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1.
J Vis ; 23(1): 15, 2023 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-36689217

RESUMEN

In this paper, we examine the dynamics of contrast-comparison and contrast-normalization processes. Observers adapted (for 1 second) to a grid of Gabor patches at one contrast; then a test pattern (which varied in duration from 12 ms to 3012 ms) was shown; and then the adapt pattern was shown again (1 second). All the Gabor patches in all the adapt patterns had 50% contrast. The test pattern was the same as the adapt pattern except that the Gabor patches in the test pattern had two different contrasts; the test contrasts varied from row to row (horizontal test pattern) or column to column (vertical test pattern). The task was to identify the orientation of the contrast variation in the test pattern (in other words, the observer performed a second-order orientation identification task). The two contrasts in each test pattern were varied while keeping the difference between the two contrasts constant. We have previously found that the observer's performance is poor for test patterns containing contrasts both above and below the adapt patterns' contrast (what we have called the "straddle effect") when the test duration is approximately 100 ms. Here, we find the straddle effect persists at all test durations we used. Other features of the results varied dramatically with test duration. We find that a simple model containing contrast-comparison and contrast-normalization processes provides a good explanation for the psychophysical results. The results provide some insight into the dynamics of these processes.


Asunto(s)
Adaptación Fisiológica , Sensibilidad de Contraste , Humanos , Reconocimiento Visual de Modelos
2.
Res Q Exerc Sport ; 94(3): 802-811, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-35503971

RESUMEN

Purpose: This study examined the extent to which irrational performance beliefs and intolerance of uncertainty co-occur in relation to mental well-being among a sample of athletes and coaches (N = 94, M age = 31.99, SD = 12.81) upon their return to sport following COVID-19 disruptions. Methods and Results: Despite the parity in views, independent samples t-test results identified three significant differences in the tested variables between athletes and coaches, which suggested that athletes are more likely to entertain depreciative thoughts about performances and react more aversively to uncertainty, whereas coaches reported a better mental well-being state. Pearson correlation coefficient analysis confirmed a significant positive relationship between composite irrational performance beliefs and intolerance of uncertainty scores, with both these variables being inversely related to mental well-being. Results from a simple atemporal mediation analysis using the PROCESS macro verified that intolerance of uncertainty fully mediated the adverse effect irrational beliefs exert on mental well-being. Conclusion: Sports psychology practitioners within the framework of REBT are advised to explore their orientation of modifying irrational beliefs aligned to clients' perceptions and tolerance of uncertainty in sport through the inclusion of IU-specific awareness and behavioral experiments.


Asunto(s)
COVID-19 , Deportes , Humanos , Adulto , Incertidumbre , Pandemias , Deportes/psicología , Atletas/psicología
3.
J Vis ; 18(5): 15, 2018 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-29904790

RESUMEN

Previous work on the straddle effect in contrast perception (Foley, 2011; Graham & Wolfson, 2007; Wolfson & Graham, 2007, 2009) has used visual patterns and observer tasks of the type known as spatially second-order. After adaptation of about 1 s to a grid of Gabor patches all at one contrast, a second-order test pattern composed of two different test contrasts can be easy or difficult to perceive correctly. When the two test contrasts are both a bit less (or both a bit greater) than the adapt contrast, observers perform very well. However, when the two test contrasts straddle the adapt contrast (i.e., one of the test contrasts is greater than the adapt contrast and the other is less), performance drops dramatically. To explain this drop in performance-the straddle effect-we have suggested a contrast-comparison process. We began to wonder: Are second-order patterns necessary for the straddle effect? Here we show that the answer is "no". We demonstrate the straddle effect using spatially first-order visual patterns and several different observer tasks. We also see the effect of contrast normalization using first-order visual patterns here, analogous to our prior findings with second-order visual patterns. We did find one difference between first- and second-order tasks: Performance in the first-order tasks was slightly lower. This slightly lower performance may be due to slightly greater memory load. For many visual scenes, the important quantity in human contrast processing may not be monotonic with physical contrast but may be something more like the unsigned difference between current contrast and recent average contrast.


