Table 2

Association between carotid IMT and LV structural and functional parameters

Mean value ± SDUnadjustedModel 1Model 2
ß (95%CI)Pß (95%CI)Pß (95%CI)P
LVEDV (ml)
Carotid IMT quartile 1137.9 ± 31.2ReferenceReferenceReference
Carotid IMT quartile 2142.2 ± 36.44.32 (1.41–7.23)0.0044.41 (2.01–6.81)<0.0013.70 (0.77–6.63)0.013
Carotid IMT quartile 3142.2 ± 33.54.35 (1.44–7.26)0.0034.91 (2.39–7.42)<0.0013.81 (0.69–6.93)0.017
Carotid IMT quartile 4150.9 ± 34.413.07 (10.15–15.98)<0.0019.45 (6.78–12.13)<0.0019.53 (6.26–12.80)<0.001
LVESV (ml)
Carotid IMT quartile 156.5 ± 18.8ReferenceReferenceReference
Carotid IMT quartile 258.1 ± 21.81.61 (−0.11–3.33)0.0662.03 (0.49–3.58)0.0101.86 (−0.08–3.81)0.060
Carotid IMT quartile 358.2 ± 19.61.75 (0.03–3.48)0.0462.36 (0.74–3.99)0.0042.06 (−0.01–4.13)0.052
Carotid IMT quartile 462.4 ± 19.95.91 (4.19–7.63)<0.0014.08 (2.35–5.80)<0.0014.48 (2.31–6.65)<0.001
LVM (g)
Carotid IMT quartile 181.4 ± 21.3ReferenceReferenceReference
Carotid IMT quartile 287.0 ± 24.85.59 (3.56–7.63)<0.0014.43 (2.95–5.90)<0.0013.37 (1.55–5.18)<0.001
Carotid IMT quartile 388.5 ± 23.87.08 (5.04–9.12)<0.0015.16 (3.61–6.71)<0.0014.46 (2.53–6.40)<0.001
Carotid IMT quartile 498.4 ± 24.916.97 (14.93–19.01)<0.00110.05 (8.41–11.70)<0.0019.71 (7.68–11.73)<0.001
LVSV (ml)
Carotid IMT quartile 181.4 ± 17.4ReferenceReferenceReference
Carotid IMT quartile 284.1 ± 20.12.71 (1.07–4.35)0.0012.37 (0.90–3.84)0.0021.83 (0.05–3.60)0.043
Carotid IMT quartile 384.0 ± 18.92.59 (0.95–4.23)0.0022.55 (1.01–4.09)0.0011.75 (−0.14–3.64)0.070
Carotid IMT quartile 488.5 ± 20.07.17 (5.52–8.81)<0.0015.40 (9.76–7.04)<0.0015.09 (3.11–7.07)<0.001
LVEF (%)
Carotid IMT quartile 159.4 ± 6.0ReferenceReferenceReference
Carotid IMT quartile 259.7 ± 6.40.22 (−0.32–0.76)0.4220.01 (−0.58–0.60)0.9760.00 (−0.72–0.72)0.998
Carotid IMT quartile 359.5 ± 6.40.11 (−0.43–0.65)0.695−0.12 (−0.74–0.50)0.705−0.31 (−1.07–0.46)0.430
Carotid IMT quartile 459.1 ± 6.6−0.33 (−0.87–0.21)0.235−0.06 (−0.71–0.60)0.864−0.35 (−1.15–0.45)0.392
End-systolic circumferential LV strain (base)
Carotid IMT quartile 1−17.5 ± 3.1ReferenceReferenceReference
Carotid IMT quartile 2−17.2 ± 3.20.27 (−0.05–0.59)0.1020.20 (−1.53–0.55)0.2690.32 (−4.20–0.81)0.077
Carotid IMT quartile 3−17.2 ± 3.10.29 (−0.03–0.61)0.0760.09 (−2.78–0.46)0.6310.40 (−5.44–0.85)0.085
Carotid IMT quartile 4−16.6 ± 3.30.90 (0.58–1.22)<0.0010.47 (0.07–0.86)0.0200.74 (0.26–1.21)0.002
