Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.
Abstracts e177
Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved
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POSTER SESSION
POSTERS’ SESSION PS11:
LARGE ARTERIES
PP.11.01 AORTIC PULSE WAVE VELOCITY IS RELATED TO
CORONARY HEART DISEASE IN WOMEN BUT NOT
IN MEN
B. Hametner
1
, S. Parragh
1,2
, C. Mayer
1
, K. Whitelegg
3
, T. Weber
4
, S. Wassertheurer
1
.
1
AIT Austrian Institute of Technology, Health & Environment Department, Vienna,
AUSTRIA,
2
Vienna University of Technology, Department for Analysis and Sci-
entific Computing, Vienna, AUSTRIA,
3
AIT Austrian Institute of Technology, In-
novation Systems Department, Vienna, AUSTRIA,
4
Klinikum Wels-Grieskirchen,
Cardiology Department, Wels, AUSTRIA
Objective: Moderate age-dependent differences in aortic pulse wave velocity
(PWV) between females and males have been reported previously. Nevertheless,
studies on gender-specific interactions of PWV and cardiovascular diseases are
lacking. Therefore, the aim of this study is to investigate age-dependent sex dif-
ferences in PWV in relation to coronary heart disease (CHD).
Design and method: A total of 645 patients from 60 to 79 years with suspected
CHD underwent coronary angiography at the hospital in Wels-Grieskirchen
(Austria). Invasive aortic PWV was measured in all patients by catheter pull-
back. According to the indication of the angiography, patients were divided
into four groups (male/female, CHD/noCHD). As PWV strongly depends on
age, patients were divided in two decades of life for further statistical analysis
(60–69 years, 70–79 years). For both sexes, groups with and without CHD were
compared. To minimize the influence of blood pressure, in a second step PWV
was corrected for invasive aortic systolic blood pressure (aoSBP) by linear
regression.
Results: For each decade and each group, values of aoSBP, PWV and corrected
PWV (corrPWV) can be found in the table. In both decades, differences in PWV
between CHD and noCHD were not significant in males (p > 0.1), whereas differ-
ences were significant in females (p < 0.01). While aoSBP was significantly high-
er for patients with CHD in both sexes in decade 60–69 (p < 0.05), no significant
differences could be found for patients aged 70–79 (p > 0.1). After accounting for
unequal pressure levels, for females the differences in corrPWV between CHD
and noCHD were still significant (p < 0.05), while they remained not statistically
significant for males (p > 0.1).
Conclusions: In patients with suspected coronary heart disease, pulse wave ve-
locity is related to CHD in women but not in men. Blood pressure differences
could not explain these results, as the effects remained when PWV was corrected
for aortic systolic blood pressure. This finding indicates that a sex-dependent in-
terplay between arterial stiffness and CHD is present which needs future attention.
PP.11.02 FIBROMUSCULAR DYSPLASIA: RESULTS OF A
MULTICENTRE STUDY IN FLANDERS
M. De Groote
1
, B. Callewaert
1
, D. Hemelsoet
1
, F. Vermassen
1
, J.M. Billiouw
3
,
A. De Vriese
4
, I Montag
5
, P. Van der Niepen
2
, T. De Backer
1
.
1
UZ Ghent, Ghent,
BELGIUM,
2
UZ Brussels, Brussels, BELGIUM,
3
OLV Aalst, Aalst, BELGIUM,
4
AZ Sint-Jan, Bruges, BELGIUM,
5
AZ Sint-Lucas, Ghent, BELGIUM
Objective: Fibromuscular dysplasia (FMD) is an idiopathic, segmental, nonin-
flammatory, nonatherosclerotic vascular disease, which results in arterial narrow-
ing of small and medium-sized vessels. The last years new perspectives of the
disease have opened up thanks to the systematically recording of FMD patient’s
data in central databases in the US and France. The main objectives of this mul-
ticentre study were to discover the epidemiology, vascular involvement, clinical
manifestations and management of FMD patients in Flanders. Later on, these
results will be compared to those of the French & US Registry to discover new
insights about the disease.
Design and method: Multicentre study at 5 different hospitals in Flanders. 123
FMD patients were included in the database. Patients were eligible for enrolment
if they were adults (18+ years old), diagnosis of FMD was confirmed using medi-
cal imaging and permission was given by written informed consent.
Results: Patients were on average 57.3 years (SD 15.8) when FMD was first diag-
nosed. 83.7% were female. Arterial hypertension (38.5%) was the most frequent
symptom leading to diagnosis of FMD. Neurological complaints such as head-
ache (26.4%), vertigo and/or balancing problems (23.1%) and a cervical bruit
17.5%) were also common. Ten patients (8.3%) had no symptoms at the time of
diagnosis. Vascular events and complications as a result of FMD occurred in a
minority of patients (21.1%). Cerebrovascular involvement (81.8%) was nearly as
frequent as renovascular FMD (85.3%). In 25 of 60 (41.7%) patient having two or
more vascular beds imaged, co-existent FMD was found in at least two vascular
beds. Digital subtraction angiography was the preferred technique for detecting
FMD related lesions. The majority of the patients was pharmacologically treated
(86.3%), 25.9% of them underwent an endovascular treatment.
Conclusions: This study confirmed the finding that FMD is a disorder of mostly
middle-aged people, but can be found in any age group. The carotid/vertebral
arteries were nearly as frequently involved as the renovascular bed. Symptoms
as a result of FMD were highly variable, with FMD incidentally discovered in a
minority of all patients.
PP.11.03 MICRORNA-21 AS A PROGNOSTIC MARKER OF
IMPROVEMENT IN ARTERIAL STIFFNESS IN WELL-
CONTROLLED ESSENTIAL HYPERTENSION
M. Marketou
1
, F. Parthenakis
1
, J. Kontaraki
2
, A. Patrianakos
1
, H. Nakou
1
,
M. Touloupaki
1
, M. Vernardos
1
, J. Logakis
1
, D. Vougia
1
, P. Vardas
1
.
1
Cardiology
Dept.., Heraklion University Hospital, Crete, Heraklion, GREECE,
2
Molecular Car-
diology Laboratory, School of Medicine, University of Crete, Heraklion, GREECE
Objective: MicroRNAs (miRNAs) play a crucial role in myocardial and vascular
remodeling and have emerged as potential diagnostic and prognostic biomarkers
or as therapeutic targets. We aimed to investigate the expression profile of selected
miRNAs in the peripheral blood of patients with well-controlled essential hyper-
tension in relation to arterial stiffness.
Design and method: Expression levels of miRNAs miRNA-1, miRNA-133a,
miRNA-26b, miRNA-208b, miRNA-499, and miRNA-21 in peripheral blood
mononuclear cells were quantified by real-time reverse transcription polymerase
chain reaction. Carotid femoral pulse wave velocity (cf-PWV) and carotid radial
PWV (cr-PWV) were evaluated at baseline and after 1 year’s effective antihyper-
tensive therapy.
Results: A total of 95 patients (50 men, mean age 62 ± 9 years) with well-
controlled essential hypertension were included in the analysis. Only miRNA-21