Asunto(s)
Sensibilidad de Contraste/fisiología , Reconocimiento Visual de Modelos/fisiología , Percepción Espacial/fisiología , Adaptación Fisiológica , Humanos , Umbral Sensorial
4.
J Vis ; 9(4): 30.1-23, 2009 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-19757939

RESUMEN

We present psychophysical results demonstrating the interaction of two contrast adaptation processes in human vision: (1) A contrast-gain-control process of the normalization type and (2) a recently-discovered shifting, rectifying contrast-comparison process. Observers adapted (for 1 s) to a grid of Gabor patches at one contrast, then a brief (94 ms) test pattern was shown, and then the adapt pattern was shown again (1 s). The test pattern was the same as the adapt pattern except that the Gabor patches had two different contrasts arranged to create vertical or horizontal contrast-defined stripes. Observers identified the orientation of the test pattern's stripes. Performance is a complicated ("butterfly shaped") function of the average test contrast, centered at the adapt contrast. This shape is a consequence of the interaction of the two contrast adaptation processes. At the ends of the function are "Weber zones" in which the contrast-gain-control process dominates, and at the center of the function is a "Buffy zone" in which the recently-discovered contrast-comparison process dominates.


Asunto(s)
Adaptación Fisiológica/fisiología , Sensibilidad de Contraste/fisiología , Umbral Sensorial/fisiología , Percepción Visual/fisiología , Humanos , Modelos Neurológicos , Estimulación Luminosa/métodos , Psicofísica
5.
J Vis ; 7(8): 12, 2007 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-17685819

RESUMEN

We have found an unusual kind of contrast adaptation in human pattern vision that seems fundamentally different from previously reported effects. As the observer adapts to different levels of contrast, the visibility of some contrast-defined (second-order) patterns dramatically increases and that of others dramatically decreases. Oddly, visibility is poor for patterns containing contrasts both above and below the recent average contrast. To explain these effects, we hypothesize a new kind of process acting in concert with a known contrast-gain control of the normalization type. The new process compares current contrast to an adaptable comparison level; this level reflects the recent average contrast. Such a process existing at an early stage of visual processing is likely to have widespread effects at higher stages.


Asunto(s)
Adaptación Psicológica/fisiología , Sensibilidad de Contraste/fisiología , Reconocimiento Visual de Modelos/fisiología , Adulto , Humanos , Modelos Psicológicos , Percepción Visual/fisiología
6.
J Vis ; 6(10): 1026-46, 2006 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-17132075

RESUMEN

Here we examine results from 44 years of probed-sinewave experiments investigating the dynamics of light adaptation. We also briefly examine four models that have been tested against the results. In these experiments, detection threshold is measured for a test stimulus superimposed at various times (phases) on a sinusoidally flickering homogeneous background. The results can be plotted as probe-threshold versus phase curves. Overall, the curves from different laboratories are remarkably similar given the substantial differences in experimental parameters. However, at medium frequencies of background flicker, there are some differences between the majority of the studies and a minority of two. An examination of the full set of results suggests that the differences are not as significant as they first appear and that the experimental condition leading to the differences is the use of long wavelength light in the two minority studies. Of the four models that have been tested, two fail to predict important features of the results, another is critically dependent on a mechanism unlikely to exist in the appropriate physiology, and the last seems quite promising.


Asunto(s)
Adaptación Ocular , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Modelos Biológicos , Psicología/historia , Psicofísica , Umbral Sensorial
7.
J Vis ; 6(5): 580-93, 2006 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-16881790

RESUMEN

The multifocal visual evoked potential (mfVEP) is largely generated in V1. To relate the electrical activity recorded from humans to recordings from single cells in nonhuman primate (V1) cortex, contrast-response functions for the human mfVEP were compared to predictions from a model of V1 activity (D. J. Heeger, A. C. Huk, W. S. Geisler, & D. G. Albrecht, 2000) based upon single-cell recordings from monkey V1 (e.g., D. G. Albrecht, 1995; D. G. Albrecht, W. S. Geisler, R. A. Frazor, & A. M. Crane, 2002; D. G. Albrecht & D. B. Hamilton, 1982; W. S. Geisler & D. G. Albrecht, 1997). A second purpose was to fully articulate the assumptions of this model to better understand the implications of this comparison. Finally, as the third purpose, one of these assumptions was tested. Monocular mfVEPs were obtained from normal subjects with a contrast-reversing dartboard pattern. The display contained 16 sectors each with a checkerboard. Both the sectors and the checks were scaled approximately for cortical magnification. In Experiment 1, there were 64 checks per sector. The contrast-response functions were fitted well up to 40% contrast by the theoretical population curve for V1 neurons; there was a systematic deviation for higher contrasts. The model, as articulated here, predicts that the contrast-response function should be the same and independent of the size of the elements in the display. Varying the size of the elements by varying the viewing distance in Experiment 2 produced similar results to those in Experiment 1. In Experiment 3, the viewing distance and sector size were held constant, but the size of the elements (and therefore the number of checks per sector) was varied. Changing check size by a factor of 16 had relatively little effect on the contrast-response function. In general, the mfVEP results were consistent with the model based upon the V1 neuron population. However, two aspects of the results require further exploration. First, there was a systematic deviation from the model's contrast-response function for higher contrasts. This deviation suggests that one or more of the model's assumptions may be violated. Second, the latency of the mfVEP changed far less than expected based upon single-cell data.


