls (-21.29±-5.58 vs -26.03±-4.55% respectively, p < 0.0001). Conclusions LVGLS is affected in almost all individuals after covid-19 infection independently of the infection severity, with LATLS being the most sensitive marker of LV impairment and with POSTLS to follow. RV shows impaired GLS only in severely ill patients highlighting RVGLS as a helpful tool of prognosis. Recovered patients from Covid-19 infection have to be monitored for a long time, since the duration and evolution of these lesions is unknown, and the term "long covid disease" might also include the cardiac function.
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Affiliation(s)
- E Tryfou
- Corinth General Hospital, Corinth, Greece
| | - P Kostakou
- Thriassio General Hospital, Cardiology, Athens, Greece
| | | | - V Kostopoulos
- Thriassio General Hospital, Cardiology, Athens, Greece
| | | | - D Olympios
- Thriassio General Hospital, Cardiology, Athens, Greece
| | - N Kouris
- Thriassio General Hospital, Cardiology, Athens, Greece
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Theofilis P, Oikonomou E, Lazaros G, Vogiatzi G, Goliopoulou A, Chasikidis C, Mystakidi VX, Fountoulakis P, Christoforatou E, Tsalamandris S, Anastasiou M, Papakonstantinou M, Vavouranaki G, Siasos G, Tousoulis D. The impact of diabetes mellitus on carotid atherosclerosis and arterial stiffness; results from the Corinthia study. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Evaluation of arterial stiffness and carotid atherosclerotic burden can provide important prognostic information regarding the risk for future cardiovascular events. In that context, we tried to determine those vascular properties of diabetic individuals compared to non-diabetics.
Methods
In this analysis of the observational “Corinthia” study, we included 1757 participants with determined diabetic status. Propensity scores were employed to match diabetics to non-diabetics with regards to known cardiovascular risk factors. Carotid ultrasonography was performed to evaluate intima-media thickness (cIMT) across the common carotid arteries and the carotid bulbs as well as carotid plaque burden. Arterial stiffness was estimated via assessment of carotid-to-femoral pulse wave velocity (cfPWV).
Results
Diabetic individuals had increased mean cIMT (diabetics: 1.12±0.50mm vs. 0.94±0.38mm, p<0.001) and maximum cIMT (diabetics: 1.50±0.93mm vs. 1.20±0.71mm, p<0.001) when compared to non-diabetics (Figure 1, Panel A and B). Carotid plaque burden was also increased in diabetics (34.4% vs. 19.4% in non-diabetics, p<0.001) while bilateral plaques were observed in 14.2% of diabetics opposed to 8.2% of non-diabetics (p<0.001). Concerning arterial stiffness, individuals with DM had significantly higher values of cfPWV (10.6±3.4m/s vs. 8.8±2.5m/s in non-diabetics, p<0.001) (Figure 1, Panel C). In the propensity-matched cohort, mean cIMT (diabetics: 1.13±0.51mm vs. 0.98±0.38mm, p<0.001) and maximum cIMT (diabetics: 1.53±0.95mm vs. 1.24±0.73mm, p<0.001) were significantly higher in diabetics (Figure 2, Panel A and B), as well as carotid plaque burden (36.6% vs. 21.9% in non-diabetics, p<0.001). Analysis according to territory of cIMT measurement displayed substantial differences in left (diabetics: 1.30±0.76mm vs. non-diabetics: 1.06±0.58mm, p<0.001) and right carotid bulbs (diabetics: 1.30±0.82mm vs. non-diabetics: 1.07±0.57mm, p<0.001) with respect to DM (Figure 2, Panel C) but, unexpectedly, non-significant variations were observed in left (diabetics: 0.97±0.48mm vs. non-diabetics: 0.90±0.42mm, p=0.06) and right common carotid artery (diabetics: 0.95±0.50mm vs. non-diabetics: 0.90±0.40mm, p=0.21) (Figure 2, Panel D).
Conclusion
We observed increased carotid artery intima-media thickness and cfPWV in individuals with diabetes mellitus. As opposed to non-diabetics, carotid lesions in diabetics were more pronounced in the carotid bulb and not in the common carotid artery. Our findings may raise awareness regarding the focus of atherosclerotic echocardiographic examination in subjects with diabetes mellitus while the impact of glucose-lowering therapies on these specific vascular lesions merits further assessment.
Funding Acknowledgement
Type of funding sources: None. Figure 1Figure 2
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Affiliation(s)
- P Theofilis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - E Oikonomou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - A Goliopoulou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - V X Mystakidi
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - P Fountoulakis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Vavouranaki
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Siasos
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
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Theofilis P, Oikonomou E, Vogiatzi G, Lazaros G, Mystakidi VX, Goliopoulou A, Anastasiou M, Tsalamandris S, Chasikidis C, Papakonstantinou M, Fountoulakis P, Christoforatou E, Siasos G, Tousoulis D. The impact of physical activity on arterial stiffness and inflammation; results from the “Corinthia” study. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Diminished physical activity (PA) is associated with cardiovascular morbidity and mortality. Arterial stiffness and inflammation are associated with atherosclerosis and are established risk factors for cardiovascular disease.
Purpose
We investigated the association of PA status on arterial stiffness and inflammation.
Methods
Classification of PA was performed in 2053 participants of the cross-sectional “Corinthia” study using the International Physical Activity Questionnaire (IPAQ). In accordance with the standard IPAQ scoring procedures, participants were classified into one of the following groups: upper tertile: “vigorous” PA-IPAQ 2, middle tertile: “moderate” PA-IPAQ 1 or lower tertile: “low” PA-IPAQ 0. Arterial stiffness was estimated via carotid-femoral pulse wave velocity (cfPWV) estimation and inflammatory burden was assessed via high sensitivity C reactive protein (hsCRP) measurement.
