Table 3

Association of carotid IMT with RV and atrial structure and function

Mean value ± SDUnadjustedModel 1Model 2
ß (95%CI)Pß (95%CI)Pß (95%CI)P
RVEDV (ml)
Carotid IMT quartile 1146.8 ± 34.6ReferenceReferenceReference
Carotid IMT quartile 2151.3 ± 39.84.51 (1.33–7.70)0.0053.89 (1.44–6.34)0.0023.00 (0.05–5.95)0.046
Carotid IMT quartile 3149.6 ± 36.02.78 (−0.41–5.97)0.0872.60 (0.03–5.17)0.0481.06 (−2.08–4.20)0.509
Carotid IMT quartile 4158.9 ± 37.712.14 (8.95–15.33)<0.0016.45 (3.72–9.18)<0.0016.08 (2.80–9.37)<0.001
RVESV (ml)
Carotid IMT quartile 165.2 ± 21.3ReferenceReferenceReference
Carotid IMT quartile 266.8 ± 23.51.59 (−0.32–3.51)0.1031.62 (0.04–3.21)0.0451.50 (−0.42–3.42)0.126
Carotid IMT quartile 365.5 ± 21.70.31 (−1.61–2.23)0.7560.64 (−1.02–2.31)0.4490.11 (−1.94–2.15)0.920
Carotid IMT quartile 470.2 ± 22.95.00 (3.07–6.92)<0.0011.97 (0.20–3.74)0.0292.13 (−0.01–4.28)0.050
RVSV (ml)
Carotid IMT quartile 181.6 ± 17.8ReferenceReferenceReference
Carotid IMT quartile 284.5 ± 20.22.91 (1.26–4.55)<0.0012.24 (0.81–3.67)0.0021.48 (−0.25–3.21)0.095
Carotid IMT quartile 384.1 ± 18.92.49 (0.84–4.14)0.0031.95 (0.45–3.46)0.0110.96 (−0.88–2.81)0.305
Carotid IMT quartile 488.8 ± 19.87.14 (5.50–8.79)<0.0014.47 (2.87–6.06)<0.0013.94 (2.01–5.87)<0.001
RVEF (%)
Carotid IMT quartile 156.2 ± 6.3ReferenceReferenceReference
Carotid IMT quartile 256.5 ± 6.30.32 (−0.24–0.87)0.2640.12 (−0.46–0.71)0.675−0.07 (−0.78–0.64)0.839
Carotid IMT quartile 356.8 ± 6.60.61 (0.05–1.16)0.0330.36 (−0.26–0.97)0.2560.25 (−0.50–1.01)0.511
Carotid IMT quartile 456.4 ± 6.60.21 (−0.34–0.77)0.4520.59 (−0.06–1.25)0.0730.32 (−0.47–1.12)0.423
Maximal LA volume (ml)
Carotid IMT quartile 170.7 ± 21.8ReferenceReferenceReference
Carotid IMT quartile 272.6 ± 24.61.93 (−0.23–4.10)0.0802.63 (0.38–4.88)0.0221.25 (−1.45–3.96)0.364
Carotid IMT quartile 373.8 ± 23.32.04 (−0.14–4.21)0.0673.54 (1.16–5.91)0.0042.39 (−0.52–5.29)0.107
Carotid IMT quartile 479.7 ± 29.49.00 (6.80–11.14)<0.0019.77 (7.25–12.29)<0.0018.85 (5.81–11.88)<0.001
LA EF (%)
Carotid IMT quartile 161.9 ± 8.2ReferenceReferenceReference
Carotid IMT quartile 260.8 ± 9.4−1.15 (−2.00 to −0.33)0.006−0.73 (−1.61–0.15)0.103−0.99 (−2.09–0.11)0.077
Carotid IMT quartile 360.4 ± 9.4−1.50 (−2.30 to −0.66)<0.001−0.56 (−1.50–0.37)0.235−0.73 (−1.91–0.45)0.226
Carotid IMT quartile 457.8 ± 10.6−4.09 (−4.91 to −3.27)<0.001−2.18 (−3.17 to −1.20)<0.001−2.50 (−3.74 to −1.27)<0.001
Maximal RA volume (ml)
Carotid IMT quartile 176.0 ± 22.8ReferenceReferenceReference
Carotid IMT quartile 279.3 ± 26.73.27 (1.03–5.52)0.0041.70 (−0.43–3.82)0.1180.82 (1.73–3.37)0.530
Carotid IMT quartile 378.2 ± 24.62.23 (−0.02–4.48)0.0630.00 (−2.24–2.24)0.999−0.65 (−3.39–2.08)0.639