Asunto(s)
Sensibilidad de Contraste/fisiología , Potenciales Evocados Visuales , Modelos Neurológicos , Corteza Visual/fisiología , Adulto , Animales , Humanos , Neuronas/fisiología , Estimulación Luminosa/métodos , Primates , Corteza Visual/citología
8.
Spat Vis ; 18(2): 209-26, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-15856937

RESUMEN

In his long years of studying visual perception, Jacob Beck made many contributions. This article is a short review of one line of his research--that we shared in--and then a presentation of some results from on-going research down the same line. In the 1980s Beck and his colleagues introduced a new kind of visual stimulus: element-arrangement texture patterns. A series of studies with these patterns has shown that a model containing spatial-frequency and orientation-selective channels can explain many aspects of texture perception as long as two kinds of nonlinear processes are also included; the published studies are briefly summarized. The new results come from multiple objective tasks requiring the observer to make simple discriminations between second-order element-arrangement textures. Results with the objective tasks replicate previously published results using subjective ratings, and the use of the objective tasks allows us to explore several more fine-grained questions about complex (second-order) channels and normalization.


Asunto(s)
Sensibilidad de Contraste , Percepción de Forma , Discriminación en Psicología , Humanos , Modelos Psicológicos , Dinámicas no Lineales
9.
Vision Res ; 44(27): 3145-75, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15482802

RESUMEN

Is there opponency between orientation-selective processes in pattern perception, analogous to opponency between color mechanisms? Here we concentrate on possible opponency in second-order channels. We compare several possible second-order structures: SIGN-opponent-only channels in which there is no opponency between orientations (also called complex channels or filter-rectify-filter mechanisms); three structures we group under the name ORIENTATION-opponent; and finally BOTH-opponent channels which combine features of both SIGN-opponent-only and ORIENTATION-opponent channels but lead to predictions that are distinct from either of theirs. We measured observers' ability to segregate textures composed of checkerboard and striped arrangements of vertical and horizontal Gabor grating patches. The observers' performance was compared to model predictions from the alternative opponent structures. The experimental results are consistent with SIGN-opponent-only channels. The results rule out the ORIENTATION-opponent and BOTH-opponent structures. Further, when the models were expanded to include a contrast gain-control (inhibition among channels in a normalization network) the SIGN-opponent-only model was also able to explain a contrast-dependent effect we found, thus providing another piece of evidence that such normalization is an important process in human texture perception.


Asunto(s)
Modelos Psicológicos , Orientación/fisiología , Reconocimiento Visual de Modelos/fisiología , Adulto , Sensibilidad de Contraste/fisiología , Discriminación en Psicología , Humanos , Estimulación Luminosa/métodos , Psicometría , Psicofísica , Umbral Sensorial
10.
J Opt Soc Am A Opt Image Sci Vis ; 18(9): 2273-81, 2001 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-11551062

RESUMEN

Complex (second-order) channels have been useful in explaining many of the phenomena of perceived texture segregation. These channels contain two stages of linear filtering with an intermediate pointwise nonlinearity. One unanswered question about these hypothetical channels is that of the relationship between the preferred orientations of the two stages of filtering. Is a particular orientation at the second stage equally likely to occur with all orientations at the first stage, or is there a bias in the "mapping" between the two stages' preferred orientations? In this study we consider two possible mappings: that where the orientations at the two stages are identical (called "consistent" here) and that where the orientations at the two stages are perpendicular ("inconsistent"). We explore these mappings using a texture-segregation task with textures composed of arrangements of grating-patch elements. The results imply that, to explain perceived texture segregation, complex channels with a consistent orientation mapping must be either somewhat more prevalent or more effective than those with an inconsistent mapping.