Results
Participants with low PA had impaired cfPWV values (IPAQ 0: 9.5±3.2 m/s vs. IPAQ 1: 8.7±2.4 m/s vs. IPAQ 2: 8.7±2.2 m/s, p<0.001) (Figure 1, Panel A) while abnormal cfPWV –adjusted for age and blood pressure- were more frequently encountered in low PA individuals (IPAQ 0: 14% vs. IPAQ 1: 7.8% vs. IPAQ 2: 7.3%, p=0.001) (Figure 1, Panel B). Participants characterized as having vigorous physical activity had the lowest inflammatory burden, as estimated by hsCRP (IPAQ 0: 4.8±6.4 g/l vs. IPAQ 1: 4.6±5.2 g/l vs. IPAQ 2: 3.6±4.2 g/l, p=0.001) (Figure 1, Panel C). Importantly, results remained unaffected even after adjustment for confounders (Figure 1, Panel D). A correlation analysis between the total weekly physical activity (expressed as MET minutes/week) and arterial stiffness was performed demonstrating a statistically significant negative correlation was noted (r=−0.120, p<0.001) (Figure 1, Panel E).
Conclusion
A significant association between physical activity, arterial stiffness and inflammation was observed, even after adjusting for known cardiovascular risk factors. Our findings should raise public awareness about the beneficial effects of exercise on cardiovascular health.
Funding Acknowledgement
Type of funding sources: None. Figure 1
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Affiliation(s)
- P Theofilis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - E Oikonomou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - V X Mystakidi
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - A Goliopoulou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - P Fountoulakis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Siasos
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
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9
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Theofilis P, Oikonomou E, Lazaros G, Vogiatzi G, Tsalamandris S, Chasikidis C, Fountoulakis P, Anastasiou M, Goliopoulou A, Mystakidi VX, Papakonstantinou M, Christoforatou E, Siasos G, Tousoulis D. Emotional and cardiovascular health: the impact of depression on cardiac autonomic activity. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.2421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
The coexistence of depression and cardiovascular diseases is frequently accompanied by an increased risk of adverse outcomes. QTc, an indicator of ventricular depolarization and cardiac autonomic activity, has been proposed as a biomarker of this interplay.
Purpose
We aimed to investigate the possible association of depression with QTc interval.
Methods
Assessment of depressive symptoms was performed in 1637 participants of the cross-sectional Corinthia study with the Zung self-rating depression scale in those younger than 65 years of age (Group 1) and with the geriatric depression scale in elderly individuals (>65 years, Group 2). Moreover, electrocardiogram was performed and measurement of the QT interval was derived after correction for heart rate (QTc) using the Bazett's formula. Abnormal QTc was present when QTc duration exceeded 440 ms.
Results
Group 1 individuals classified as having depression had longer QTc duration (No depression: 389.3±27.0 ms vs. Depression: 401.1±32.9 ms, p<0.001) and percentage of abnormal QTc (No depression: 2.0% vs. Depression: 10.8%, p=0.001) (Figure 1, Panels A and B). Elderly individuals had similar values of QTc (No depression: 409.9±29.6 ms vs. Depression: 405.2±46.4 ms, p=0.37) and percentage of abnormal QTc (No depression: 13.2% vs. Depression: 12.3%, p=0.78) irrespective of depression status (Figure 1, Panels C and D). The presence of depression in Group 1 subjects was associated with an increased QTc- by 10.8 ms and with an approximately 7-fold higher prevalence of abnormal QTc duration, even after adjustment for confounders (). Such finding was not detected in elderly individuals (Figure 1, Panel F).
Conclusion
Depression might adversely affect ventricular repolarization especially in middle-aged subjects. These findings highlight the interrelationship between emotional and cardiovascular health and the role of depression as a cardiovascular risk factor.
Funding Acknowledgement
Type of funding sources: None. Figure 1
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Affiliation(s)
- P Theofilis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - E Oikonomou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - P Fountoulakis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - A Goliopoulou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - V X Mystakidi
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - G Siasos
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration General Hospital, 1st Department of Cardiology, Athens, Greece
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10
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Oikonomou E, Lazaros G, Mystakidi VC, Papaioannou N, Theofilis P, Vogiatzi G, Chasikidis C, Fountoulakis P, Papakostantinou MA, Assimakopoulos MN, Barmparesos N, Tasios P, Kaski JC, Tousoulis D. The association of air pollutants exposure with subclinical inflammation and carotid atherosclerosis. Int J Cardiol 2021; 342:108-114. [PMID: 34339768 DOI: 10.1016/j.ijcard.2021.07.056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Revised: 06/22/2021] [Accepted: 07/26/2021] [Indexed: 01/31/2023]
Abstract
BACKGROUND Air pollution is a well-described environmental factor with evidence suggesting a firm association with cardiovascular diseases. The purpose of this study was to determine the association of exposure to gaseous air pollutants on atherosclerosis burden. METHODS 1955 inhabitants of the Corinthia region, aged 40 years or older, underwent clinical and biochemical assessment as well as carotid ultrasonography to evaluate carotid intima-media thickness (cIMT) and plaque burden. Analyzers recording time series concentration of CO, NO2, and SO2 were located at 4 different open sites (Regions 1, 2, 3 and 4) based on their proximity to industries, highways or shipyards. RESULTS A higher concentration of CO, NO2, and SO2 was observed in Region 4 compared to the other regions. Mean cIMT (Region 1: 0.93 ± 0.24 mm; Region 2: 0.96 ± 0.40 mm; Region 3: 0.94 ± 0.39 mm; Region 4: 1.14 ± 0.55 mm, p < 0.001), maximum cIMT (p < 0.001) as well as carotid plaque burden (Region 1: 13.3%; Region 2: 18.8%; Region 3: 22.4%; Region 4: 38.6%, p < 0.001) were significantly higher in individuals of Region 4. Inhabitants of Region 4 had also higher levels of C reactive protein (Region 1: 4.56 ± 4.85 mg/l; Region 2: 3.49 ± 4.46 mg/l; Region 3: 4.03 ± 3.32 mg/l, Region 4: 5.16 ± 8.26 mg/l, p < 0.001). Propensity score analysis revealed higher inter-area differences in mean cIMT of individuals with coronary artery disease (CAD) (high vs low air pollution area: 1.56 ± 0.80 mm; vs. 1.18 ± 0.54 mm, p < 0.001) while there was no difference in cIMT of the matched population without CAD (p = 0.52). CONCLUSIONS An increased carotid atherosclerotic and inflammatory burden is observed in inhabitants of areas with the highest concentration of air pollutants.
