P83 A pilot study to assess peak systolic velocity as a possible marker of atherosclerotic burden using ultrasound

Introduction: Ischemic heart disease (IHD) has been associated with lower peak systolic velocity (PSV) on penile Doppler measurements [1]. This study establishes whether carotid ultrasound (US) PSV was associated with computational fluid dynamics (CFD) outputs, which in turn may contribute to IHD pathogenesis. Methods: A sample of 57 subjects (with IHD: 27, without IHD: 30) had US velocity profiles (left- common carotid artery) determined between 10e12 equispaced points. Bezier curve fitting was used to fit the profile through the measured velocity points for a normalised diameter. PSV was correlated against CFD results such as wall shear stress (WSS) [2]. Difference in PSV between individuals with/without IHD was studied via t-test. Linear regression was carried out to see if peak systolic velocity was associated with CFD outputs. Any significant associations were analysed within stratified groups (with/without IHD). Results: PSV was significantly lower (p Z 0.042) in subjects with IHD (with IHD: 53.6 17.3 cm/s, without IHD: 62.8 16.1 cm/s). PSV was associated with carotid bulb average pressure drop (p < 0.001), area of average bulb WSS (<1 Pa: p Z 0.016, <2 Pa: p Z 0.006, <3 Pa: p Z 0.001). All the above associations remained significant in individuals with IHD (average bulb pressure drop: p Z 0.001, average bulb WSS (<1 Pa: p Z 0.013, <2 Pa: p Z 0.008, <3 Pa: p Z 0.003). In subjects without IHD, PSV was associated with only average bulb pressure drop (p Z 0.016). Conclusions: This study suggests that further work on PSV and its associations with CFD outputs is required in individuals with and without IHD in various vascular beds

Additional file 1 of Effectiveness of a multicenter training programme to teach point-of-care vascular ultrasound for the detection of peripheral arterial disease in people with diabetes

: Figure S1. The full DUOSATS assessment tool. The last four domains (grey) concern stenosis assessment and reporting, which are not relevant to the present study. Therefore, these domains were excluded from the assessment, giving a minimum and maximum attainable DUOSATS score of 6 and 26, respectively. (PNG 558 kb