ArticleBMC cardiovascular disorders2023
Increased arterial pressure volume index and cardiovascular risk score in China.
Article in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Inconsistent associations between central and peripheral arterial stiffness indices in relation to age.Quantitative imaging in medicine and surgery · 2026Article
- Interaction between white coat effect and hypertension on arterial stiffness.Journal of hypertension · 2026Article
- Comparing the association of novel Anthropometric and atherogenicity indices with all-cause, cardiovascular and non-cardiovascular mortality in a general population of Iranian adults.American journal of preventive cardiology · 2025Article
- The relationship between different severity of COVID-19 pneumonia and arterial stiffness based on artificial intelligence analysis.Frontiers in medicine · 2025Article
- Unraveling Changes of Brachial Artery Residual Stress and Its Relationship to Cardiovascular Disease Risk Factors.Reviews in cardiovascular medicine · 2024Article
- Association between myocardial layer-specific strain and high 10-year risk of atherosclerotic cardiovascular disease in hypertension-findings from the China-PAR project study.Frontiers in cardiovascular medicine · 2024Article
- A Novel Index System for Assessing Ventricular-Vascular Coupling.Reviews in cardiovascular medicine · 2023Article
- Relative contributions of arterial stiffness to cardiovascular disease risk score in Chinese women in framingham and China-PAR model.Frontiers in cardiovascular medicine · 2023Article
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectiveThe new non-invasive arterial stiffness indices, arterial pressure volume index (API) is explored as a novel marker of residual stress in the wall of the peripheral muscular arteries at zero-stress state in clinical settings. The present study aimed to study the association of API with cardiovascular disease (CVD) risk in China (China-PAR).
methodsAccording to China-PAR score, participants were divided into three groups: low risk (< 5%), medium risk (5-9.9%), and high risk (≥ 10.0%). API ≥ 31 was defined as high API, and the incidences of high API were compared. Logistic regression models were used to analyze the risk factors of high API and high risk China-PAR categories. The association between China-PAR and API was analyzed by restrictive cubic spline.
resultsThe study included 4311 participants. After adjustments for confounding factors, high API was independent factor associated with high risk China-PAR categories, and the probability of high API was 1.366 times higher than that in normal API subjects. While, the independent factors associated with high API were BMI, blood pressure and heart rate. Furthermore, API had a significant U-shaped association with China-PAR. CVD risk was lowest with API of 19 units, the fastest increase at 26 units and the flattest starting point at 59 units.
conclusionAPI, an indicator of arterial stiffness and residual stress, had a U-shaped association with China-PAR score and might play an important role in predicting CVD risk in Chinese natural populations.
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