Carotid IMT quartile 482.9 ± 29.06.89 (4.64–9.14)<0.0010.62 (−1.76–3.00)0.611−0.20 (−3.07–2.66)0.891
RA EF (%)
Carotid IMT quartile 144.1 ± 10.1ReferenceReferenceReference
Carotid IMT quartile 243.1 ± 10.2−0.94 (−1.85 to −0.02)0.045−0.23 (−1.19–0.73)0.6400.03 (1.13–1.20)0.958
Carotid IMT quartile 342.7 ± 10.2−1.34 (−2.26 to −0.42)0.0040.18 (−0.83–1.20)0.7230.31 (−0.94–1.56)0.628
Carotid IMT quartile 440.1 ± 11.6−4.00 (−4.92 to −3.09)<0.001−1.25 (−2.33 to −0.17)0.023−1.74 (−3.04 to −0.43)0.009
Mean value ± SDUnadjustedModel 1Model 2
ß (95%CI)Pß (95%CI)Pß (95%CI)P
RVEDV (ml)
Carotid IMT quartile 1146.8 ± 34.6ReferenceReferenceReference
Carotid IMT quartile 2151.3 ± 39.84.51 (1.33–7.70)0.0053.89 (1.44–6.34)0.0023.00 (0.05–5.95)0.046
Carotid IMT quartile 3149.6 ± 36.02.78 (−0.41–5.97)0.0872.60 (0.03–5.17)0.0481.06 (−2.08–4.20)0.509
Carotid IMT quartile 4158.9 ± 37.712.14 (8.95–15.33)<0.0016.45 (3.72–9.18)<0.0016.08 (2.80–9.37)<0.001
RVESV (ml)
Carotid IMT quartile 165.2 ± 21.3ReferenceReferenceReference
Carotid IMT quartile 266.8 ± 23.51.59 (−0.32–3.51)0.1031.62 (0.04–3.21)0.0451.50 (−0.42–3.42)0.126
Carotid IMT quartile 365.5 ± 21.70.31 (−1.61–2.23)0.7560.64 (−1.02–2.31)0.4490.11 (−1.94–2.15)0.920
Carotid IMT quartile 470.2 ± 22.95.00 (3.07–6.92)<0.0011.97 (0.20–3.74)0.0292.13 (−0.01–4.28)0.050
RVSV (ml)
Carotid IMT quartile 181.6 ± 17.8ReferenceReferenceReference
Carotid IMT quartile 284.5 ± 20.22.91 (1.26–4.55)<0.0012.24 (0.81–3.67)0.0021.48 (−0.25–3.21)0.095
Carotid IMT quartile 384.1 ± 18.92.49 (0.84–4.14)0.0031.95 (0.45–3.46)0.0110.96 (−0.88–2.81)0.305
Carotid IMT quartile 488.8 ± 19.87.14 (5.50–8.79)<0.0014.47 (2.87–6.06)<0.0013.94 (2.01–5.87)<0.001
RVEF (%)
Carotid IMT quartile 156.2 ± 6.3ReferenceReferenceReference
Carotid IMT quartile 256.5 ± 6.30.32 (−0.24–0.87)0.2640.12 (−0.46–0.71)0.675−0.07 (−0.78–0.64)0.839
Carotid IMT quartile 356.8 ± 6.60.61 (0.05–1.16)0.0330.36 (−0.26–0.97)0.2560.25 (−0.50–1.01)0.511
Carotid IMT quartile 456.4 ± 6.60.21 (−0.34–0.77)0.4520.59 (−0.06–1.25)0.0730.32 (−0.47–1.12)0.423
Maximal LA volume (ml)
Carotid IMT quartile 170.7 ± 21.8ReferenceReferenceReference
Carotid IMT quartile 272.6 ± 24.61.93 (−0.23–4.10)0.0802.63 (0.38–4.88)0.0221.25 (−1.45–3.96)0.364
Carotid IMT quartile 373.8 ± 23.32.04 (−0.14–4.21)0.0673.54 (1.16–5.91)0.0042.39 (−0.52–5.29)0.107
Carotid IMT quartile 479.7 ± 29.49.00 (6.80–11.14)<0.0019.77 (7.25–12.29)<0.0018.85 (5.81–11.88)<0.001
LA EF (%)
Carotid IMT quartile 161.9 ± 8.2ReferenceReferenceReference
Carotid IMT quartile 260.8 ± 9.4−1.15 (−2.00 to −0.33)0.006−0.73 (−1.61–0.15)0.103−0.99 (−2.09–0.11)0.077