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Affiliation(s)
- Evangelos Oikonomou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
| | - George Lazaros
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Vasiliki Chara Mystakidi
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Nikolaos Papaioannou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Panagiotis Theofilis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Georgia Vogiatzi
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Christos Chasikidis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Petros Fountoulakis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Maria-Argentina Papakostantinou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | | | - Nikolaos Barmparesos
- National and Kapodistrian University of Athens, Department of Applied Physics, Faculty of Physics, Athens, Greece
| | - Panagiotis Tasios
- National and Kapodistrian University of Athens, Department of Applied Physics, Faculty of Physics, Athens, Greece
| | - Juan C Kaski
- Molecular and Clinical Sciences Research Institute, St. George's University of London, London, United Kingdom
| | - Dimitris Tousoulis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
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11
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Chasikidis C, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Chrysohoou C, Mystakidi VC, Vavouranaki G, Tousoulis D. Association of arterial stiffness with functional parameters in patients with systolic heart failure: Data from the Corinthia study. Hellenic J Cardiol 2021; 63:86-88. [PMID: 33965631 DOI: 10.1016/j.hjc.2021.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 03/22/2021] [Accepted: 04/20/2021] [Indexed: 11/17/2022] Open
Affiliation(s)
- Christos Chasikidis
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
| | - Evangelos Oikonomou
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece; Third Department of Cardiology, Thoracic Diseases General Hospital Sotiria, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
| | - George Lazaros
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Evangelia Christoforatou
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Georgia Vogiatzi
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Christina Chrysohoou
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Vasiliki Chara Mystakidi
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Georgia Vavouranaki
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Dimitris Tousoulis
- First Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece
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12
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Oikonomou E, Theofilis P, Vogiatzi G, Lazaros G, Tsalamandris S, Mystakidi VC, Goliopoulou A, Anastasiou M, Fountoulakis P, Chasikidis C, Christoforatou E, Tousoulis D. The impact of sleeping duration on atherosclerosis in the community: insights from the Corinthia study. Sleep Breath 2021; 25:1813-1819. [PMID: 33411185 DOI: 10.1007/s11325-020-02267-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 11/22/2020] [Accepted: 11/28/2020] [Indexed: 01/21/2023]
Abstract
PURPOSE Sleep is an essential physiologic process whose disturbances have been regarded as a risk factor in various pathophysiologic processes, including atherosclerosis and cardiovascular disease. Although the negative influence of short sleep duration has been well-established, recent data suggest a possible harmful effect of prolonged sleeping pattern. METHODS In the setting of the Corinthia cross-sectional study, self-reported night sleep duration was recorded in 1752 apparently healthy individuals and was classified as normal sleep duration (NSD, 7-8 h), short sleep duration (SSD, 6-7 h), very short sleep duration (VSSD, < 6 h), and long sleep duration (LSD, > 8 h). Carotid duplex ultrasonography was performed in order to measure the mean and maximum carotid intima-media thickness (cIMT) as a non-invasive marker of atherosclerosis. RESULTS Subjects with LSD and VSSD had significantly higher mean cIMT (VSSD: 1.02 ± 0.45 mm, SSD: 0.95 ± 0.35, NSD: 0.96 ± 0.38 mm, LSD: 1.07 ± 0.52 mm; p < 0.001) and maximum cIMT (VSSD: 1.39 ± 0.9 mm, SSD: 1.25 ± 0.71 mm, NSD: 1.23 ± 0.76 mm, LSD: 1.41 ± 0.93 mm). Following a regression analysis adjusting for known cardiovascular risk factors, individuals with LSD and VSSD had higher mean cIMT by 0.054 mm and 0.067 mm respectively compared to those with NSD. CONCLUSION A balanced sleeping duration of 6-8 h is associated with decreased mean and maximum IMT while both very short sleep duration and long sleep duration are associated with increased carotid intima-media thickness, a marker of subclinical atherosclerosis.
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Affiliation(s)
- Evangelos Oikonomou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Panagiotis Theofilis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Georgia Vogiatzi
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece.
| | - George Lazaros
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Sotirios Tsalamandris
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Vasiliki Chara Mystakidi
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Athina Goliopoulou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Maria Anastasiou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Petros Fountoulakis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Christos Chasikidis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Evangelia Christoforatou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
| | - Dimitris Tousoulis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Vasilissis Sofias 114, 115 28, Athens, Greece
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13
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Papaioannou TG, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Tsalamandris S, Chasikidis C, Kalambogias A, Mystakidi VX, Galiatsatos N, Santouri M, Latsios G, Deftereos S, Tousoulis D. Aortic stiffening is associated with increased left ventricular mass in women but not in men. Eur J Prev Cardiol 2020; 27:2109-2112. [DOI: 10.1177/2047487319865054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | | | - George Lazaros
- First Department of Cardiology, Hippokration Hospital, Greece
| | | | | | | | | | | | | | | | - Mina Santouri
- First Department of Cardiology, Hippokration Hospital, Greece
| | - George Latsios
- First Department of Cardiology, Hippokration Hospital, Greece
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14
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Papaioannou TG, Oikonomou E, Lazaros G, Vogiatzi G, Theofilis P, Tsalamandris S, Chasikidis C, Mystakidi VX, Mazaris S, Anastasiou M, Bourouki E, Papakonstantinou M, Tousoulis D. Differential effect of heart rate on pulse wave velocity measurement between subjects with normal and abnormal arterial stiffness but with similar blood pressure levels. Hellenic J Cardiol 2020; 62:455-456. [PMID: 33166650 DOI: 10.1016/j.hjc.2020.10.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 09/24/2020] [Accepted: 10/14/2020] [Indexed: 10/23/2022] Open
Affiliation(s)
- Theodore G Papaioannou
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
| | - Evangelos Oikonomou
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - George Lazaros
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Georgia Vogiatzi
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Panagiotis Theofilis
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Sotiris Tsalamandris
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Christos Chasikidis
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Vasiliki-Xara Mystakidi
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Savvas Mazaris
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Maria Anastasiou
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Evgenia Bourouki
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Margenti Papakonstantinou
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitrios Tousoulis
- First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
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15
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Theofilis P, Oikonomou E, Vogiatzi G, Lazaros G, Tsalamandris S, Mystakidi V, Goliopoulou A, Chasikidis C, Miliou A, Fountoulakis P, Papaioannou N, Papakonstantinou M, Tousoulis D. Association of habitual alcohol consumption with carotid atherosclerotic lesions: results from the Corinthia study. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2863] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Alcohol is implicated in the pathophysiology of cardiovascular diseases. However, it is also believed to play a cardioprotective role if consumed in appropriate amounts.
