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A cross-sectional evaluation of cardiovascular risk factors in coronary heart disease associated with type 1 (insulin-dependent) diabetes mellitus.
Diabetes Res Clin Pract 1992; 18(3):173-84DR

Abstract

The contribution from lipoproteins, blood pressure, albuminuria and demographic variables to coronary heart disease in 90 adult subjects with and 172 without Type 1 diabetes mellitus was examined in order to investigate whether risk factors were of equivalent importance in diabetic and non-diabetic coronary heart disease. Coronary heart disease (CHD) was present in roughly 25% of subjects in each group. In Type 1 diabetes those with CHD had significantly higher levels of systolic blood pressure, albumin excretion, serum creatinine, triglycerides, VLDL cholesterol and C-peptide, and reductions in serum concentrations of HDL and HDL2 cholesterol, in comparison to those without. However, the prevalence of smokers, and concentrations of Lp(a), ApoB and fibrinogen were comparable. Blood pressure and HDL cholesterol were higher in the CHD group with Type 1 diabetes in comparison to the nondiabetic group with CHD, although LDL concentrations and the prevalence of Lp(a) concentrations > 200 mg/l were lower. Logistic regression analysis revealed the strongest independent predictors of CHD in Type 1 diabetes were serum triglycerides, systolic blood pressure, age, serum LDL cholesterol, and the daily insulin dosage, whereas in the non-diabetic control group HDL2 cholesterol, Lp(a), ApoA1 and ApoB, total serum cholesterol and body mass index were additional predictors. CHD in Type 1 diabetes appears to be most closely associated with increasing age and levels of blood pressure and total serum lipids. Apolipoproteins and albuminuria did not seem to be important independent predictors of CHD in Type 1 diabetes, whereas the former were more clearly associated with CHD in non-diabetic controls.

Authors+Show Affiliations

University of Manchester Department of Medicine, Hope Hospital, Salford, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1289018

Citation

Winocour, P H., et al. "A Cross-sectional Evaluation of Cardiovascular Risk Factors in Coronary Heart Disease Associated With Type 1 (insulin-dependent) Diabetes Mellitus." Diabetes Research and Clinical Practice, vol. 18, no. 3, 1992, pp. 173-84.
Winocour PH, Durrington PN, Bhatnagar D, et al. A cross-sectional evaluation of cardiovascular risk factors in coronary heart disease associated with type 1 (insulin-dependent) diabetes mellitus. Diabetes Res Clin Pract. 1992;18(3):173-84.
Winocour, P. H., Durrington, P. N., Bhatnagar, D., Mbewu, A. D., Ishola, M., Mackness, M., & Arrol, S. (1992). A cross-sectional evaluation of cardiovascular risk factors in coronary heart disease associated with type 1 (insulin-dependent) diabetes mellitus. Diabetes Research and Clinical Practice, 18(3), pp. 173-84.
Winocour PH, et al. A Cross-sectional Evaluation of Cardiovascular Risk Factors in Coronary Heart Disease Associated With Type 1 (insulin-dependent) Diabetes Mellitus. Diabetes Res Clin Pract. 1992;18(3):173-84. PubMed PMID: 1289018.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A cross-sectional evaluation of cardiovascular risk factors in coronary heart disease associated with type 1 (insulin-dependent) diabetes mellitus. AU - Winocour,P H, AU - Durrington,P N, AU - Bhatnagar,D, AU - Mbewu,A D, AU - Ishola,M, AU - Mackness,M, AU - Arrol,S, PY - 1992/12/1/pubmed PY - 1992/12/1/medline PY - 1992/12/1/entrez SP - 173 EP - 84 JF - Diabetes research and clinical practice JO - Diabetes Res. Clin. Pract. VL - 18 IS - 3 N2 - The contribution from lipoproteins, blood pressure, albuminuria and demographic variables to coronary heart disease in 90 adult subjects with and 172 without Type 1 diabetes mellitus was examined in order to investigate whether risk factors were of equivalent importance in diabetic and non-diabetic coronary heart disease. Coronary heart disease (CHD) was present in roughly 25% of subjects in each group. In Type 1 diabetes those with CHD had significantly higher levels of systolic blood pressure, albumin excretion, serum creatinine, triglycerides, VLDL cholesterol and C-peptide, and reductions in serum concentrations of HDL and HDL2 cholesterol, in comparison to those without. However, the prevalence of smokers, and concentrations of Lp(a), ApoB and fibrinogen were comparable. Blood pressure and HDL cholesterol were higher in the CHD group with Type 1 diabetes in comparison to the nondiabetic group with CHD, although LDL concentrations and the prevalence of Lp(a) concentrations > 200 mg/l were lower. Logistic regression analysis revealed the strongest independent predictors of CHD in Type 1 diabetes were serum triglycerides, systolic blood pressure, age, serum LDL cholesterol, and the daily insulin dosage, whereas in the non-diabetic control group HDL2 cholesterol, Lp(a), ApoA1 and ApoB, total serum cholesterol and body mass index were additional predictors. CHD in Type 1 diabetes appears to be most closely associated with increasing age and levels of blood pressure and total serum lipids. Apolipoproteins and albuminuria did not seem to be important independent predictors of CHD in Type 1 diabetes, whereas the former were more clearly associated with CHD in non-diabetic controls. SN - 0168-8227 UR - https://www.unboundmedicine.com/medline/citation/1289018/A_cross_sectional_evaluation_of_cardiovascular_risk_factors_in_coronary_heart_disease_associated_with_type_1__insulin_dependent__diabetes_mellitus_ L2 - https://linkinghub.elsevier.com/retrieve/pii/0168-8227(92)90143-F DB - PRIME DP - Unbound Medicine ER -