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Aims: Carotid intima media thickness (CIMT) predicts cardiovascular (CVD) events, but the predictive value of CIMT change is debated. We assessed the relation between CIMT change and events in individuals at high cardiovascular risk.
Methods and results: From 31 cohorts with two CIMT scans (total n = 89070) on average 3.6 years apart and clinical follow-up, subcohorts were drawn: (A) individuals with at least 3 cardiovascular risk factors without previous CVD events, (B) individuals with carotid plaques without previous CVD events, and (C) individuals with previous CVD events. Cox regression models were fit to estimate the hazard ratio (HR) of the combined endpoint (myocardial infarction, stroke or vascular death) per standard deviation (SD) of CIMT change, adjusted for CVD risk factors. These HRs were pooled across studies.
In groups A, B and C we observed 3483, 2845 and 1165 endpoint events, respectively. Average common CIMT was 0.79mm (SD 0.16mm), and annual common CIMT change was 0.01mm (SD 0.07mm), both in group A. The pooled HR per SD of annual common CIMT change (0.02 to 0.43mm) was 0.99 (95% confidence interval: 0.95–1.02) in group A, 0.98 (0.93–1.04) in group B, and 0.95 (0.89–1.04) in group C. The HR per SD of common CIMT (average of the first and the second CIMT scan, 0.09 to 0.75mm) was 1.15 (1.07–1.23) in group A, 1.13 (1.05–1.22) in group B, and 1.12 (1.05–1.20) in group C.
Conclusions: We confirm that common CIMT is associated with future CVD events in individuals at high risk. CIMT change does not relate to future event risk in high-risk individuals.
The vector U bosons, or so-called “dark photons,” are one of the possible candidates for the dark matter mediators. They are supposed to interact with the standard matter via a “vector portal” due to the Uð1Þ − Uð1Þ0 symmetry group mixing which might make them visible in particle and heavy-ion experiments. While there is no confirmed observation of dark photons, the detailed analysis of different experimental data allows to estimate the upper limit for the kinetic mixing parameter ϵ2 depending on the mass MU of U bosons which is also unknown. In this study we present theoretical constraints on the upper limit of ϵ2ðMUÞ in the mass range MU ≤ 0.6 GeV from the comparison of the calculated dilepton spectra with the experimental data from the HADES collaboration at SIS18 energies where the dark photons are not observed. Our analysis is based on the microscopic Parton-Hadron-String Dynamics (PHSD) transport
approach which reproduces well the measured dilepton spectra in p þ p, p þ A and A þ A collisions. Additionally to the different dilepton channels originating from interactions and decays of ordinary matter particles (mesons and baryons), we incorporate the decay of hypothetical U bosons to dileptons, U → eþe−, where the U bosons themselves are produced by the Dalitz decay of pions π0 → γU, η mesons η → γU and Delta resonances Δ → NU. Our analysis can help to estimate the requested accuracy for future experimental searches of “light” dark photons by dilepton experiments.
Lattice strains of appropriate symmetry have served as an excellent tool to explore the interaction of superconductivity in the iron-based superconductors with nematic and stripe spin-density wave (SSDW) order, which are both closely tied to an orthorhombic distortion. In this work, we contribute to a broader understanding of the coupling of strain to superconductivity and competing normal-state orders by studying CaKFe4As4 under large, in-plane strains of B1g and B2g symmetry. In contrast to the majority of iron-based superconductors, pure CaKFe4As4 exhibits superconductivity with relatively high transition temperature of Tc∼35 K in proximity of a non-collinear, tetragonal, hedgehog spin-vortex crystal (SVC) order. Through experiments, we demonstrate an anisotropic in-plane strain response of Tc, which is reminiscent of the behavior of other pnictides with nematicity. However, our calculations suggest that in CaKFe4As4, this anisotropic response correlates with the one of the SVC fluctuations, highlighting the close interrelation of magnetism and high-Tc superconductivity. By suggesting moderate B2g strains as an effective parameter to change the stability of SVC and SSDW, we outline a pathway to a unified phase diagram of iron-based superconductivity.