Carotid IMT quartile 360.4 ± 9.4−1.50 (−2.30 to −0.66)<0.001−0.56 (−1.50–0.37)0.235−0.73 (−1.91–0.45)0.226
Carotid IMT quartile 457.8 ± 10.6−4.09 (−4.91 to −3.27)<0.001−2.18 (−3.17 to −1.20)<0.001−2.50 (−3.74 to −1.27)<0.001
Maximal RA volume (ml)
Carotid IMT quartile 176.0 ± 22.8ReferenceReferenceReference
Carotid IMT quartile 279.3 ± 26.73.27 (1.03–5.52)0.0041.70 (−0.43–3.82)0.1180.82 (1.73–3.37)0.530
Carotid IMT quartile 378.2 ± 24.62.23 (−0.02–4.48)0.0630.00 (−2.24–2.24)0.999−0.65 (−3.39–2.08)0.639
Carotid IMT quartile 482.9 ± 29.06.89 (4.64–9.14)<0.0010.62 (−1.76–3.00)0.611−0.20 (−3.07–2.66)0.891
RA EF (%)
Carotid IMT quartile 144.1 ± 10.1ReferenceReferenceReference
Carotid IMT quartile 243.1 ± 10.2−0.94 (−1.85 to −0.02)0.045−0.23 (−1.19–0.73)0.6400.03 (1.13–1.20)0.958
Carotid IMT quartile 342.7 ± 10.2−1.34 (−2.26 to −0.42)0.0040.18 (−0.83–1.20)0.7230.31 (−0.94–1.56)0.628
Carotid IMT quartile 440.1 ± 11.6−4.00 (−4.92 to −3.09)<0.001−1.25 (−2.33 to −0.17)0.023−1.74 (−3.04 to −0.43)0.009

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; EF, ejection fraction; IMT, intima-media thickness; LA, left atrium; RA, right atrium; RVEDV, right ventricular end-diastolic volume; RVEF, right ventricular ejection fraction; RVESV, right ventricular end-systolic volume; RVSV, right ventricular stroke volume.

Table 3

Association of carotid IMT with RV and atrial structure and function

Mean value ± SDUnadjustedModel 1Model 2
ß (95%CI)Pß (95%CI)Pß (95%CI)P
RVEDV (ml)
Carotid IMT quartile 1146.8 ± 34.6ReferenceReferenceReference
Carotid IMT quartile 2151.3 ± 39.84.51 (1.33–7.70)0.0053.89 (1.44–6.34)0.0023.00 (0.05–5.95)0.046
Carotid IMT quartile 3149.6 ± 36.02.78 (−0.41–5.97)0.0872.60 (0.03–5.17)0.0481.06 (−2.08–4.20)0.509
Carotid IMT quartile 4158.9 ± 37.712.14 (8.95–15.33)<0.0016.45 (3.72–9.18)<0.0016.08 (2.80–9.37)<0.001
RVESV (ml)
Carotid IMT quartile 165.2 ± 21.3ReferenceReferenceReference
Carotid IMT quartile 266.8 ± 23.51.59 (−0.32–3.51)0.1031.62 (0.04–3.21)0.0451.50 (−0.42–3.42)0.126
Carotid IMT quartile 365.5 ± 21.70.31 (−1.61–2.23)0.7560.64 (−1.02–2.31)0.4490.11 (−1.94–2.15)0.920
Carotid IMT quartile 470.2 ± 22.95.00 (3.07–6.92)<0.0011.97 (0.20–3.74)0.0292.13 (−0.01–4.28)0.050
RVSV (ml)
Carotid IMT quartile 181.6 ± 17.8ReferenceReferenceReference
Carotid IMT quartile 284.5 ± 20.22.91 (1.26–4.55)<0.0012.24 (0.81–3.67)0.0021.48 (−0.25–3.21)0.095
Carotid IMT quartile 384.1 ± 18.92.49 (0.84–4.14)0.0031.95 (0.45–3.46)0.0110.96 (−0.88–2.81)0.305
Carotid IMT quartile 488.8 ± 19.87.14 (5.50–8.79)<0.0014.47 (2.87–6.06)<0.0013.94 (2.01–5.87)<0.001
RVEF (%)
Carotid IMT quartile 156.2 ± 6.3ReferenceReferenceReference