End-systolic circumferential LV strain (mid)
Carotid IMT quartile 1−19.8 ± 2.3ReferenceReferenceReference
Carotid IMT quartile 2−19.7 ± 2.40.15 (−0.07–0.37)0.1830.08 (−0.15–0.31)0.5190.17 (−0.11–0.44)0.233
Carotid IMT quartile 3−19.7 ± 2.30.10 (−0.12–0.32)0.375−0.05 (−0.29–0.19)0.6700.11 (−1.83–0.40)0.470
Carotid IMT quartile 4−19.2 ± 2.40.59 (0.38–0.81)<0.0010.15 (−0.11–0.41)0.2610.32 (0.01–0.620.043
End-systolic circumferential LV strain (apex)
Carotid IMT quartile 1−21.2 ± 3.0ReferenceReferenceReference
Carotid IMT quartile 2−20.9 ± 3.10.23 (−0.07–0.53)0.1330.18 (−0.13–0.50)0.2540.26 (−0.12–0.63)0.185
Carotid IMT quartile 3−20.8 ± 3.10.30 (0.00–0.60)0.0500.11 (−0.22–0.44)0.5050.39 (−0.01–0.79)0.056
Carotid IMT quartile 4−20.3 ± 3.10.85 (0.54–1.15)<0.0010.35 (0.00–0.71)0.0520.45 (0.02–0.87)0.041
End-systolic torsion (°)
Carotid IMT quartile 17.3 ± 1.9ReferenceReferenceReference
Carotid IMT quartile 27.7 ± 2.10.37 (0.18–0.56)<0.0010.24 (0.04–0.45)0.0190.23 (−0.01–0.47)0.061
Carotid IMT quartile 37.7 ± 2.00.42 (0.23–0.61)<0.0010.16 (−0.06–0.37)0.1480.14 (−0.12–0.39)0.299
Carotid IMT quartile 47.8 ± 2.10.56 (0.37–0.76)<0.0010.30 (0.07–0.53)0.0100.33 (0.06–0.60)0.018
Mean value ± SDUnadjustedModel 1Model 2
ß (95%CI)Pß (95%CI)Pß (95%CI)P
LVEDV (ml)
Carotid IMT quartile 1137.9 ± 31.2ReferenceReferenceReference
Carotid IMT quartile 2142.2 ± 36.44.32 (1.41–7.23)0.0044.41 (2.01–6.81)<0.0013.70 (0.77–6.63)0.013
Carotid IMT quartile 3142.2 ± 33.54.35 (1.44–7.26)0.0034.91 (2.39–7.42)<0.0013.81 (0.69–6.93)0.017
Carotid IMT quartile 4150.9 ± 34.413.07 (10.15–15.98)<0.0019.45 (6.78–12.13)<0.0019.53 (6.26–12.80)<0.001
LVESV (ml)
Carotid IMT quartile 156.5 ± 18.8ReferenceReferenceReference
Carotid IMT quartile 258.1 ± 21.81.61 (−0.11–3.33)0.0662.03 (0.49–3.58)0.0101.86 (−0.08–3.81)0.060
Carotid IMT quartile 358.2 ± 19.61.75 (0.03–3.48)0.0462.36 (0.74–3.99)0.0042.06 (−0.01–4.13)0.052
Carotid IMT quartile 462.4 ± 19.95.91 (4.19–7.63)<0.0014.08 (2.35–5.80)<0.0014.48 (2.31–6.65)<0.001
LVM (g)
Carotid IMT quartile 181.4 ± 21.3ReferenceReferenceReference
Carotid IMT quartile 287.0 ± 24.85.59 (3.56–7.63)<0.0014.43 (2.95–5.90)<0.0013.37 (1.55–5.18)<0.001
Carotid IMT quartile 388.5 ± 23.87.08 (5.04–9.12)<0.0015.16 (3.61–6.71)<0.0014.46 (2.53–6.40)<0.001
Carotid IMT quartile 498.4 ± 24.916.97 (14.93–19.01)<0.00110.05 (8.41–11.70)<0.0019.71 (7.68–11.73)<0.001
