Yıl: 2017 Cilt: 18 Sayı: 1 Sayfa Aralığı: 10 - 14 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Evaluation of the ambulatory arterial stiffness index in lead-exposed workers

Öz:
Objective: Lead exposure has been associated with various cardiovascular disorders. It may also cause increased inflammation and fibrosis in the arterial system resulting in an increase in arterial stiffness. In this study, the ambulatory arterial stiffness index (AASI), which is a technique that measures arterial stiffness, was evaluated in occupationally lead-exposed workers.Methods: In this cross-sectional study, 68 lead-exposed workers without known cardiovascular risk factors and 68 healthy subjects were evaluated according to the 24-hour ambulatory blood pressure monitorization (ABPM) profiles and blood and 24-hour urine lead levels. A regression slope of diastolic over systolic blood pressure (BP) was computed in each participant. AASI was defined as 1 minus the regression slope.Results: There were no significant differences in terms of baseline demographic, clinical, echocardiographic characteristics, and ABPM profiles between the groups. In lead-exposed workers, the mean age was 34.7±8.1 years, and the median blood and urine lead levels were 40.5 μg/dL and 34.9 μg/L, respectively. AASI was 0.42±0.10 in lead-exposed workers and 0.37±0.10 in control subjects (p=0.007). In correlation analysis, AASI was correlated with both blood (r=0.417, p<0.001) and urine lead (r=0.242, p=0.047) levels. In regression analysis, blood lead level was found to be associated with AASI (β=0.086, p<0.001).Conclusion: AASI, which is an indicator of arterial stiffness, was found to be higher in lead-exposed workers than in healthy individuals. Increased AASI may be considered an early sign of arterial involvement in case of lead exposure
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Jain NB, Potula V, Schwartz J, Vokonas PS, Sparrow D, Wright RO, et al. Lead levels and ischemic heart disease in a prospective study of middle-aged and elderly men: the VA Normative Aging Study. En- viron Health Perspect 2007; 115: 871-5.
  • Lee TH, Tseng MC, Chen CJ, Lin JL. Association of high body lead store with severe intracranial carotid atherosclerosis. Neurotoxi- cology 2009; 30: 876-80.
  • Chen CC, Yen HW, Lo YH, Chu YH, Chiu YW, Chuang HY. The associ- ation of prolonged QT interval on electrocardiography and chronic lead exposure. J Occup Environ Med 2013; 55: 614-9.
  • Lu Y, Liu X, Deng Q, Duan Y, Dai H, Li Y, et al. Continuous lead expo- sure increases blood pressure but does not alter kidney function in adults 20-44 years of age in a lead-polluted region of China. Kidney Blood Press Res 2015; 40: 207-14.
  • Vaziri ND. Mechanisms of lead-induced hypertension and cardio- vascular disease. Am J Physiol Heart Circ Physiol 2008; 295: 454-65.
  • Dursun N, Arifoğlu C, Süer C, Keskinol L. Blood pressure relation- ship to nitric oxide, lipid peroxidation, renal function, and renal blood flow in rats exposed to low lead levels. Biol Trace Elem Res 2005; 104: 141-9.
  • Park S, Lakatta EG. Role of inflammation in the pathogenesis of ar- terial stiffness. Yonsei Med J 2012; 53: 258-61.
  • Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, et al. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 2006; 27: 2588-605.
  • Vlachopoulos C, Aznaouridis K, Stefanadis C. Prediction of cardiovas- cular events and all-cause mortality with arterial stiffness: a syste- matic review and meta-analysis. J Am Coll Cardiol 2010; 55: 1318-27.
  • Dolan E, Thijs L, Li Y, Atkins N, McCormack P, McClory S, et al. Am- bulatory arterial stiffness index as a predictor of cardiovascular mortality in the Dublin Outcome Study. Hypertension 2006; 47: 365- 70.
  • Kikuya M, Staessen JA, Ohkubo T, Thijs L, Metoki H, Asayama K, et al. Ambulatory arterial stiffness index and 24-hour ambula- tory pulse pressure as predictors of mortality in Ohasama, Japan. Stroke 2007; 38: 1161-6.
  • Li Y, Wang JG, Dolan E, Gao PJ, Guo HF, Nawrot T, et al. Ambula- tory arterial stiffness index derived from 24-hour ambulatory blood pressure monitoring. Hypertension 2006; 47: 359-64.
  • Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pel- likka PA, et al. Recommendations for chamber quantification: a re- port from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr 2005; 18: 1440-63.
  • Sutton-Tyrrell K, Najjar SS, Boudreau RM, Venkitachalam L, Kupe- lian V, Simonsick EM, et al. Elevated aortic pulse wave velocity, a marker of arterial stiffness, predicts cardiovascular events in well- functioning older adults. Circulation 2005; 111: 3384-90.
  • Tsao CW, Lyass A, Larson MG, Levy D, Hamburg NM, Vita JA, et al. Relation of Central Arterial Stiffness to Incident Heart Failure in the Community. J Am Heart Assoc 2015; 4.
  • Wong JY, Fang SC, Grashow R, Fan T, Christiani DC. The relation- ship between occupational metal exposure and arterial compli- ance. J Occup Environ Med 2015; 57: 355-60.
  • Hansen TW, Staessen JA, Torp-Pedersen C, Rasmussen S, Li Y, Dolan E, et al. Ambulatory arterial stiffness index predicts stroke in a general population. J Hypertens 2006; 24: 2247-53.