Asunto(s)
Sensibilidad de Contraste/fisiología , Humanos , Modelos Lineales , Dinámicas no Lineales , Estimulación Luminosa/métodos , Campos Visuales
12.
Vision Res ; 41(9): 1119-31, 2001 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11292502

RESUMEN

Using the probed-sinewave paradigm, we explore the differences between increment and decrement probes across a range of frequencies (approx. 1-19 Hz). In this paradigm, detection threshold is measured for a small test probe presented on a large sinusoidally flickering background (at eight different phases). Probe thresholds are very similar for increment and decrement probes, but there is a very small (and systematic) difference: increment thresholds are usually slightly higher relative to decrement thresholds during the part of the cycle when the background's intensity is increasing. Although Wilson's (1997, Vis. Neuro., 14, 403-423) model substantially underestimates the size of this difference, it predicts some phase dependency. However, the existence of On- and Off-pathways in Wilson's model is not important for these predictions. A recent model by Snippe, Poot, and van Hateren (2000, Vis. Neuro., 17, 449-462) may be able to predict this result by using explicit contrast-gain control rather than separate On- and Off-pathways. Auxiliary experiments measuring the perceived polarity of the probe provide a further argument suggesting that separate On- and Off-pathways are not useful in explaining increment and decrement probe thresholds.


Asunto(s)
Adaptación Ocular/fisiología , Detección de Señal Psicológica/fisiología , Vías Visuales/fisiología , Fusión de Flicker/fisiología , Humanos , Percepción Visual/fisiología
13.
Vis Neurosci ; 18(6): 1003-10, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-12020074

RESUMEN

In the probed-sinewave paradigm-used to study the dynamics of light adaptation-a small probe of light is superimposed on a sinusoidally flickering background. Detection threshold for the probe is measured at various times with respect to the flickering background. Here we present such stimuli using three methods: monoptic (the probe and the flickering background are presented to the same eye), dichoptic (the probe is presented to one eye and the flickering background is presented to the other eye), and binocular (the probe and the flickering background are both presented to both eyes). The results suggest that the processing associated with detecting the probe is primarily in the retina (or any place with monocular input). However, the results also suggest a slight amount of processing in the cortex (or any place with binocular input), particularly at the higher frequency of flickering background used here (9.4 Hz vs. 1.2 Hz). A simple schematic model with three ocular-dominance channels is consistent with the results.


Asunto(s)
Adaptación Ocular/fisiología , Retina/fisiología , Predominio Ocular/fisiología , Humanos , Visión Monocular/fisiología , Corteza Visual/fisiología , Percepción Visual/fisiología
15.
Psychol Addict Behav ; 14(3): 295-8, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-10998955

RESUMEN

False consensus, or the tendency to overestimate the extent to which others share one's own attitudes and behaviors, was investigated in a study of 348 university students classified as non-drug users, cannabis-only users, or amphetamine + cannabis users. Participants estimated the prevalence of cannabis and amphetamine use among students. Cannabis and amphetamine users made significantly higher estimates of cannabis use among students than did nonusers, whereas amphetamine users gave significantly higher estimates of amphetamine use than nonusers and cannabis-only users. Correlations between estimates of use among friends and other students were significantly positive for both drugs. The results suggest that students are motivated to overestimate the commonality of their own position on drug use and that their estimates may also be influenced by selective exposure.


Asunto(s)
Anfetamina , Abuso de Marihuana/epidemiología , Motivación , Disposición en Psicología , Estudiantes/psicología , Trastornos Relacionados con Sustancias/epidemiología , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Abuso de Marihuana/psicología , Persona de Mediana Edad , Grupo Paritario , Medio Social , Estudiantes/estadística & datos numéricos , Trastornos Relacionados con Sustancias/psicología
16.
Vision Res ; 40(17): 2277-89, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10927115

RESUMEN

In the probed-sinewave paradigm, threshold for detecting a probe is measured at various phases with respect to a sinusoidally-flickering background. Here we vary the duration of the flickering background before (and after) the test probe is presented. The adaptation is rapid; after approximately 10-30 ms of the flickering background, probe threshold is the same as that on a continually-flickering background. It is interesting that this result holds at both low (1. 2 Hz) and middle (9.4 Hz) frequencies because at middle frequencies (but not at low) there is a dc-shift, i.e. probe threshold is elevated at all phases relative to that on a steady background (of the same mean luminance). We compare our results to predictions from Wilson's model [Wilson (1997), Visual Neuroscience, 14, 403-423; Hood & Graham (1998), Visual Neuroscience, 15, 957-967] of light adaptation. The model predicts the rapid adaptation, and the dc-shift, but not the detailed shape of the probe-threshold-versus-phase curve at middle frequencies.


