Smoking status and common carotid artery intima-medial thickness among middle-aged men and women based on ultrasound measurement: a cohort study

Bibliographic Details
Title: Smoking status and common carotid artery intima-medial thickness among middle-aged men and women based on ultrasound measurement: a cohort study
Authors: Merz C Noel, Paul-Labrador Maura, Fan Amy Z, Iribarren Carlos, Dwyer James H
Source: BMC Cardiovascular Disorders, Vol 6, Iss 1, p 42 (2006)
Publisher Information: BMC, 2006.
Publication Year: 2006
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Abstract Background Cigarette smoking is an established causal factor for atherosclerosis. However, the smoking effect on different echogenic components of carotid arterial wall measured by ultrasound is not well elucidated. Methods Middle-aged men and women who had IMT measurement ≥ 0.7 mm at baseline and follow-up were included (N = 413, age 40–60 years at baseline in 1995). Intima-media thickness of common carotid artery (CCA-IMT) and its components (echogenic and echolucent layers) were measured at baseline and in the follow-up examination 3 years later. IMT and its components were compared across current, former and never smokers. Individual growth models were used to examine how smoking status was related to the baseline and progression of overall IMT and IMT components. Results For both men and women, current smoking was associated with thicker echogenic layer than never smokers; former smokers exhibited thinner echogenic layer than current smokers after adjustment for cigarette pack-years. Among women, current smoking was also associated with a thinned echolucent layer that resulted in a non-significant overall association of current smoking with IMT for women. Conclusion Cigarette smoking is associated with carotid artery morphological changes and the association is sex-dependent. The atherogenic effect of smoking appears to be partly reversible among former smokers. IMT measurement alone may not be adequate to detect carotid atherosclerosis associated with cigarette smoking among middle-age women.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2261
Relation: http://www.biomedcentral.com/1471-2261/6/42; https://doaj.org/toc/1471-2261
DOI: 10.1186/1471-2261-6-42
Access URL: https://doaj.org/article/1cf97cd9929d48778a9b1407cea5c1fb
Accession Number: edsdoj.1cf97cd9929d48778a9b1407cea5c1fb
Database: Directory of Open Access Journals
More Details
ISSN:14712261
DOI:10.1186/1471-2261-6-42
Published in:BMC Cardiovascular Disorders
Language:English