Purpose
To assess the association between alcohol consumption and carotid atherosclerosis.
Methods
In the setting of the cross-sectional Corinthia study, volunteers filled in questionnaires regarding drinking habits and were characterized as social drinkers (SD) or habitual alcohol consumers (HAC). Furthermore, they underwent carotid ultrasonography examination to evaluate the carotid intima-media thickness (cIMT). Thickness of cIMT>1.5 mm or protrusion >50% compared to adjacent segments was considered as atherosclerotic plaque.
Results
HAC consumers were usually male (HAC: 61.1%, SD: 24.9%, p<0.001), smokers (HAC: 33.3%, SD: 23.5%, p<0.001) and frequently had a history of hypertension (HAC: 72.8%, SD: 67.5%, p=0.02) when compared to SD (Table 1). However, no significant differences were noted regarding other risk factors of atherosclerosis (Table). Notably, HAC had a greater extent of carotid atherosclerosis as demonstrated by an increased cIMT (HAC: 1.03±0.45mm, SD: 0.96±0.39mm, p<0.001) and carotid plaque burden (HAC: 27.7%, SD: 21.3%, p=0.004). Importantly, when taking into account the number of alcoholic drinks (in wine glasses), alcohol consumption of more than 1 wine glass resulted in significantly higher values of cIMT (1 wine glass: 1.00±0.42mm, >1 wine glass: 1.06±0.45mm, p=0.04) (Figure 1A) and extensive amount of carotid plaques (1 wine glass: 22.7%, >1 wine glass: 30.4%, p=0.02) when compared to consumption of 1 wine glass (Figure 1B).
Conclusion
Habitual alcohol consumption of more than one wine glass is associated with a higher carotid atherosclerotic burden.
Figure 1
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- P Theofilis
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - E Oikonomou
- National & Kapodistrian University of Athens, Athens, Greece
| | - G Vogiatzi
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - G Lazaros
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - S Tsalamandris
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - V.C Mystakidi
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - A Goliopoulou
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - C Chasikidis
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - A Miliou
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - P Fountoulakis
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - N Papaioannou
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - M Papakonstantinou
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - D Tousoulis
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
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16
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Theofilis P, Oikonomou E, Vogiatzi G, Lazaros G, Tsalamandris S, Mystakidi V, Goliopoulou A, Fountoulakis P, Miliou A, Chasikidis C, Tousoulis D. Depression in young adults is associated with increased carotid atherosclerotic burden: insights from the Corinthia study. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
Depression appears to have a detrimental effect not only on mental health but also in the progression of various diseases.
Purpose
The examination of a potential association between depression and atherosclerosis progression in a rural population.
Methods
In the context of the cross-sectional Corinthia study, volunteers fulfilled a questionnaire concerning emotional health. The Geriatric Depression Scale was used for individuals aged 60 or more while the Zung self-rating depression score was preferred in younger adults. Carotid ultrasonography examination was performed to evaluate the mean carotid intima-media thickness (cIMT). Thickness of cIMT>1.5 mm or protrusion >50% compared to adjacent segments was considered as atherosclerotic plaque.
Results
Young adults with significant depression were usually female and did not differ significantly on other risk factors of atherosclerosis compared to those with mild or no depressive disorder. Importantly, those with moderate-severe depression appeared to have increased mean cIMT (Mild-No depression: 0.85±0.30mm, Moderate-severe depression: 0.91±0.42mm, p=0.04) and a higher carotid plaque burden (Mild-No depression: 12.8%, Moderate-severe depression: 20.3%, p=0.04). With regards to the elderly, those with moderate-severe depression were usually smokers (Mild-No depression: 13.9%, Moderate-severe depression: 24.2%, p=0.01). However, mean cIMT (Mild-No depression: 1.11±0.47mm, Moderate-severe depression: 1.09±0.39mm, p=0.69) and carotid plaques (Mild-No depression: 31.1%, Moderate-severe depression: 36.1%, p=0.36) did not differ according to depression status in this subgroup.
Conclusion
Significant depressive disorder is associated with accelerated carotid atherosclerosis in young individuals.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- P Theofilis
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - E Oikonomou
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - G Vogiatzi
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - G Lazaros
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - S Tsalamandris
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - V.C Mystakidi
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - A Goliopoulou
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - P Fountoulakis
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - A Miliou
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - C Chasikidis
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
| | - D Tousoulis
- National & Kapodistrian University of Athens Medical School, 1st Cardiology Clinic, Hippokration Hospital, Athens, Greece
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Oikonomou E, Vogiatzi G, Lazaros G, Tsalamandris S, Goliopoulou A, Mystakidou V, Theofilis P, Christoforatou E, Chasikidis C, Tousoulis D. Relationship of depressive symptoms with arterial stiffness and carotid atherosclerotic burden in the Corinthia study. QJM 2020; 113:633-642. [PMID: 32125429 DOI: 10.1093/qjmed/hcaa079] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Revised: 12/26/2019] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND It has been long hypothesized that emotional factors and depression may play role in the development of cardiovascular diseases. AIM The aim of this study was to examine the association between depression, arterial stiffness and atheromatic burden in carotid arteries. DESIGN AND METHODS Corinthia study is a cross-sectional epidemiological study conducted in subjects aged 40-99 years, inhabitants of the homonym region of Greece. Intima media thickness (IMT) was measured in the left and right common carotid artery, carotid bulb and internal carotid artery. The average of the measurements (mean IMT) and the maximum IMT were determined as the representative value of carotid atherosclerosis burden. Pulse wave velocity was used to evaluate arterial stiffness. The Zung Self-Rating Depression Scale was used to evaluate depressive symptoms in subjects <65 years and the Geriatric Depression Scale in those >65 years. RESULTS In this analysis, we included data from 1510 participants. In older subjects (i.e. >65 years), maximum IMT was significantly increased in subjects with depression compared to those without (1.57 ± 0.97 mm vs. 1.74 ± 1.05 mm, P = 0.04). Similarly, the prevalence of atheromatic plaques was higher in subjects with depression (46% vs. 34%, P = 0.005). In the younger subgroup (<65years), there was no difference in mean and maximum IMT. Pulse wave velocity was found higher in the presence of depression (8.35 ± 2.36m/s vs. 7.88 ± 1.77m/s, P = 0.007). No differences emerged for the rest of the variables assessed in the individual subgroups. CONCLUSIONS There is an age-dependent association between depression, arterial stiffness and carotid atheromatic burden highlighting the interplay between cardiovascular diseases and emotional status.