Asunto(s)
Adaptación Ocular/fisiología , Sensibilidad de Contraste/fisiología , Cómputos Matemáticos , Fusión de Flicker , Humanos
17.
Atherosclerosis ; 148(1): 159-69, 2000 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10580182

RESUMEN

In the Type 1 diabetes population, coronary heart disease (CHD) and lower-extremity arterial disease (LEAD) are the two common macrovascular complications leading to early mortality and morbidity. However, it is not clear if these two complications share the same risk factors. The Pittsburgh Epidemiology of Diabetes Complications (EDC) Study prospectively examined and compared the risk factors for LEAD and CHD (including CHD morbidity and mortality). EDC subjects (332 men and 325 women), all diagnosed at Children's Hospital of Pittsburgh between 1950 and 1980, were first examined at baseline (1986-1988), and then biennially, for diabetes complications and their risk factors. Data used in the current analysis were from the first 6 years of follow-up, 98% provided at least some follow-up data for these analyses. CHD was defined as the presence of angina (diagnosed by the EDC examining physician) or a history of confirmed myocardial infarction or CHD death. An ankle-to-arm ratio of less than 0.9 at rest was considered to be evidence of LEAD. Among 635 subjects without CHD at baseline, 57 developed CHD (1.69/100 person-years), and among 579 without LEAD at baseline, 70 developed LEAD (2.31/100 person-years). CHD incidence rate was slightly higher in males, while LEAD incidence rate was slightly higher in females. Compared to non-incident cases, subjects who developed either complication were older, had a longer diabetes duration, higher LDL and total cholesterol, and were more likely to be hypertensive. In multivariate analyses, hypertension, low HDL cholesterol level, high white cell count, depression, and nephropathy were the independent risk factors for CHD (including morbidity and mortality). For LEAD, higher HbA1 level, higher LDL cholesterol level and smoking were the important contributing factors. In conclusion, the risk factor patterns differ between the two vascular complications. Glycemic control does not predict CHD overall but does predict LEAD, while hypertension and inflammatory markers are more closely related to CHD than to LEAD.


Asunto(s)
Enfermedad Coronaria/etiología , Diabetes Mellitus Tipo 1/complicaciones , Angiopatías Diabéticas/etiología , Pierna/irrigación sanguínea , Enfermedades Vasculares/etiología , Arterias , Enfermedad Coronaria/epidemiología , Enfermedad Coronaria/mortalidad , Angiopatías Diabéticas/epidemiología , Femenino , Predicción , Hemoglobina Glucada/análisis , Humanos , Hiperglucemia/complicaciones , Hipertensión/complicaciones , Incidencia , Masculino , Persona de Mediana Edad , Morbilidad , Estudios Prospectivos , Factores de Riesgo , Enfermedades Vasculares/epidemiología
18.
Vision Res ; 39(5): 933-45, 1999 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10341946

RESUMEN

Long range interactions between texture elements (short, oriented line segments) were examined. Specifically, we studied the influence of a background array of texture elements on the detectability of a target element (separated from the background by an intermediate textured region) using textures like those of Caputo (Vis. Res. 1996, 36, 2815-2826). We found that, in general, when the background elements were oriented orthogonally to the target element, detection of the target element was better than when the background elements had the same orientation as the target element. We discuss these interactions in terms of inhibitory and excitatory connections between orientation and spatial frequency selective linear filters (e.g. filters which mimic V1 simple cells) which would respond to the individual texture elements.


