Document Detail


Association between hypertension and coronary artery disease as assessed by coronary computed tomography.
MedLine Citation:
PMID:  21366851     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Multidetector row computed tomography (MDCT) enables the accurate noninvasive assessment of coronary artery stenosis and plaque imaging. The characteristics of patients who have coronary artery disease (CAD) as assessed by MDCT coronary computed tomography (CT) are not well known. Participants consisted of 513 consecutive patients with suspected CAD who underwent coronary CT. The authors quantified patient characteristics, including the prevalence of hypertension (HTN), hyperlipidemia and diabetes mellitus (DM), visceral fat area (VFA) and subcutaneous fat area using CT, and plasma levels of metabolic factors, including adiponectin and leptin. Although plasma levels of adiponectin in men and leptin in women were significantly associated with chronic kidney disease, there were no differences in these levels between patients with and without CAD. HTN was most significantly associated with the presence of CAD by multivariate logistic regression analysis (men, P=.002; women, P=.048). Finally, the percentage of CAD significantly increased as systolic blood pressure increased (trend, P=.0002) in men but not women. In conclusion, hypertension was significantly associated with CAD as assessed by coronary CT.
Authors:
Ryoko Mitsutake; Shin-ichiro Miura; Yuhei Shiga; Yoshinari Uehara; Keijiro Saku
Publication Detail:
Type:  Journal Article     Date:  2011-01-03
Journal Detail:
Title:  Journal of clinical hypertension (Greenwich, Conn.)     Volume:  13     ISSN:  1751-7176     ISO Abbreviation:  J Clin Hypertens (Greenwich)     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-03     Completed Date:  2011-06-24     Revised Date:  2012-02-15    
Medline Journal Info:
Nlm Unique ID:  100888554     Medline TA:  J Clin Hypertens (Greenwich)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  198-204     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley Periodicals, Inc.
Affiliation:
Department of Cardiology, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adiponectin / blood
Aged
Body Mass Index
Coronary Artery Disease / diagnosis*,  epidemiology,  pathology
Cross-Sectional Studies
Female
Health Status Indicators
Humans
Hypertension / blood,  diagnosis*,  pathology
Japan / epidemiology
Leptin / blood
Logistic Models
Male
Middle Aged
Prevalence
Risk Assessment
Risk Factors
Systole
Tomography, X-Ray Computed / instrumentation*
Chemical
Reg. No./Substance:
0/Adiponectin; 0/Leptin
Comments/Corrections
Comment In:
J Clin Hypertens (Greenwich). 2012 Jan;14(1):67   [PMID:  22235826 ]

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