LVSV (ml)
Carotid IMT quartile 181.4 ± 17.4ReferenceReferenceReference
Carotid IMT quartile 284.1 ± 20.12.71 (1.07–4.35)0.0012.37 (0.90–3.84)0.0021.83 (0.05–3.60)0.043
Carotid IMT quartile 384.0 ± 18.92.59 (0.95–4.23)0.0022.55 (1.01–4.09)0.0011.75 (−0.14–3.64)0.070
Carotid IMT quartile 488.5 ± 20.07.17 (5.52–8.81)<0.0015.40 (9.76–7.04)<0.0015.09 (3.11–7.07)<0.001
LVEF (%)
Carotid IMT quartile 159.4 ± 6.0ReferenceReferenceReference
Carotid IMT quartile 259.7 ± 6.40.22 (−0.32–0.76)0.4220.01 (−0.58–0.60)0.9760.00 (−0.72–0.72)0.998
Carotid IMT quartile 359.5 ± 6.40.11 (−0.43–0.65)0.695−0.12 (−0.74–0.50)0.705−0.31 (−1.07–0.46)0.430
Carotid IMT quartile 459.1 ± 6.6−0.33 (−0.87–0.21)0.235−0.06 (−0.71–0.60)0.864−0.35 (−1.15–0.45)0.392
End-systolic circumferential LV strain (base)
Carotid IMT quartile 1−17.5 ± 3.1ReferenceReferenceReference
Carotid IMT quartile 2−17.2 ± 3.20.27 (−0.05–0.59)0.1020.20 (−1.53–0.55)0.2690.32 (−4.20–0.81)0.077
Carotid IMT quartile 3−17.2 ± 3.10.29 (−0.03–0.61)0.0760.09 (−2.78–0.46)0.6310.40 (−5.44–0.85)0.085
Carotid IMT quartile 4−16.6 ± 3.30.90 (0.58–1.22)<0.0010.47 (0.07–0.86)0.0200.74 (0.26–1.21)0.002
End-systolic circumferential LV strain (mid)
Carotid IMT quartile 1−19.8 ± 2.3ReferenceReferenceReference
Carotid IMT quartile 2−19.7 ± 2.40.15 (−0.07–0.37)0.1830.08 (−0.15–0.31)0.5190.17 (−0.11–0.44)0.233
Carotid IMT quartile 3−19.7 ± 2.30.10 (−0.12–0.32)0.375−0.05 (−0.29–0.19)0.6700.11 (−1.83–0.40)0.470
Carotid IMT quartile 4−19.2 ± 2.40.59 (0.38–0.81)<0.0010.15 (−0.11–0.41)0.2610.32 (0.01–0.620.043
End-systolic circumferential LV strain (apex)
Carotid IMT quartile 1−21.2 ± 3.0ReferenceReferenceReference
Carotid IMT quartile 2−20.9 ± 3.10.23 (−0.07–0.53)0.1330.18 (−0.13–0.50)0.2540.26 (−0.12–0.63)0.185
Carotid IMT quartile 3−20.8 ± 3.10.30 (0.00–0.60)0.0500.11 (−0.22–0.44)0.5050.39 (−0.01–0.79)0.056
Carotid IMT quartile 4−20.3 ± 3.10.85 (0.54–1.15)<0.0010.35 (0.00–0.71)0.0520.45 (0.02–0.87)0.041
End-systolic torsion (°)
Carotid IMT quartile 17.3 ± 1.9ReferenceReferenceReference
Carotid IMT quartile 27.7 ± 2.10.37 (0.18–0.56)<0.0010.24 (0.04–0.45)0.0190.23 (−0.01–0.47)0.061
Carotid IMT quartile 37.7 ± 2.00.42 (0.23–0.61)<0.0010.16 (−0.06–0.37)0.1480.14 (−0.12–0.39)0.299
Carotid IMT quartile 47.8 ± 2.10.56 (0.37–0.76)<0.0010.30 (0.07–0.53)0.0100.33 (0.06–0.60)0.018

