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Table 3 Studies on the relationship between airway obstruction and atherosclerosis

From: Metabolic syndrome and carotid intima-media thickness in chronic obstructive pulmonary disease

Reference

N

Population

Design

Methodology

Comments

Engström G, 2001 [39]

207

Smokers without history of cardiovascular disease

Cohort- cross sectional

Spirometry, calf plethysmography at 55 years, spirometry, ankle-arm blood pressure and carotid ultrasound at 68 years

The risk of developing atherosclerosis is associated with the degree of ventilatory capacity

Zureik M, 2001 [11]

656

Adults without coronary heart disease

Cohort- cross sectional

Peak expiratory flow at the baseline, carotid B-mode ultrasound at baseline and 2 and 4 years later

Reduced lung function is associated with carotid atherosclerosis in the elderly

Schroeder EB, The ARIC study, 2005 [40]

14,000

Adults

Cross-sectional

Lung function, ankle-brachial index (ABI), carotid intimal-medial thickness (IMT), presence of carotid plaques

Association between decreased FEV1 and decreased ABI/increased IMT in the full cohort

Iwamoto et al., 2009 [41]

305

Smokers with airflow limitation, age-matched control smokers, control never-smokers

Cross-sectional

Chest radiogram, spirometry, blood sampling, and carotid ultrasound

Exaggerated subclinical atherosclerosis in smokers with airflow limitation

Barr RG, et al., the MESA Lung Study, 2012 [42]

3,642

Multi-Ethnic participants aged 45–84 years without clinical cardiovascular disease.

Cross-sectional

Spirometry, carotid intima-media thickness (IMT), ankle-brachial index (ABI) and coronary artery calcium (CAC), percentage of emphysema-like lung

Association between airway obstruction and emphysema with subclinical atherosclerosis in the carotid arteries