Cardio-ankle vascular index (CAVI) in diagnostics, risk and severity evaluation of magistral vessels lesion in patients with cardio-vascular diseases and type 2 diabetes

Assesment of arterial stiffness the substantional prognostic factor for evaluating complications of cardiovascular diseases (CVD) in patients with atherosclerosis, hypertension and type 2 diabetes, may be performed using different parameters, including cardio-ankle vascular index (CAVI). The main pu...

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Published inTerapevtic̆eskii arhiv Vol. 93; no. 1; pp. 87 - 93
Main Authors Verner, V A, Mel'nik, M V, Knjazeva, S A
Format Journal Article
LanguageRussian
English
Published Russia (Federation) "Consilium Medicum" Publishing house 10.01.2021
Subjects
Ankle
Ankle Brachial Index
arterial stiffness
atherosclerosis
Blood Pressure
blood vessels
cardio-ankle vascular index
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - diagnosis
Humans
pulse wave
Pulse Wave Analysis
type 2 diabetes
Vascular Stiffness
vascular wall
arterial stiffness
atherosclerosis
blood pressure
type 2 diabetes
pulse wave
blood vessels
vascular wall
cardio-ankle vascular index
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Summary:Assesment of arterial stiffness the substantional prognostic factor for evaluating complications of cardiovascular diseases (CVD) in patients with atherosclerosis, hypertension and type 2 diabetes, may be performed using different parameters, including cardio-ankle vascular index (CAVI). The main purpose of this review is to analyze data from studies where CAVI is used to test the arterial wall stiffness in magistral vessels. CAVI measurement is non-invasive and performed by portable devices which makes it comfortable for ambulatory use in patients who come for a check-up and also in those who already are hospitalized. It does not require any special knowledge from investigator and the test lasts a couple of minutes long. CAVI does not depend on blood pressure changes and is more specific in structural changes of arterial wall assessment than brachial-ankle pulse wave velocity (baPWV). CAVI shows considerable correlation with markers of CVD like atherosclerotic plaques in vessels, diastolic disfunction of left ventricle and angina pectoris. CAVI may be used for early monitoring and assessing the lesions of target organs in patients with atherosclerosis, chronic hypertension and type 2 diabetes. Establishing CAVI as a standart parameter in assessing patients who are at risk of CVD can help to improve complications prevention, reduce mortality and prolong their lifespan.
ISSN:0040-3660
2309-5342
DOI:10.26442/00403660.2021.01.200599