ACMJ

Anatolian Current Medical Journal (ACMJ) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

EndNote Style
Index
Original Article
Evaluation of carotid intima-media thickness of female fibromyalgia patients and determination of their relationship with disease activity, severity of fibromyalgia, anxiety and depression levels
Aims: Carotid artery intima-media thickness is thought strong predictor of cardiovascular diseases. To evaluate the common carotid artery intima-media thickness (CCIMT) in female patients with fibromiyalgia (FM) and determine its relationship with disease activity, severity of fibromyalgia, anxiety and depression levels. Material and
Methods: Thirty nine patients who had fibromyalgia syndrome according to 2016 American College of Rheumatology (ACR) classification criteria and 41 healthy controls were included. Pain level and disease activities were assessed with Numerical Rating Scale (NRS) and Fibromyalgia Impact Questionnairre (FIQ) respectively. According to ACR 2016 classification criteria, Widespread Pain Index (WPI), Symptom Severity Score and Hospital Anxiety and Depression Scale (HADS) were performed. The LDL , HDL and Triglyceride levels were evaluated. Bilateral common carotid artery intima-media thicknesses (CCIMT) were performed by a blind radiologist to the groups of participants.
Results: Age, weight and height were similar between groups (p>0.05). Triglyceride level was significant higher in patients with FM (p=0.001). HDL and LDL levels were similar between groups (p=0.297, p=0.061). Bilateral CCIMT was significantly higher in patients with FM (p<0.001). Bilateral CCIMT were found positively correlated with age in FM group (r=0.390, p=0.014, r=0.404, p=0.011 respectively). There were found no correlations between bilateral CCIMT, height, weight, triglyseride level, LDL level, FIQ, NRS, WPI, Symptom Severity Score, HADS scores.
Conclusion: In FM patients, bilateral CCIMTs were found increased compared to healthy controls. No associations were found between CCIMT, LDL, triglyceride levels, disease activity and pain level, anxiety and depression level in patients with FM.