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Affiliation(s)
- E Oikonomou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - G Vogiatzi
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - G Lazaros
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - S Tsalamandris
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - A Goliopoulou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - V Mystakidou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - P Theofilis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - E Christoforatou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - C Chasikidis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - D Tousoulis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
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Oikonomou E, Lazaros G, Tsalamandris S, Vogiatzi G, Christoforatou E, Papakonstantinou M, Goliopoulou A, Tousouli M, Chasikidis C, Tousoulis D. Reply: Possible Effect of Alcohol Consumption on Aortic Dilatation by Inducing the Renin–Angiotensin–Aldosterone System. Angiology 2019; 70:980-981. [DOI: 10.1177/0003319719865671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Evangelos Oikonomou
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - George Lazaros
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Sotirios Tsalamandris
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Georgia Vogiatzi
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Evangelia Christoforatou
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Margenti Papakonstantinou
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Athina Goliopoulou
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Maria Tousouli
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Christos Chasikidis
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Dimitris Tousoulis
- 1st Cardiology Clinic, “Hippokration” General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
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Papaioannou T, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Tsalamandris S, Chasikidis C, Kalambogias A, Mystakidi VX, Galiatsatos N, Santouri M, Latsios G, Deftereos S, Tousoulis D. P3450Aortic stiffness is significantly associated with left ventricular mass in females but not in males: insights from the CORINTHIA study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Arterial stiffening may contribute to the increase of left ventricular mass (LVM) and the development of left ventricular hypertrophy (LVH). Although male gender has been also found to be an independent determinant of LVH, it is unknown if the adverse effect of increased aortic stiffening on LVM differs between males and females.
Aim
To evaluate the association of aortic stiffness as assessed by carotid-to-femoral pulse wave velocity (cf-PWV) with LVM and LVH in a general population and compare these associations between males and females.
Methods
Demographic, laboratory and clinical data of 1686 subjects (693 males and 993 females) from the cross-sectional, observational study “Corinthia” were analyzed. All subjects underwent applanation tonometry and pulse wave analysis for the measurement of cf-PWV and echocardiography examination for the computation of LVM which was adjusted by body surface area providing the LVM index (LVMI). Multivariate linear regression analysis was performed for the determination of independent factors related with LVMI. Receiver operator curve analysis (ROC) was used to compare the ability of cf-PWV to predict LVH, in males and females separately.
Results
In the female population, significant and independent determinants of LVMI were: age (beta=0.243, p<0.001), urea (beta=0.119, p=0.001), hypertension (beta=0.089, p=0.028) and cf-PWV (beta=0.096, p=0.021). In contrast, in the male population, LVMI was independently related with age (beta=0.242, p<0.001), systolic blood pressure (beta=0.095, p=0.027), LDL (beta=-0.087, p=0.047) and creatinine (beta=0.092, p=0.031). ROC analysis showed that cf-PWV is a stronger predictor of LVH in females than in males (figure).
Conclusion
Increased aortic stiffness measured by cf-PWV is significantly related with increased LVMI regardless from age and other risk factors only in females. Moreover cf-PWV was a stronger predictor of left-ventricular hypertrophy in females than males. These findings should be further explored in prospective studies.
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Affiliation(s)
- T Papaioannou
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - E Oikonomou
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - G Lazaros
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - E Christoforatou
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - G Vogiatzi
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - S Tsalamandris
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - C Chasikidis
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - A Kalambogias
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - V.-X Mystakidi
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - N Galiatsatos
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - M Santouri
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - G Latsios
- National & Kapodistrian University of Athens, First Department of Cardiology, Hippokration Hospital, Medical School, Athens, Greece
| | - S Deftereos
- National & Kapodistrian University of Athens, Second Department of Cardiology, Athens, Greece
| | - D Tousoulis
- National & Kapodistrian University of Athens, Second Department of Cardiology, Athens, Greece
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20
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Oikonomou E, Tsalamandris S, Vogiatzi G, Lazaros G, Christoforatou E, Chasikidis C, Mistakidi CV, Galiatsatos N, Asimakopoulou M, Papamikroulis GA, Zacharia E, Anastasiou M, Mavrantzas T, Papakonstantinou M, Tousoulis D. P5312Sleep duration and carotid atheromatic burden. Insights from the Corinthia study. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Sleep is an essential physiological process and disturbance of sleeping pattern may be associated with cardiovascular risk profile and atheromatosis. Short but also long sleep duration (LSD) may be adversely affect cardiovascular parameters.
Purpose
To study how sleep duration is associated with cardiovascular risk profile and carotid atherosclerotic burden.
Methods
Corinthia study is a cross sectional epidemiological study based on 2043 inhabitants (age 40–99 years) of Corinthia region in Greece. Ultrasonography was used to measure intima media thickness (IMT) in the left and right common carotid artery, carotid bulb and internal carotid artery. The mean IMT (meanIMT) were determined as representative values of carotid atherosclerosis burden. Thickness of IMT>1.5 mm or protrusion >50% compared to adjacent segments was considered as atherosclerotic plaque. Based on questionnaires of Corinthia study, total sleeping time per day was recorded. A sleep duration of 7 to 8 h was consider normal (NSD), sleep duration <6 h was consider very short (VSSD), 6–7 h sleep duration was considered short (SSD) and participants with >8 h sleep duration was categorized as LSD.
Results
Concerning gender more men than women were categorized in the NSD (26% vs. 21%, p<0.001). Subjects in the NSD were also younger compared to subjects categorized in other sleeping patterns (VSSD: 66±12 y vs. SSD: 63±12 y vs. NSD: 62±12 y vs. LSD: 66±12 y, p<0.001), have less prevalence of diabetes mellitus (p<0.05). There was no difference according to sleeping pattern in body mass index, prevalence of hypertension, cardiovascular disease, hyperlipidemia and on current smoking habits according to sleeping patterns. Interestingly, meanIMT (VSSD: 1.08±0.51 mm vs. SSD: 0.97±0.42 mm vs. NSD: 0.97±0.41 mm vs. LSD: 1.14±1.64 mm, p=0.04) and carotid atherosclerotic plaque (VSSD: 35% vs. SSD: 25% vs. NSD: 20% vs. LSD: 30%, p=0.006) was decreased in NSD subjects. Importantly, even after adjustment for the confounders logistic regression analysis revealed that subjects in the NSD group have 50% less odds of carotid atheromatic plaque than subjects in the VSSD (Odds ratio: 0.5, 95% CI 0.28–0.90, p=0.02) (Figure).
