Document Detail


The relationship between coronary artery calcification score, plasma osteoprotegerin level and arterial stiffness in asymptomatic type 2 DM.
MedLine Citation:
PMID:  19787288     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Because T2DM increases the risk of coronary atherosclerosis and CAD and new noninvasive techniques to assess CVD risk have gained considerable popularity, it is important to know how these tools relate to each other. The aim of this study was to evaluate the relationship between the extent of coronary artery calcification measured by MDCT, plasma OPG levels, baPWV and the established cardiovascular risk factors in Korean patients with T2DM. From November 2006 to December 2007, 110 asymptomatic Korean patients with T2DM without prior evidence of CAD were assessed (mean age 57.2 years). CAC imaging was performed using a 40-slice MDCT. Serum OPG levels were measured by an enzyme-linked immunosorbent assay (Oscotec, Korea) from the serum samples of each subject. We measured the baPWV as an index of arterial stiffness. In addition, we measured fasting glucose, HbA(1)C, hsCRP and lipid profiles. A total of 74 patients (67.3%) had minimal or insignificant CAC (<10). The CACS, OPG and baPWV showed significant positive correlations with each other. The CACS was significantly associated with the baPWV, smoking and use of a statin. The baPWV was significantly associated with age, duration of DM, total cholesterol and CACS by multiple linear regression models of the dependent variables of CACS or baPWV. CAC and baPWV were significant predictors of each other (r = 0.359, P = 0.014 and r = 0.361, P = 0.004). The results of this study showed that CAC, baPWV and serum OPG levels were significantly correlated with each other in asymptomatic Korean patients with T2DM. Furthermore, our results suggest that arterial stiffness, as determined by baPWV, may predict the extent of coronary calcification by MDCT.
Authors:
Chan-Hee Jung; Won-Young Lee; Se-Yeon Kim; Jung-Hwa Jung; Eun-Jung Rhee; Cheol-Young Park; Ji-Oh Mok; Ki-Won Oh; Chul-Hee Kim; Sung-Woo Park; Sun-Woo Kim
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Publication Detail:
Type:  Journal Article     Date:  2009-09-29
Journal Detail:
Title:  Acta diabetologica     Volume:  47 Suppl 1     ISSN:  1432-5233     ISO Abbreviation:  Acta Diabetol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-17     Completed Date:  2011-04-15     Revised Date:  2012-12-26    
Medline Journal Info:
Nlm Unique ID:  9200299     Medline TA:  Acta Diabetol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  145-52     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Division of Endocrinology and Metabolism, Soonchunhyang University School of Medicine, Bucheon, Republic of Korea. chanhij@naver.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Calcinosis / metabolism,  physiopathology*
Coronary Artery Disease / etiology,  metabolism,  physiopathology*
Coronary Vessels / metabolism,  physiopathology*
Diabetes Mellitus, Type 2 / complications*,  metabolism,  physiopathology
Humans
Male
Middle Aged
Osteoprotegerin / blood*
Republic of Korea
Vascular Resistance*
Chemical
Reg. No./Substance:
0/Osteoprotegerin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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