Asunto(s)
Reconocimiento Visual de Modelos/fisiología , Enmascaramiento Perceptual/fisiología , Conducta de Elección , Discriminación en Psicología/fisiología , Percepción de Distancia/fisiología , Humanos , Orientación/fisiología
19.
N Engl J Med ; 340(1): 14-22, 1999 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-9878640

RESUMEN

BACKGROUND: The combined thickness of the intima and media of the carotid artery is associated with the prevalence of cardiovascular disease. We studied the associations between the thickness of the carotid-artery intima and media and the incidence of new myocardial infarction or stroke in persons without clinical cardiovascular disease. METHODS: Noninvasive measurements of the intima and media of the common and internal carotid artery were made with high-resolution ultrasonography in 5858 subjects 65 years of age or older. Cardiovascular events (new myocardial infarction or stroke) served as outcome variables in subjects without clinical cardiovascular disease (4476 subjects) over a median follow-up period of 6.2 years. RESULTS: The incidence of cardiovascular events correlated with measurements of carotid-artery intima-media thickness. The relative risk of myocardial infarction or stroke increased with intima-media thickness (P<0.001). The relative risk of myocardial infarction or stroke (adjusted for age and sex) for the quintile with the highest thickness as compared with the lowest quintile was 3.87 (95 percent confidence interval, 2.72 to 5.51). The association between cardiovascular events and intima-media thickness remained significant after adjustment for traditional risk factors, showing increasing risks for each quintile of combined intima-media thickness, from the second quintile (relative risk, 1.54; 95 percent confidence interval, 1.04 to 2.28), to the third (relative risk, 1.84; 95 percent confidence interval, 1.26 to 2.67), fourth (relative risk, 2.01; 95 percent confidence interval, 1.38 to 2.91), and fifth (relative risk, 3.15; 95 percent confidence interval, 2.19 to 4.52). The results of separate analyses of myocardial infarction and stroke paralleled those for the combined end point. CONCLUSIONS: Increases in the thickness of the intima and media of the carotid artery, as measured noninvasively by ultrasonography, are directly associated with an increased risk of myocardial infarction and stroke in older adults without a history of cardiovascular disease.


Asunto(s)
Arterias Carótidas/patología , Trastornos Cerebrovasculares/patología , Infarto del Miocardio/patología , Túnica Íntima/patología , Túnica Media/patología , Anciano , Arterias Carótidas/diagnóstico por imagen , Trastornos Cerebrovasculares/epidemiología , Trastornos Cerebrovasculares/etiología , Supervivencia sin Enfermedad , Femenino , Humanos , Incidencia , Masculino , Infarto del Miocardio/epidemiología , Infarto del Miocardio/etiología , Modelos de Riesgos Proporcionales , Estudios Prospectivos , Factores de Riesgo , Túnica Íntima/diagnóstico por imagen , Túnica Media/diagnóstico por imagen , Ultrasonografía
20.
Stroke ; 29(11): 2371-6, 1998 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9804651

RESUMEN

BACKGROUND AND PURPOSE: We sought in this study to relate carotid ultrasound findings in asymptomatic older adults to the 5-year risk of various cerebrovascular outcomes used in the Asymptomatic Carotid Atherosclerosis Study (ACAS). METHODS: The Cardiovascular Health Study (CHS) is a longitudinal study of people 65 years and older. Analyses of internal carotid artery stenosis defined by multiple different cutoffs of peak systolic velocity, rather than one particular cutoff, were performed in the 5441 participants who underwent carotid ultrasound and lacked a history of transient ischemic attack or stroke. The 5-year risks of 7 cerebrovascular disease outcomes used in ACAS were estimated for each cutoff. RESULTS: Associations with the 5-year risk of outcomes were substantially elevated only at cutoffs with high peak systolic velocities. In this population, the number of people with such high velocities was small. For example, with a cutoff of approximately 2.5 m/s, suggesting a stenosis of >70%, the 5-year risk of an ipsilateral fatal or nonfatal stroke was 5%, and only 0.5% of the group had velocities at least this high. CONCLUSIONS: In a group of older adults likely to participate in a screening program, as evidenced by willingness to participate in CHS, high peak systolic velocities consistent with high-grade carotid stenosis were uncommon and risk of subsequent cerebrovascular disease outcomes was relatively low. These findings do not suggest that similar populations of older adults would benefit from a program using ultrasound to screen for asymptomatic carotid stenosis.


Asunto(s)
Estenosis Carotídea/diagnóstico por imagen , Estenosis Carotídea/mortalidad , Trastornos Cerebrovasculares/mortalidad , Anciano , Velocidad del Flujo Sanguíneo , Arteria Carótida Interna , Estudios de Cohortes , Femenino , Humanos , Masculino , Prevalencia , Factores de Riesgo , Sístole , Ultrasonografía Doppler
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