Conclusion
A balanced sleeping pattern with 8h of sleep daily can act as an additive cardioprotective factor in the modern western type societies. Short especially less than 6 hours and long (>8 hours) sleeping duration may act as a cardiovascular risk factor.
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Affiliation(s)
- E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C V Mistakidi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiatsatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Asimakopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Zacharia
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - T Mavrantzas
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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21
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Vavouranaki G, Oikonomou E, Vogiatzi G, Lazaros G, Tsalamandris S, Siasos G, Chasikidis C, Theofilis P, Mistakidi CV, Anastasiou M, Galiastatos N, Santouri M, Tousoulis D. P6255Impact of whole grain consumption on arterial stiffness. Results of the Corinthian cross-sectional survey. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
The benefits of certain dietary patterns on cardiovascular diseases has been questioned over the last years. Whole grain consumption has been one of the controversial issues regarding the effect on cardiovascular disease. In Greek rural population consumptions of bread is part of the daily meal and a possible source of whole grain.
Purpose
To investigated the effect of whole grain bread consumption on arterial stiffness in Mediterranean population.
Methods
In a cross-sectional survey (Corinthia study) volunteers subjects completed a food frequency questioner (FFQ), including a question of consumption of bread on regular basis, whole grain (group I) or not (group II). Medical history, lifestyle habits, anthropometric and vital signs, as well as, laboratory blood test were performed. All patients underwent carotid-femoral pulse wave velocity (C-F PWV) measurements which were obtained noninvasively by SphygmoCor devise.
Results
Among the 2043 volunteers 1389 patients had adequate quality of pulse wave velocity recordings and were regular consumers of bread. Whole grain bread was consumed by 473 subjects (male 37%, female 63%,) but 916 (male 43.1%, female 56.9%) did not consume. Subjects consuming whole grain bread were younger compare to those who were not (group I: 62±11 years vs. group II: 64±12 years, p=0.02), have lower C-F PWV (group I: 9.04±2.93 m/sec vs. group II: 9.57±2.76 m/sec, p=0.01) but no other statistical difference were observe among other parameters (i.e. hypertension, diabetes mellitus, BMI, smoking etc). Hierarchical multiple regression showed that whole grain consumption predicted pulse wave velocity statistically significantly (b=−0.33, 95% CI: −0.62, −0.17, p=0.03) in addition to age (b=0.09, 95% CI 0.08–0.10, p<0.001), systolic blood pressure (b=0.02, 95% CI 0.01, 0.03, p<0.001) beta=0.157) and diabetes mellitus (b=0.75, 95% CI 0.40, 1.09, p<0.001).
Conclusion
Whole grain bread consumption has a beneficial effect on arterial stiffness as detected by better carotid femoral pulse wave velocity. This may have a positively effect on cardiovascular diseases.
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Affiliation(s)
- G Vavouranaki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Siasos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Theofilis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C V Mistakidi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiastatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Santouri
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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Oikonomou E, Lazaros G, Christoforatou E, Chasikidis C, Vavouranaki G, Vogiatzi G, Papamikroulis GA, Tsalamandris S, Gergiopoulos G, Mazaris S, Theofilis P, Anastasiou M, Galiatsatos N, Tousoulis D. Breakfast association with arterial stiffness and carotid atherosclerotic burden. Insights from the 'Corinthia' study. Nutr Metab Cardiovasc Dis 2019; 29:744-750. [PMID: 31138498 DOI: 10.1016/j.numecd.2019.04.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Revised: 02/27/2019] [Accepted: 04/23/2019] [Indexed: 12/16/2022]
Abstract
BACKGROUND AND AIMS The role of dietary patterns, in cardiovascular diseases has been challenged. The role of breakfast as an element of balance energy intake has gained research interest. However, the effects of dietary patterns related to breakfast consumption on vascular function are unknown. We explored the association of breakfast consumption habits with arterial wall elastic properties and carotid atherosclerosis. METHODS AND RESULTS In this cross-sectional study we enrolled 2043 inhabitants of the Corinthia region in Greece. Carotid-femoral pulse wave velocity (cf-PWV) was used to assess arterial stiffness. Carotid intima-media thickness (cIMT) was measured and the mean and the maximum cIMT were calculated. According to food frequency questionnaires, breakfast contribution in total daily energy intake (>20%; 5-20% and <5%) was estimated. Subjects were categorized as high-energy breakfast consumers (HeBC), low-energy breakfast consumers (LeBC) and those skipping breakfast (SBf) respectively. From the study population 240 subjects were categorized as HeBC, 897 as LeBC, and 681 as SBf. The mean cf-PWV was significantly higher in subjects SBf compared to LeBC and HeBC (9.35 ± 2.82 m/s vs. 9.09 ± 2.77 m/s vs. 8.76 ± 2.69 m/s, p = 0.02). The mean cIMT was significantly higher in subjects SBf compared to LeBC and HeBC (1.04 ± 0.46 mm vs. 0.99 ± 0.43 mm vs. 0.92 ± 0.39 mm, p = 0.01). Even after adjustment for potential confounders and cardiovascular risk factors SBf subjects have significantly increased mean cIMT and cf-PWV. CONCLUSION Skipping breakfast has an adverse effect on arterial stiffness and carotid atheromatic burden. Increased breakfast total energy intake may act protectively against atherosclerosis, a finding worth of further pathophysiologic exploration with potential clinical implications.
