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Severe periodontitis is associated with diastolic blood pressure elevation in individuals with heterozygous familial hypercholesterolemia: a pilot study.
MedLine Citation:
PMID:  21054230     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: This pilot study evaluates the association of severe periodontitis with pulse wave velocity (PWV), carotid artery intima-medial thickness (IMT), and clinical, metabolic, and atherogenic inflammatory markers in 79 subjects with heterozygous familial hypercholesterolemia (hFH). All subjects were free of previous vascular disease manifestations. Methods: The body mass index (in kilograms per square meter), plasma lipids, glucose, C-reactive protein, and white blood cell counts were evaluated. After full-mouth periodontal examinations, patients were categorized into the severe periodontitis group (SPG) or non-severe periodontitis group (NSPG). Results: The SPG showed significantly higher values of cholesterol-year scores, triglycerides, glucose, PWV, IMT, and diastolic blood pressure (DBP) (P ≤0.05) than the NSPG. After adjustment for traditional risk factors for atherosclerosis, only the association between severe periodontitis and DBP (odds ratio: 3.1; 95% CI: 1.1 to 8.5; P = 0.03) was confirmed. Conclusion: In individuals with hFH, severe periodontitis was associated with a higher DBP, which suggests that severe periodontitis, itself, may contribute to the increased cardiovascular risk profile in this population.
Authors:
Carolina L Z Vieira; Patricia R Cury; Marcio H Miname; Lilton R Martinez; Luiz A Bortolotto; Isabela B Giuliano; Raul D Santos; Bruno Caramelli
Publication Detail:
Type:  Journal Article     Date:  2010-11-08
Journal Detail:
Title:  Journal of periodontology     Volume:  82     ISSN:  1943-3670     ISO Abbreviation:  J. Periodontol.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-04-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8000345     Medline TA:  J Periodontol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  683-8     Citation Subset:  D; IM    
Affiliation:
Heart Institute, Medical School, University of São Paulo, São Paulo, SP, Brazil.
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