Volume 23 Issue 7
Jul.  2025
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WANG Xing, LU Fang, SHI Yan, LI Yang, XIE Changhao. Evaluation of ultrafast pulse wave technique in subclinical atherosclerosis in SLE and its clinical correlates[J]. Chinese Journal of General Practice, 2025, 23(7): 1192-1195. doi: 10.16766/j.cnki.issn.1674-4152.004095
Citation: WANG Xing, LU Fang, SHI Yan, LI Yang, XIE Changhao. Evaluation of ultrafast pulse wave technique in subclinical atherosclerosis in SLE and its clinical correlates[J]. Chinese Journal of General Practice, 2025, 23(7): 1192-1195. doi: 10.16766/j.cnki.issn.1674-4152.004095

Evaluation of ultrafast pulse wave technique in subclinical atherosclerosis in SLE and its clinical correlates

doi: 10.16766/j.cnki.issn.1674-4152.004095
Funds:

 AHWJ2023A20372

 2108085MH258

  • Received Date: 2024-08-20
    Available Online: 2025-10-25
  •   Objective  To make an assessment of vascular elasticity in patients with systemic lupus erythematosus (SLE) at varying levels of disease activity using ultrafast pulse wave technique, and to investigate associated clinical risk factors.  Methods  A total of 116 SLE patients admitted to the First Affiliated Hospital of Bengbu Medical University from October 2020 to April 2024 were selected. Patients were divided into a mild activity group (n=57) and a moderate-to-severe activity group (n=59) according to SLE disease activity index 2000. Additionally, 45 healthy adults were included as the control group. Carotid intima-media thickness (IMT), pulse wave velocity at the beginning of systole (PWV-BS), and pulse wave velocity at the end of systole (PWV-ES) were measured in each group. Clinical data of each group were recorded and analyzed. Carotid artery parameters and clinical data of the three groups were compared to analyze the correlation between PWV parameters and various indicators.  Results  Both PWV-BS and PWV-ES showed significant differences among the three groups, following the pattern: moderate-to-severe activity group > light activity group > control group (P < 0.05). PWV-BS was positively correlated with common carotid artery IMT (r=0.315, P < 0.001), systolic blood pressure (r=0.190, P=0.041), and diastolic blood pressure (r=0.191, P=0.040). PWV-ES was positively correlated with carotid bifurcation IMT (r=0.274, P=0.003), common carotid artery IMT (r=0.361, P < 0.001), and diastolic blood pressure (r=0.252, P=0.006).  Conclusion  The reduction in carotid artery elasticity in SLE patients occurs significantly earlier compared to healthy individuals. Ultrafast pulse wave is valuable, time-independent, and objective tool for quantitative assessing early vascular changes in patients with SLE, thus facilitating the early detection and clinical management of atherosclerosis.

     

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