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Affiliation(s)
- Evangelos Oikonomou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - George Lazaros
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Evangelia Christoforatou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Christos Chasikidis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Georgia Vavouranaki
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Georgia Vogiatzi
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
| | - George A Papamikroulis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Sotirios Tsalamandris
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Georgios Gergiopoulos
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Savvas Mazaris
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Panagiotis Theofilis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Myriam Anastasiou
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Nikos Galiatsatos
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Dimitris Tousoulis
- 1st Cardiology Clinic, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
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Papaioannou TG, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Tsalamandris S, Chasikidis C, Kalambogias A, Mystakidi VX, Galiatsatos N, Santouri M, Latsios G, Deftereos S, Tousoulis D. The influence of resting heart rate on pulse wave velocity measurement is mediated by blood pressure and depends on aortic stiffness levels: insights from the Corinthia study. Physiol Meas 2019; 40:055005. [DOI: 10.1088/1361-6579/ab165f] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Oikonomou E, Lazaros G, Tsalamandris S, Vogiatzi G, Christoforatou E, Papakonstantinou M, Goliopoulou A, Tousouli M, Chasikidis C, Tousoulis D. Alcohol Consumption and Aortic Root Dilatation: Insights from the Corinthia Study. Angiology 2019; 70:969-977. [DOI: 10.1177/0003319719848172] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Aortic diameter and progression to thoracic aortic aneurysm are influenced by several factors. In this study, we investigated the association of alcohol consumption with aortic root and ascending aorta dilatation. In the context of the Corinthia study, we examined 1751 patients with echocardiography. Several demographic and clinical characteristics were recorded. Alcohol consumption was assessed based on a questionnaire of frequency, type, and quantity. Accordingly, patients were categorized as everyday alcohol consumers (EDACs) and as social drinkers (SoD). Everyday alcohol consumers were further categorized to group 1: 0 to 1 drink/d; group 2: 1 to 2 drinks/d; and group 3: ≥3 drinks/d. From the study population, 40% were categorized as EDAC and had an increased aortic root diameter (AoRD) and an elevated AoRD index compared with SoD. Interestingly, there was a stepwise increase in aortic root and ascending aorta diameter according to daily alcohol consumption. Specifically, patients consuming ≥3 drinks of alcohol/d had increased indexed aortic by 1.4 mm/m2 compared with SoD even after adjustment for possible confounders. Daily alcohol consumption is associated with increased aortic root diameter. These findings may have important clinical implications, especially in patients with borderline or dilated aortic root, and merit further investigation.
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Affiliation(s)
- Evangelos Oikonomou
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - George Lazaros
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Sotirios Tsalamandris
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Georgia Vogiatzi
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Evangelia Christoforatou
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Margenti Papakonstantinou
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Athina Goliopoulou
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Maria Tousouli
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Christos Chasikidis
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
| | - Dimitris Tousoulis
- First Cardiology Clinic, ‘Hippokration’ General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
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Lazaros G, Oikonomou E, Vogiatzi G, Christoforatou E, Tsalamandris S, Goliopoulou A, Tousouli M, Mystakidou V, Chasikidis C, Tousoulis D. The impact of sedentary behavior patterns on carotid atherosclerotic burden: Implications from the Corinthia epidemiological study. Atherosclerosis 2019; 282:154-161. [DOI: 10.1016/j.atherosclerosis.2019.01.026] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Revised: 12/27/2018] [Accepted: 01/15/2019] [Indexed: 02/07/2023]
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Tsalamandris S, Oikonomou E, Vavuranaki T, Lazaros G, Vogiatzi G, Chasikidis C, Christoforatou E, Papamikroulis GA, Mourouzis K, Mystakidou V, Papakonstantinou M, Theofilis P, Mazaris S, Galiatsatos N, Tousoulis D. BREAKFAST ASSOCIATION WITH ARTERIAL STIFFNESS AND CAROTID ATHEROSCLEROTIC BURDEN: INSIGHTS FROM THE CORINTHIA STUDY. J Am Coll Cardiol 2019. [DOI: 10.1016/s0735-1097(19)33779-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Tsalamandris S, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Zacharia E, Chasikidis C, Goliopoulou A, Papamikroulis GA, Ververeli CL, Anastasiou M, Galiatsatos N, Tousoulis D. THE ASSOCIATION AMONG DEPRESSIVE SYMPTOMS, EMOTIONAL STATUS, AND CAROTID ATHEROSCLEROTIC BURDEN OF THE CORINTHIA STUDY POPULATION. J Am Coll Cardiol 2019. [DOI: 10.1016/s0735-1097(19)32729-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Papaioannou TG, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Tsalamandris S, Chasikidis C, Kalambogias A, Mavratzas T, Stofa E, Mystakidi VC, Latsios G, Deftereos S, Tousoulis D. Arterial stiffness and subclinical aortic damage of reclassified subjects as stage 1 hypertension according to the new 2017 ACC/AHA blood pressure guidelines. VASA 2018; 48:236-243. [PMID: 30526401 DOI: 10.1024/0301-1526/a000765] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Background: The 2017 ACC/AHA blood pressure (BP) guidelines generated controversies due to the new proposed BP cut-off values defining hypertension. We aimed to assess aortic stiffness of subjects who are reclassified as stage 1 hypertensive according to the new guidelines and compare them with the subjects of "elevated BP" category. Patients and methods. Data from the "Corinthia" study, an observational, cross-sectional survey of 2,043 participants were analyzed. Subjects were classified into 4 groups: group A: systolic pressure (SBP) 120-129 and diastolic pressure (DBP) < 80 mmHg, group B: SBP 130-139 or DBP 80-89 mmHg, group B1: SBP 130-139 and DBP < 80 mmHg and group B2: SBP 130-139 and DBP 80-89 mmHg. Aortic stiffness was assessed by carotid-to-femoral pulse wave velocity (PWV). A value of PWV > 10m/s was consider indicative of asymptomatic organ damage while values of PWV exceeded the 90 % percentile for each age group were consider as abnormal. Results: Groups B, B1 and B2 have significantly increased PWV compared to group A, independently from age and other risk factors (PWV: 9.2 ± 2.8 vs 9.4 ± 2.7 vs 8.6 ± 2.5 vs 8.1 ± 2.3 m/s, p < 0.01, respectively). The prevalence of PWV > 10 m/s and abnormal PWV values in group A was significantly lower than the corresponding prevalence in randomly selected, age-matched subjects from group B (13.5 % vs 24.4 %, p = 0.027 and 5.6 % vs 14.2 %, p = 0.022, respectively). Conclusions: The reclassified subjects as stage 1 hypertensive by the new guidelines have a significantly increased aortic stiffness and greater prevalence in asymptomatic aortic damage compared to subjects with elevated BP. This finding may indirectly explain the increased cardiovascular risk of this group.
