Prevention & lipidsCross-sectional study

Association between cardiovascular risk profile and impaired microvascular function in a Swedish middle-aged cohort (the SCAPIS study)

Eur J Prev CardiolPublished

  • Cross-sectional study
  • population-based
  • observational

Authors' conclusion

In a population without CVD or diabetes mellitus, impaired microvascular function is associated with cardiovascular risk profiles such as higher SCORE2 risk and CACS.

Study context

Population
Swedish adults aged 50–65 years in the SCAPIS cohort, without cardiovascular disease (CVD) or diabetes mellitus
Participants
3,809 adults
Exposure
Lowest vs highest quartile of microvascular function
Outcome
Association of microvascular function (forearm skin peak blood oxygen saturation, OxyP) with CV risk (SCORE2) and subclinical atherosclerotic burden (CACS, carotid plaques)

Main finding

As reported in the abstract

SCORE2 (10-year risk of fatal and non-fatal CVD events)
Q1 vs Q4Odds ratio (95% CI)
SCORE2 > 10%; adjusted for BMI and high-sensitivity C-reactive protein
4.96(2.76–8.93)
mean SCORE2
relative risk increase 53%

Observational data: associations, not effects.

Further findings

OxyP by subclinical atherosclerotic burden

OxyP by subclinical atherosclerotic burden — OxyP lower with CACS > 0 and with both carotid plaques and CACS > 0 vs no subclinical atherosclerotic burden
P < 0.01

Original publication

Association between cardiovascular risk profile and impaired microvascular function in a Swedish middle-aged cohort (the SCAPIS study). Eur J Prev Cardiol. Published 9 February 2024. doi:10.1093/eurjpc/zwae052

Summarised from the published abstract; every number is checked against it