Model 1: Adjusted for age, sex, physical activity, BMI, BSA, hypertension, diabetes, smoking, ethnicity, Townsend deprivation index, alcohol intake frequency, and total cholesterol.

Model 2: Adjusted for Model 1 + lipoprotein A, apolipoprotein A and B, triglyceride, glycated haemoglobin, urate, and C-reactive protein.

CI, confidence interval; IMT, intima-media thickness; LVEDV, left ventricular end-diastolic volume; LVEF, left ventricular ejection fraction; LVESV, left ventricular end-systolic volume; LVM, left ventricular mass; LVSV, left ventricular stroke volume.

Table 2

Association between carotid IMT and LV structural and functional parameters

Mean value ± SDUnadjustedModel 1Model 2
ß (95%CI)Pß (95%CI)Pß (95%CI)P
LVEDV (ml)
Carotid IMT quartile 1137.9 ± 31.2ReferenceReferenceReference
Carotid IMT quartile 2142.2 ± 36.44.32 (1.41–7.23)0.0044.41 (2.01–6.81)<0.0013.70 (0.77–6.63)0.013
Carotid IMT quartile 3142.2 ± 33.54.35 (1.44–7.26)0.0034.91 (2.39–7.42)<0.0013.81 (0.69–6.93)0.017
Carotid IMT quartile 4150.9 ± 34.413.07 (10.15–15.98)<0.0019.45 (6.78–12.13)<0.0019.53 (6.26–12.80)<0.001
LVESV (ml)
Carotid IMT quartile 156.5 ± 18.8ReferenceReferenceReference
Carotid IMT quartile 258.1 ± 21.81.61 (−0.11–3.33)0.0662.03 (0.49–3.58)0.0101.86 (−0.08–3.81)0.060
Carotid IMT quartile 358.2 ± 19.61.75 (0.03–3.48)0.0462.36 (0.74–3.99)0.0042.06 (−0.01–4.13)0.052
Carotid IMT quartile 462.4 ± 19.95.91 (4.19–7.63)<0.0014.08 (2.35–5.80)<0.0014.48 (2.31–6.65)<0.001
LVM (g)
Carotid IMT quartile 181.4 ± 21.3ReferenceReferenceReference
Carotid IMT quartile 287.0 ± 24.85.59 (3.56–7.63)<0.0014.43 (2.95–5.90)<0.0013.37 (1.55–5.18)<0.001
Carotid IMT quartile 388.5 ± 23.87.08 (5.04–9.12)<0.0015.16 (3.61–6.71)<0.0014.46 (2.53–6.40)<0.001
Carotid IMT quartile 498.4 ± 24.916.97 (14.93–19.01)<0.00110.05 (8.41–11.70)<0.0019.71 (7.68–11.73)<0.001
LVSV (ml)
Carotid IMT quartile 181.4 ± 17.4ReferenceReferenceReference
Carotid IMT quartile 284.1 ± 20.12.71 (1.07–4.35)0.0012.37 (0.90–3.84)0.0021.83 (0.05–3.60)0.043
Carotid IMT quartile 384.0 ± 18.92.59 (0.95–4.23)0.0022.55 (1.01–4.09)0.0011.75 (−0.14–3.64)0.070
Carotid IMT quartile 488.5 ± 20.07.17 (5.52–8.81)<0.0015.40 (9.76–7.04)<0.0015.09 (3.11–7.07)<0.001
LVEF (%)
Carotid IMT quartile 159.4 ± 6.0ReferenceReferenceReference
Carotid IMT quartile 259.7 ± 6.40.22 (−0.32–0.76)0.4220.01 (−0.58–0.60)0.9760.00 (−0.72–0.72)0.998
Carotid IMT quartile 359.5 ± 6.40.11 (−0.43–0.65)0.695−0.12 (−0.74–0.50)0.705−0.31 (−1.07–0.46)0.430
Carotid IMT quartile 459.1 ± 6.6−0.33 (−0.87–0.21)0.235−0.06 (−0.71–0.60)0.864−0.35 (−1.15–0.45)0.392
End-systolic circumferential LV strain (base)
Carotid IMT quartile 1−17.5 ± 3.1ReferenceReferenceReference
Carotid IMT quartile 2−17.2 ± 3.20.27 (−0.05–0.59)0.1020.20 (−1.53–0.55)0.2690.32 (−4.20–0.81)0.077