Carotid IMT quartile 256.5 ± 6.30.32 (−0.24–0.87)0.2640.12 (−0.46–0.71)0.675−0.07 (−0.78–0.64)0.839
Carotid IMT quartile 356.8 ± 6.60.61 (0.05–1.16)0.0330.36 (−0.26–0.97)0.2560.25 (−0.50–1.01)0.511
Carotid IMT quartile 456.4 ± 6.60.21 (−0.34–0.77)0.4520.59 (−0.06–1.25)0.0730.32 (−0.47–1.12)0.423
Maximal LA volume (ml)
Carotid IMT quartile 170.7 ± 21.8ReferenceReferenceReference
Carotid IMT quartile 272.6 ± 24.61.93 (−0.23–4.10)0.0802.63 (0.38–4.88)0.0221.25 (−1.45–3.96)0.364
Carotid IMT quartile 373.8 ± 23.32.04 (−0.14–4.21)0.0673.54 (1.16–5.91)0.0042.39 (−0.52–5.29)0.107
Carotid IMT quartile 479.7 ± 29.49.00 (6.80–11.14)<0.0019.77 (7.25–12.29)<0.0018.85 (5.81–11.88)<0.001
LA EF (%)
Carotid IMT quartile 161.9 ± 8.2ReferenceReferenceReference
Carotid IMT quartile 260.8 ± 9.4−1.15 (−2.00 to −0.33)0.006−0.73 (−1.61–0.15)0.103−0.99 (−2.09–0.11)0.077
Carotid IMT quartile 360.4 ± 9.4−1.50 (−2.30 to −0.66)<0.001−0.56 (−1.50–0.37)0.235−0.73 (−1.91–0.45)0.226
Carotid IMT quartile 457.8 ± 10.6−4.09 (−4.91 to −3.27)<0.001−2.18 (−3.17 to −1.20)<0.001−2.50 (−3.74 to −1.27)<0.001
Maximal RA volume (ml)
Carotid IMT quartile 176.0 ± 22.8ReferenceReferenceReference
Carotid IMT quartile 279.3 ± 26.73.27 (1.03–5.52)0.0041.70 (−0.43–3.82)0.1180.82 (1.73–3.37)0.530
Carotid IMT quartile 378.2 ± 24.62.23 (−0.02–4.48)0.0630.00 (−2.24–2.24)0.999−0.65 (−3.39–2.08)0.639
Carotid IMT quartile 482.9 ± 29.06.89 (4.64–9.14)<0.0010.62 (−1.76–3.00)0.611−0.20 (−3.07–2.66)0.891
RA EF (%)
Carotid IMT quartile 144.1 ± 10.1ReferenceReferenceReference
Carotid IMT quartile 243.1 ± 10.2−0.94 (−1.85 to −0.02)0.045−0.23 (−1.19–0.73)0.6400.03 (1.13–1.20)0.958
Carotid IMT quartile 342.7 ± 10.2−1.34 (−2.26 to −0.42)0.0040.18 (−0.83–1.20)0.7230.31 (−0.94–1.56)0.628
Carotid IMT quartile 440.1 ± 11.6−4.00 (−4.92 to −3.09)<0.001−1.25 (−2.33 to −0.17)0.023−1.74 (−3.04 to −0.43)0.009
Mean value ± SDUnadjustedModel 1Model 2
ß (95%CI)Pß (95%CI)Pß (95%CI)P
RVEDV (ml)
Carotid IMT quartile 1146.8 ± 34.6ReferenceReferenceReference
Carotid IMT quartile 2151.3 ± 39.84.51 (1.33–7.70)0.0053.89 (1.44–6.34)0.0023.00 (0.05–5.95)0.046
Carotid IMT quartile 3149.6 ± 36.02.78 (−0.41–5.97)0.0872.60 (0.03–5.17)0.0481.06 (−2.08–4.20)0.509
Carotid IMT quartile 4158.9 ± 37.712.14 (8.95–15.33)<0.0016.45 (3.72–9.18)<0.0016.08 (2.80–9.37)<0.001
RVESV (ml)
Carotid IMT quartile 165.2 ± 21.3ReferenceReferenceReference
Carotid IMT quartile 266.8 ± 23.51.59 (−0.32–3.51)0.1031.62 (0.04–3.21)0.0451.50 (−0.42–3.42)0.126
Carotid IMT quartile 365.5 ± 21.70.31 (−1.61–2.23)0.7560.64 (−1.02–2.31)0.4490.11 (−1.94–2.15)0.920
Carotid IMT quartile 470.2 ± 22.95.00 (3.07–6.92)<0.0011.97 (0.20–3.74)0.0292.13 (−0.01–4.28)0.050
RVSV (ml)
