Table 1.
Reference | Number of Patients | Study Design | Microvascular Complication Evaluated | Arterial Stiffness Index | Main Findings |
---|---|---|---|---|---|
[19] | 600 | Cross-sectional | Retinopathy | AIx | Augmentation index was independently associated with the presence of retinopathy. |
[26] | 494 | Cross-sectional | Retinopathy | hf-PWV | Aortic stiffness was independently associated with retinopathy. |
[23] | 294 | Cross-sectional | Peripheral neuropathy | ba-PWV | Increased arterial stiffness was independently associated with peripheral neuropathy. |
[21] | 731 | Cross-sectional | Peripheral neuropathy | CAVI | Increased arterial stiffness was independently associated with peripheral neuropathy. |
[22] | 692 | Cross-sectional | Peripheral neuropathy | ba-PWV | Increased arterial stiffness was independently associated with peripheral neuropathy. |
[24] | 45 | Cross-sectional | Cardiovascular autonomic neuropathy | cf-PWV | Aortic stiffness correlated with autonomic neuropathy. |
[29] | 306 | Cross-sectional | Microalbuminuria | ba-PWV | Arterial stiffness was independently associated with microalbuminuria. |
[18] | 167 | Cross-sectional | Microalbuminuria | cf-PWV | Aortic stiffness was independently associated with increased albuminuria. |
[27] | 134 | Cross-sectional | Nephropathy | cf-PWV | Aortic stiffness was associated with albuminuria without adjustment for blood pressure, and with lower eGFR. |
[28] | 614 | Cross-sectional | High–normal albuminuria | cf-PWV | Aortic stiffness was independently associated with higher albuminuria even in the normal range. |
[31] | 122 | Cross-sectional | End-stage renal disease | cf-PWV | Aortic stiffness was independently associated with reduced renal function. |
[32] | 706 | Cross-sectional | Microalbuminuria | cf-PWV | Increased aortic stiffness was independently associated with microalbuminuria, but not with reduced eGFR. |
Reduced renal function | |||||
[20] | 482 | Cross-sectional | Retinopathy | cf-PWV | Increased aortic stiffness was independently associated with nephropathy, retinopathy and peripheral neuropathy. |
Nephropathy | |||||
Peripheral neuropathy | |||||
Cardiovascular autonomic neuropathy | |||||
[30] | 320 | Cross-sectional | Albuminuria | CAVI | Increased arterial stiffness was independently associated with albuminuria and peripheral neuropathy, but not with retinopathy. |
Retinopathy | |||||
Peripheral neuropathy | |||||
[25] * | 635 | Cross-sectional | Albuminuria | cf-PWV | Increased aortic stiffness was independently associated with increased albuminuria, retinopathy and cardiac dysautonomia. |
Retinopathy | |||||
Cardiovascular autonomic neuropathy | |||||
[33] | 461 | Prospective | Microalbuminuria | cf-PWV | Aortic stiffness independently predicted incident microalbuminuria and was associated with the rate of decline in eGFR. |
Reduced renal function | |||||
[34] | 477 | Prospective | Peripheral neuropathy | cf-PWV | Increased aortic stiffness independently predicted the future development and progression of peripheral neuropathy. |
* The only study with type 1 diabetic patients. All others were on type 2 diabetes. Abbreviations: AIx, augmentation index; hf-PWV, heart–femoral pulse wave velocity; ba-PWV, brachial–ankle pulse wave velocity; CAVI, cardio-ankle vascular index; cf-PWV, carotid–femoral pulse wave velocity; eGFR, estimated glomerular filtration rate.