  • Kalaycıoğlu E, Gökdeniz T, Aykan AC, Hatem E, Gürsoy OM, Çavuşoğlu G, et al. Ambulatory arterial stiffness index is associ- ated with impaired left atrial mechanical functions in hypertensive diabetic patients: A speckle tracking study. Anatol J Cardiol 2015; 15: 807-13.
  • Mordukhovich I, Wright RO, Hu H, Amarasiriwardena C, Baccarelli A, Litonjua A, et al. Associations of toenail arsenic, cadmium, mer- cury, manganese, and lead with blood pressure in the normative aging study. Environ Health Perspect 2012; 120: 98-104.
  • Wu S, Deng F, Huang J, Wang H, Shima M, Wang X, et al. Blood pressure changes and chemical constituents of particulate air pol- lution: results from the healthy volunteer natural relocation (HVNR) study. Environ Health Perspect 2013; 121: 66-72.
  • Navas-Acien A, Guallar E, Silbergeld EK, Rothenberg SJ. Lead ex- posure and cardiovascular disease--a systematic review. Environ Health Perspect 2007; 115: 472-82.
  • Poreba R, Gac P, Poreba M, Derkacz A, Pilecki W, Antonowicz- Juchniewicz J, et al. Relationship between chronic exposure to lead, cadmium and manganese, blood pressure values and inci- dence of arterial hypertension. Med Pr 2010; 61: 5-14.
  • Poreba R, Gac P, Poreba M, Antonowicz-Juchniewicz J, Andrzejak R. Relationship between occupational exposure to lead and local arterial stiffness and left ventricular diastolic function in individuals with arterial hypertension. Toxicol Appl Pharmacol 2011; 254: 342-8.
  • Kips JG, Vermeersch SJ, Reymond P, Boutouyrie P, Stergiopulos N, Laurent S, et al. Ambulatory arterial stiffness index does not ac- curately assess arterial stiffness. J Hypertens 2012; 30: 574-80.
  • Schillaci G, Parati G, Pirro M, Pucci G, Mannarino MR, Sperandini L, et al. Ambulatory arterial stiffness index is not a specific marker of reduced arterial compliance. Hypertension 2007; 49: 986-91.
  • Benetos A, Lacolley P. From 24-hour blood pressure measurements to arterial stiffness: a valid short cut? Hypertension 2006; 47: 327-8.
APA KARAKULAK U, Yılmaz Ö, TUTKUN E, ateş i, bal c, Gunduzoz M (2017). Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. , 10 - 14.
Chicago KARAKULAK Uğur Nadir,Yılmaz Ömer Hinç,TUTKUN Engin,ateş ihsan,bal ceylan,Gunduzoz Meside Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. (2017): 10 - 14.
MLA KARAKULAK Uğur Nadir,Yılmaz Ömer Hinç,TUTKUN Engin,ateş ihsan,bal ceylan,Gunduzoz Meside Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. , 2017, ss.10 - 14.
AMA KARAKULAK U,Yılmaz Ö,TUTKUN E,ateş i,bal c,Gunduzoz M Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. . 2017; 10 - 14.
Vancouver KARAKULAK U,Yılmaz Ö,TUTKUN E,ateş i,bal c,Gunduzoz M Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. . 2017; 10 - 14.
IEEE KARAKULAK U,Yılmaz Ö,TUTKUN E,ateş i,bal c,Gunduzoz M "Evaluation of the ambulatory arterial stiffness index in lead-exposed workers." , ss.10 - 14, 2017.
ISNAD KARAKULAK, Uğur Nadir vd. "Evaluation of the ambulatory arterial stiffness index in lead-exposed workers". (2017), 10-14.
APA KARAKULAK U, Yılmaz Ö, TUTKUN E, ateş i, bal c, Gunduzoz M (2017). Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. The Anatolian Journal of Cardiology, 18(1), 10 - 14.
Chicago KARAKULAK Uğur Nadir,Yılmaz Ömer Hinç,TUTKUN Engin,ateş ihsan,bal ceylan,Gunduzoz Meside Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. The Anatolian Journal of Cardiology 18, no.1 (2017): 10 - 14.
MLA KARAKULAK Uğur Nadir,Yılmaz Ömer Hinç,TUTKUN Engin,ateş ihsan,bal ceylan,Gunduzoz Meside Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. The Anatolian Journal of Cardiology, vol.18, no.1, 2017, ss.10 - 14.
AMA KARAKULAK U,Yılmaz Ö,TUTKUN E,ateş i,bal c,Gunduzoz M Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. The Anatolian Journal of Cardiology. 2017; 18(1): 10 - 14.
Vancouver KARAKULAK U,Yılmaz Ö,TUTKUN E,ateş i,bal c,Gunduzoz M Evaluation of the ambulatory arterial stiffness index in lead-exposed workers. The Anatolian Journal of Cardiology. 2017; 18(1): 10 - 14.
IEEE KARAKULAK U,Yılmaz Ö,TUTKUN E,ateş i,bal c,Gunduzoz M "Evaluation of the ambulatory arterial stiffness index in lead-exposed workers." The Anatolian Journal of Cardiology, 18, ss.10 - 14, 2017.
ISNAD KARAKULAK, Uğur Nadir vd. "Evaluation of the ambulatory arterial stiffness index in lead-exposed workers". The Anatolian Journal of Cardiology 18/1 (2017), 10-14.