Carotid IMT quartile 3−17.2 ± 3.10.29 (−0.03–0.61)0.0760.09 (−2.78–0.46)0.6310.40 (−5.44–0.85)0.085
Carotid IMT quartile 4−16.6 ± 3.30.90 (0.58–1.22)<0.0010.47 (0.07–0.86)0.0200.74 (0.26–1.21)0.002
End-systolic circumferential LV strain (mid)
Carotid IMT quartile 1−19.8 ± 2.3ReferenceReferenceReference
Carotid IMT quartile 2−19.7 ± 2.40.15 (−0.07–0.37)0.1830.08 (−0.15–0.31)0.5190.17 (−0.11–0.44)0.233
Carotid IMT quartile 3−19.7 ± 2.30.10 (−0.12–0.32)0.375−0.05 (−0.29–0.19)0.6700.11 (−1.83–0.40)0.470
Carotid IMT quartile 4−19.2 ± 2.40.59 (0.38–0.81)<0.0010.15 (−0.11–0.41)0.2610.32 (0.01–0.620.043
End-systolic circumferential LV strain (apex)
Carotid IMT quartile 1−21.2 ± 3.0ReferenceReferenceReference
Carotid IMT quartile 2−20.9 ± 3.10.23 (−0.07–0.53)0.1330.18 (−0.13–0.50)0.2540.26 (−0.12–0.63)0.185
Carotid IMT quartile 3−20.8 ± 3.10.30 (0.00–0.60)0.0500.11 (−0.22–0.44)0.5050.39 (−0.01–0.79)0.056
Carotid IMT quartile 4−20.3 ± 3.10.85 (0.54–1.15)<0.0010.35 (0.00–0.71)0.0520.45 (0.02–0.87)0.041
End-systolic torsion (°)
Carotid IMT quartile 17.3 ± 1.9ReferenceReferenceReference
Carotid IMT quartile 27.7 ± 2.10.37 (0.18–0.56)<0.0010.24 (0.04–0.45)0.0190.23 (−0.01–0.47)0.061
Carotid IMT quartile 37.7 ± 2.00.42 (0.23–0.61)<0.0010.16 (−0.06–0.37)0.1480.14 (−0.12–0.39)0.299
Carotid IMT quartile 47.8 ± 2.10.56 (0.37–0.76)<0.0010.30 (0.07–0.53)0.0100.33 (0.06–0.60)0.018
Mean value ± SDUnadjustedModel 1Model 2
ß (95%CI)Pß (95%CI)Pß (95%CI)P
LVEDV (ml)
Carotid IMT quartile 1137.9 ± 31.2ReferenceReferenceReference
Carotid IMT quartile 2142.2 ± 36.44.32 (1.41–7.23)0.0044.41 (2.01–6.81)<0.0013.70 (0.77–6.63)0.013
Carotid IMT quartile 3142.2 ± 33.54.35 (1.44–7.26)0.0034.91 (2.39–7.42)<0.0013.81 (0.69–6.93)0.017
Carotid IMT quartile 4150.9 ± 34.413.07 (10.15–15.98)<0.0019.45 (6.78–12.13)<0.0019.53 (6.26–12.80)<0.001
LVESV (ml)
Carotid IMT quartile 156.5 ± 18.8ReferenceReferenceReference
Carotid IMT quartile 258.1 ± 21.81.61 (−0.11–3.33)0.0662.03 (0.49–3.58)0.0101.86 (−0.08–3.81)0.060
Carotid IMT quartile 358.2 ± 19.61.75 (0.03–3.48)0.0462.36 (0.74–3.99)0.0042.06 (−0.01–4.13)0.052
Carotid IMT quartile 462.4 ± 19.95.91 (4.19–7.63)<0.0014.08 (2.35–5.80)<0.0014.48 (2.31–6.65)<0.001
LVM (g)
Carotid IMT quartile 181.4 ± 21.3ReferenceReferenceReference
Carotid IMT quartile 287.0 ± 24.85.59 (3.56–7.63)<0.0014.43 (2.95–5.90)<0.0013.37 (1.55–5.18)<0.001
Carotid IMT quartile 388.5 ± 23.87.08 (5.04–9.12)<0.0015.16 (3.61–6.71)<0.0014.46 (2.53–6.40)<0.001
Carotid IMT quartile 498.4 ± 24.916.97 (14.93–19.01)<0.00110.05 (8.41–11.70)<0.0019.71 (7.68–11.73)<0.001
LVSV (ml)
Carotid IMT quartile 181.4 ± 17.4ReferenceReferenceReference
Carotid IMT quartile 284.1 ± 20.12.71 (1.07–4.35)0.0012.37 (0.90–3.84)0.0021.83 (0.05–3.60)0.043