1. Chinn S, Caldwell W, Gritsenko K. Fibromyalgia pathogenesisand treatment options update. Curr Pain Headache Rep 2016;20: 25.
2. Arnold LM, Gebke KB, Choy EH. Fibromyalgia: managementstrategies for primary care providers. Int J Clin Pract 2016; 70:99-112
3. Bagis S, Tamer L, Sahin G, et al. Free radicals and antioxidantsinprimary fibromyalgia: an oxidative stress disorder?Rheumatol Int 2005; 25: 188-90.
4. Assavarittirong C, Samborski W, Grygiel-G&oacute;rniak B. OxidativeStress in Fibromyalgia: From Pathology to Treatment. OxidMed Cell Longev 2022; 2022: 1582432.
5. Altindag O, Gur A, Calgan N, Soran N, Celik H, Selek S.Paraoxonase and arylesterase activities in fibromyalgia. RedoxRep 2007; 12: 134-8.
6. Aslan M, Kosecik M, Horoz M, Selek S, Celik H, Erel O.Assessment of paraoxonase and arylesterase activities inpatientswith iron deficiency anemia. Atherosclerosis 2007;191: 397-402.
7. Gur M, Aslan M, Yildiz A, et al. Paraoxonase and arylesteraseactivities in coronary artery disease. Eur J Clin Invest 2006; 36:779-87.
8. Osorio JM, Ferreyra C, P&eacute;rez A, Moreno JM, Osuna A.Prediabetic states, subclinical atheromatosis, and oxidativestress in renal transplant patients. Transplant Proceed 2009;41: 2148-50.
9. Ari E, Kaya Y, Demir H, et al. Oxidative DNA damage correlateswith carotid artery atherosclerosis in hemodialysis patients.Hemodialysis International 2011; 15: 453-9.
10. Giske L, V&oslash;llestad NK, Mengshoel AM, Jensen J, Knardahl S,R&oslash;e C. Attenuated adrenergic responses to exercise in womenwith fibromyalgia--a controlled study. Eur J Pain 2008; 12: 351-60.
11. Martinez-Lavin M. Biology and therapy of fibromyalgia. Stress,the stress response system, and fibromyalgia. Arthritis ResTher 2007; 9: 216.
12. Lee JH, Cho KI, Kim SM, Lee HG, Kim TI. Arterial stiffnessin female patients with fibromyalgia and its relationship tochronic emotional and physical stress. Korean Circ J 2011; 41:596-602.
13. Cho KI, Lee JH, Kim SM, Lee HG, Kim TI. Assessment ofendothelial function in patients with fibromyalgia--cardiacultrasound study. Clin Rheumatol 2011; 30: 647-54.
14. Lorenz MW, von Kegler S, Steinmetz H, et al. Carotid intima-media thickening indicates a higher vascular risk across a wideage range: prospective data from the Carotid AtherosclerosisProgression Study (CAPS) Stroke 2006; 37: 87-92.
15. V&aacute;zquez-Del Mercado M, Nu&ntilde;ez-Atahualpa L, Figueroa-S&aacute;nchez M, et al. Serum levels of anticyclic citrullinatedpeptide antibodies, interleukin-6, tumor necrosis factor-&alpha;,and C-reactive protein are associated with increased carotidintima-media thickness: a cross-sectional analysis of a cohortof rheumatoid arthritis patients without cardiovascular riskfactors. Biomed Res Int 2015; 2015: 342649.
16. Burckhardt CS, Clark Sr, Bennet RM. The fibromiyalgia impactquestionnaire: development and validation. J Rheumatol 1991;18: 728-33.
17. Sarmer S, Ergin S, Yavuzer G. The validity and realibility ofthe Turkish version of the Fibromyalgia impact questionnaire.Rheumatol Int 2000; 20: 9-12.
18. Dennison BS, Leal MH. Mechanical neck pain definition.manual therapy for musculoskeletal pain syndromes E-Book:an evidence-and clinical-informed approach, 2015: 95.
19. Zigmond AS, Snaith RP. The hospital anxiety and depressionscale. Acta Psychiatr Scand 1983; 67: 361-70.
20. Aydemir O, G&uuml;venir T, K&uuml;ey L, K&uuml;lt&uuml;r S. Hastane Anksiyete veDepresyon &Ouml;l&ccedil;eği T&uuml;rk&ccedil;e Formunun Ge&ccedil;erlilik ve G&uuml;venilirlik&Ccedil;alışması [Reliability and Validity of the Turkish version ofHospital Anxiety and Depression Scale]. Turk J Psychiatry1997; 8: 280-7.
21. Stein JH, Korcarz CE, Hurst RT, et al. Use of carotidultrasound to identify subclinical vascular disease and evaluatecardiovascular disease risk: a consensus statement from theAmerican Society of Echocardiography Carotid Intima-MediaThickness Task Force endorsed by the Society for VascularMedicine. J Am Soc Echocardiography 2008; 21: 93-111.
22. B&ouml;l&uuml;k H, &Ouml;zt&uuml;rk GT, C&ouml;mert D, Ers&ouml;z M. Increased carotidintima-media thickness in female patients with fibromyalgia: apreliminary study. Turk J Rheumatol 2015; 30: 307-10.
23. Bağcıer F, Tufanoğlu FH, Kadı&ccedil;eşme &Ouml;. Is there any relationshipbetween serum endocan levels and carotid ıntima-mediathickness in patients with fibromyalgia? Turk J Osteoporos2019; 25: 49-52.
24. Walitt B, Nahin RL, Katz RS, Bergman MJ, Wolfe F.The prevalence and characteristics of fibromyalgia in the2012 National Health Interview Survey. PLoS One 2015; 10:e0138024
25. Su CH, Chen JH, Lan JL, et al. Increased risk of coronary heartdisease in patients with primary fibromyalgia and those withconcomitant comorbidity&mdash;a Taiwanese population-basedcohort study. PLoS One 2015; 10: e0137137
26. Magyar MT, Szikszai Z, Balla J, et al. Early-onset carotidatherosclerosis associated with increased intima mediathickness and elevated serum levels of inflammatory markers.Stroke 2003; 34: 58-63.
27. Luedemann J, Schminke U, Berger K, et al. Associationbetween behavior-dependent cardiovascular risk factors andasymptomatic carotid atherosclerosis in a general population.Stroke 2002; 33: 2929-35.
28. Van der Meer IM, Iglesias del Sol A, Hak AE, et al. Risk factorsfor progression of atherosclerosis measured at multiple sites inthe arterial tree: The Rotterdam Study. Stroke 2003; 34: 2374-9.
29. Lucas C, Adrai V, Chedru F, Amarenco P. Common carotid arteryintima-media thickness and brain infarction: The &lsquo;Etude du ProfilG&eacute;n&eacute;tique de l&rsquo;Infarctus C&eacute;r&eacute;bral&rsquo; (GENIC) case-control study.The GENIC Investigators. Circulation 2000; 102: 313-8.
30. Lorenz MW, Markus S, Bots ML, et al. A systematic review andmeta-analysis: prediction of clinical cardiovascular events withcarotid intima-media thickness. Circulation 2007; 115: 459-67.
31. Tseng CH, Chen JH, Wang YC, Lin MC, Kao CH. Increasedrisk of stroke in patients with fibromyalgia: a population-basedcohort study. Medicine (Baltimore) 2016; 95: e2860.
32. G&uuml;neş Tatar İ, Ergun O, &Ccedil;eltik&ccedil;i P, et al. Evaluation ofsubclinical atherosclerosis in migraine patients by ultrasoundradiofrequency data technology: preliminary results. Agri2016; 28: 121-6.
33. Del Brutto OH, Mera RM, Zambrano M, Simon LV, MatchaGV, Castillo PR. Sleep quality correlates with the carotidintima-media thickness in stroke-free community-dwellingadults living in rural Ecuador. The Atahualpa Project. SleepMed 2019; 55: 22-5.
Volume 5, Issue 1, 2023
Page : 47-52
_Footer