Carotid IMT quartile 181.6 ± 17.8ReferenceReferenceReference
Carotid IMT quartile 284.5 ± 20.22.91 (1.26–4.55)<0.0012.24 (0.81–3.67)0.0021.48 (−0.25–3.21)0.095
Carotid IMT quartile 384.1 ± 18.92.49 (0.84–4.14)0.0031.95 (0.45–3.46)0.0110.96 (−0.88–2.81)0.305
Carotid IMT quartile 488.8 ± 19.87.14 (5.50–8.79)<0.0014.47 (2.87–6.06)<0.0013.94 (2.01–5.87)<0.001
RVEF (%)
Carotid IMT quartile 156.2 ± 6.3ReferenceReferenceReference
Carotid IMT quartile 256.5 ± 6.30.32 (−0.24–0.87)0.2640.12 (−0.46–0.71)0.675−0.07 (−0.78–0.64)0.839
Carotid IMT quartile 356.8 ± 6.60.61 (0.05–1.16)0.0330.36 (−0.26–0.97)0.2560.25 (−0.50–1.01)0.511
Carotid IMT quartile 456.4 ± 6.60.21 (−0.34–0.77)0.4520.59 (−0.06–1.25)0.0730.32 (−0.47–1.12)0.423
Maximal LA volume (ml)
Carotid IMT quartile 170.7 ± 21.8ReferenceReferenceReference
Carotid IMT quartile 272.6 ± 24.61.93 (−0.23–4.10)0.0802.63 (0.38–4.88)0.0221.25 (−1.45–3.96)0.364
Carotid IMT quartile 373.8 ± 23.32.04 (−0.14–4.21)0.0673.54 (1.16–5.91)0.0042.39 (−0.52–5.29)0.107
Carotid IMT quartile 479.7 ± 29.49.00 (6.80–11.14)<0.0019.77 (7.25–12.29)<0.0018.85 (5.81–11.88)<0.001
LA EF (%)
Carotid IMT quartile 161.9 ± 8.2ReferenceReferenceReference
Carotid IMT quartile 260.8 ± 9.4−1.15 (−2.00 to −0.33)0.006−0.73 (−1.61–0.15)0.103−0.99 (−2.09–0.11)0.077
Carotid IMT quartile 360.4 ± 9.4−1.50 (−2.30 to −0.66)<0.001−0.56 (−1.50–0.37)0.235−0.73 (−1.91–0.45)0.226
Carotid IMT quartile 457.8 ± 10.6−4.09 (−4.91 to −3.27)<0.001−2.18 (−3.17 to −1.20)<0.001−2.50 (−3.74 to −1.27)<0.001
Maximal RA volume (ml)
Carotid IMT quartile 176.0 ± 22.8ReferenceReferenceReference
Carotid IMT quartile 279.3 ± 26.73.27 (1.03–5.52)0.0041.70 (−0.43–3.82)0.1180.82 (1.73–3.37)0.530
Carotid IMT quartile 378.2 ± 24.62.23 (−0.02–4.48)0.0630.00 (−2.24–2.24)0.999−0.65 (−3.39–2.08)0.639
Carotid IMT quartile 482.9 ± 29.06.89 (4.64–9.14)<0.0010.62 (−1.76–3.00)0.611−0.20 (−3.07–2.66)0.891
RA EF (%)
Carotid IMT quartile 144.1 ± 10.1ReferenceReferenceReference
Carotid IMT quartile 243.1 ± 10.2−0.94 (−1.85 to −0.02)0.045−0.23 (−1.19–0.73)0.6400.03 (1.13–1.20)0.958
Carotid IMT quartile 342.7 ± 10.2−1.34 (−2.26 to −0.42)0.0040.18 (−0.83–1.20)0.7230.31 (−0.94–1.56)0.628
Carotid IMT quartile 440.1 ± 11.6−4.00 (−4.92 to −3.09)<0.001−1.25 (−2.33 to −0.17)0.023−1.74 (−3.04 to −0.43)0.009

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; EF, ejection fraction; IMT, intima-media thickness; LA, left atrium; RA, right atrium; RVEDV, right ventricular end-diastolic volume; RVEF, right ventricular ejection fraction; RVESV, right ventricular end-systolic volume; RVSV, right ventricular stroke volume.

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