Carotid IMT quartile 384.0 ± 18.92.59 (0.95–4.23)0.0022.55 (1.01–4.09)0.0011.75 (−0.14–3.64)0.070
Carotid IMT quartile 488.5 ± 20.07.17 (5.52–8.81)<0.0015.40 (9.76–7.04)<0.0015.09 (3.11–7.07)<0.001
LVEF (%)
Carotid IMT quartile 159.4 ± 6.0ReferenceReferenceReference
Carotid IMT quartile 259.7 ± 6.40.22 (−0.32–0.76)0.4220.01 (−0.58–0.60)0.9760.00 (−0.72–0.72)0.998
Carotid IMT quartile 359.5 ± 6.40.11 (−0.43–0.65)0.695−0.12 (−0.74–0.50)0.705−0.31 (−1.07–0.46)0.430
Carotid IMT quartile 459.1 ± 6.6−0.33 (−0.87–0.21)0.235−0.06 (−0.71–0.60)0.864−0.35 (−1.15–0.45)0.392
End-systolic circumferential LV strain (base)
Carotid IMT quartile 1−17.5 ± 3.1ReferenceReferenceReference
Carotid IMT quartile 2−17.2 ± 3.20.27 (−0.05–0.59)0.1020.20 (−1.53–0.55)0.2690.32 (−4.20–0.81)0.077
Carotid IMT quartile 3−17.2 ± 3.10.29 (−0.03–0.61)0.0760.09 (−2.78–0.46)0.6310.40 (−5.44–0.85)0.085
Carotid IMT quartile 4−16.6 ± 3.30.90 (0.58–1.22)<0.0010.47 (0.07–0.86)0.0200.74 (0.26–1.21)0.002
End-systolic circumferential LV strain (mid)
Carotid IMT quartile 1−19.8 ± 2.3ReferenceReferenceReference
Carotid IMT quartile 2−19.7 ± 2.40.15 (−0.07–0.37)0.1830.08 (−0.15–0.31)0.5190.17 (−0.11–0.44)0.233
Carotid IMT quartile 3−19.7 ± 2.30.10 (−0.12–0.32)0.375−0.05 (−0.29–0.19)0.6700.11 (−1.83–0.40)0.470
Carotid IMT quartile 4−19.2 ± 2.40.59 (0.38–0.81)<0.0010.15 (−0.11–0.41)0.2610.32 (0.01–0.620.043
End-systolic circumferential LV strain (apex)
Carotid IMT quartile 1−21.2 ± 3.0ReferenceReferenceReference
Carotid IMT quartile 2−20.9 ± 3.10.23 (−0.07–0.53)0.1330.18 (−0.13–0.50)0.2540.26 (−0.12–0.63)0.185
Carotid IMT quartile 3−20.8 ± 3.10.30 (0.00–0.60)0.0500.11 (−0.22–0.44)0.5050.39 (−0.01–0.79)0.056
Carotid IMT quartile 4−20.3 ± 3.10.85 (0.54–1.15)<0.0010.35 (0.00–0.71)0.0520.45 (0.02–0.87)0.041
End-systolic torsion (°)
Carotid IMT quartile 17.3 ± 1.9ReferenceReferenceReference
Carotid IMT quartile 27.7 ± 2.10.37 (0.18–0.56)<0.0010.24 (0.04–0.45)0.0190.23 (−0.01–0.47)0.061
Carotid IMT quartile 37.7 ± 2.00.42 (0.23–0.61)<0.0010.16 (−0.06–0.37)0.1480.14 (−0.12–0.39)0.299
Carotid IMT quartile 47.8 ± 2.10.56 (0.37–0.76)<0.0010.30 (0.07–0.53)0.0100.33 (0.06–0.60)0.018

Model 1: Adjusted for age, sex, physical activity, BMI, BSA, hypertension, diabetes, smoking, ethnicity, Townsend deprivation index, alcohol intake frequency, and total cholesterol.

Model 2: Adjusted for Model 1 + lipoprotein A, apolipoprotein A and B, triglyceride, glycated haemoglobin, urate, and C-reactive protein.

CI, confidence interval; IMT, intima-media thickness; LVEDV, left ventricular end-diastolic volume; LVEF, left ventricular ejection fraction; LVESV, left ventricular end-systolic volume; LVM, left ventricular mass; LVSV, left ventricular stroke volume.

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