Title
Association of descending thoracic aortic plaque with brain atrophy and white matter hyperintensities: The Framingham Heart Study
Date Issued
01 October 2017
Access level
open access
Resource Type
journal article
Author(s)
Aparicio H.J.
Petrea R.E.
Massaro J.M.
Manning W.J.
Oyama-Manabe N.
Beiser A.S.
Kase C.S.
D'Agostino R.B.
Wolf P.A.
Vasan R.S.
DeCarli C.
O'Donnell C.J.
Seshadri S.
Publisher(s)
Elsevier Ireland Ltd
Abstract
Background and aims Aortic atherosclerosis is an aggregate marker of vascular risk factor exposure and has been associated with intracranial atherosclerosis and stroke. We hypothesized that atherosclerosis of the descending aorta (DAo) could be a risk marker for brain aging and injury. Methods We evaluated 1527 participants (mean age 59.9 years, 53.5% women) in the Framingham Offspring cohort who underwent both aortic and brain MRI. Participants were free of clinical stroke, dementia, or other neurological illness at the time of axial MRI of the thoracic and abdominal DAo and subsequent brain MRI. We related the prevalence and burden of aortic plaque to total cerebral brain volume (TCBV) and white matter hyperintensity volume (WMHV). An additional analysis compared incidence of stroke or TIA in participants with and without DAo plaques. Results Presence of thoracic DAo plaque (8%) was associated with decreased TCBV in sex-pooled analysis (−0.77, SE 0.25, p = 0.002, equivalent to 4.5 years of aging) and with increased WMHV only in men (0.26, SE 0.12, p = 0.032, equivalent to 6.5 years aging). We observed similar associations of DAo plaque burden with TCBV and WMHV. There were 43 strokes and 11 TIAs in prospective follow-up (median 7 years). Presence of DAo plaque was not associated with subsequent stroke or TIA. Conclusions In this cross-sectional community-based study, we found DAo plaque is associated with accelerated brain aging. These data underscore the potential implications of incidentally identified subclinical aortic atherosclerosis and question whether targeted intervention in these high risk individuals can modulate cognitive decline.
Start page
305
End page
311
Volume
265
Language
English
OCDE Knowledge area
Sistema cardiaco, Sistema cardiovascular
Scopus EID
2-s2.0-85021419368
PubMed ID
Source
Atherosclerosis
ISSN of the container
00219150
Sponsor(s)
National Institute on Aging National Heart, Lung, and Blood Institute National Institute of Neurological Disorders and Stroke
Sources of information: Directorio de Producción Científica Scopus