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Affiliation(s)
- Theodore G Papaioannou
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.,a These authors contributed equally to this paper
| | - Evangelos Oikonomou
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.,a These authors contributed equally to this paper
| | - George Lazaros
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Evangelia Christoforatou
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Georgia Vogiatzi
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Sotiris Tsalamandris
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Christos Chasikidis
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Aimilios Kalambogias
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Timoleon Mavratzas
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Eythymia Stofa
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Vasiliki-Chara Mystakidi
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - George Latsios
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Spyridon Deftereos
- 2 Second Department of Cardiology, Attikon Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitris Tousoulis
- 1 First Department of Cardiology, Hippokration Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
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Tsalamandris S, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Zacharia E, Chasikidis C, Goliopoulou A, Santouri A, Papamikroulis GA, Ververeli CH, Anastasopoulou P, Anastasiou M, Galiatsatos N, Tousoulis D. P5403The Relationship between depressive symptom, emotional status, carotid atherosclerotic burden in Corinthia Study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p5403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Zacharia
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Goliopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Santouri
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C H Ververeli
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Anastasopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiatsatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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Vogiatzi G, Oikonomou E, Lazaros G, Papamikroulis GA, Chasikidis C, Christoforatou E, Tsalamandris S, Mpourouki E, Papakonstantinou M, Fountoulakis P, Kalampogias A, Tousouli M, Mourouzis C, Anastasiou M, Tousoulis D. P6278Effects of habitual coffee consumption on vascular function: the corinthia study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Mpourouki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Fountoulakis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Kalampogias
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Tousouli
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Mourouzis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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31
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Oikonomou E, Vavuranaki G, Vogiatzi G, Lazaros G, Chasikidis C, Christoforatou E, Tsalamandris S, Papamikroulis GA, Mourouzis C, Mystakidou V, Papakonstantinou M, Mazaris S, Anastasopoulou P, Galiatsatos N, Tousoulis D. P6277Breakfast Consumption: association with arterial stiffness and atherosclerotic burden. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy566.p6277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vavuranaki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Mourouzis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - V Mystakidou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Mazaris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Anastasopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiatsatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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32
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Oikonomou E, Lazaros G, Christoforatou E, Chasikidis C, Stofa E, Papamikroulis GA, Vogiatzi G, Tsalamandris S, Bourouki E, Zacharia E, Anastasiou M, Mavrantzas T, Papakonstantinou M, Anastasopoulou P, Tousoulis D. P722Association of alcohol consumption with aortic root dilatation: Corinthia study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Stofa
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Bourouki
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Zacharia
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - T Mavrantzas
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - P Anastasopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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Oikonomou E, Lazaros G, Christoforatou E, Chasikidis C, Vogiatzi G, Mourouzis C, Tsalamandris S, Papamikroulis GA, Mavrantzas T, Stofa E, Goliopoulou A, Papakonstantinou M, Anastasiou M, Galiatsatos N, Tousoulis D. P238Sedentary lifestyle patterns and their impact on carotid arterial atherosclerotic burden: insights from the Corinthia study. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- E Oikonomou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Lazaros
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Christoforatou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Chasikidis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G Vogiatzi
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - C Mourouzis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - S Tsalamandris
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - G A Papamikroulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - T Mavrantzas
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - E Stofa
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - A Goliopoulou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Papakonstantinou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - M Anastasiou
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - N Galiatsatos
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
| | - D Tousoulis
- Hippokration Hospital, University of Athens, 1st Department of Cardiology, Athens, Greece
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Oikonomou E, Lazaros G, Christoforatou E, Chasikidis C, Tsalamandris S, Papamikroulis GA, Vogiatzi G, Papakonstantinou M, Goliopoulou A, Anastasiou M, Tousouli M, Stofa E, Georgiopoulos G, Theofilis P, Tousoulis D. THE RELATIONSHIP BETWEEN EMOTIONAL STATUS, DEPRESSION AND CAROTID ATHEROMATIC BURDEN: THE CORINTHIA STUDY. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32636-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Oikonomou E, Lazaros G, Christoforatou E, Chasikidis C, Tsalamandris S, Papamikroulis GA, Vogiatzi G, Goliopoulou A, Fountoulakis P, Giota A, Ververeli CL, Mavratzas T, Bourouki E, Vavuranaki G, Tousoulis D. BENEFICIAL EFFECT OF COFFEE CONSUMPTION ON ATHEROSCLEROSIS: THE CORINTHIA STUDY. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32437-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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36
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Georgiopoulos G, Oikonomou E, Tsalamandris S, Vogiatzi G, Lazaros G, Christoforatou C, Chasikidis C, Papamikroulis G, Giannaki A, Fountoulakis P, Papakonstantinou M, Mpourouki E, Mazaris S, Kalampogias A, Tousoulis D. P646The effect of physical activity on atrial fibrillation prevalence in the general population: The Corinthia study. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx501.p646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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37
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Oikonomou E, Lazaros G, Georgiopoulos G, Christoforatou E, Papamikroulis GA, Vogiatzi G, Chasikidis C, Zacharia E, Giannaki A, Bourouki E, Mavratzas T, Stofa E, Papakonstantinou M, Tousouli M, Tousoulis D. Environment and cardiovascular disease: rationale of the Corinthia study. Hellenic J Cardiol 2016; 57:194-197. [DOI: 10.1016/j.hjc.2016.06.001] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2016] [Accepted: 06/15/2016] [Indexed: 10/21/2022] Open
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Manginas A, Gatzov P, Chasikidis C, Voudris V, Pavlides G, Cokkinos DV. Estimation of coronary flow reserve using the Thrombolysis In Myocardial Infarction (TIMI) frame count method. Am J Cardiol 1999; 83:1562-5, A7. [PMID: 10363873 DOI: 10.1016/s0002-9149(99)00149-6] [Citation(s) in RCA: 87] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
A simple and readily available method of estimating coronary flow velocity reserve may have significant clinical value. With use of intracoronary adenosine we documented a very good correlation between coronary flow reserve values obtained with the Thrombolysis In Myocardial Infarction trial frame count method and the invasive Doppler wire (Flowire) technique.
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Affiliation(s)
- A Manginas
- Department of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece
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