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Relation of coronary atherosclerosis and metabolic syndrome in asymptomatic subjects: evaluation with coronary CT angiography.
Int J Cardiovasc Imaging. 2013 Dec; 29 Suppl 2:101-7.IJ

Abstract

To assess the relationship between metabolic syndrome (MetS) and coronary atherosclerosis using coronary CT angiography (CCTA) as the evaluation tool in asymptomatic cardiovascular disease (CVD) free subjects. The presence and extent of coronary atherosclerosis in 755 asymptomatic self-referred subjects were measured using CCTA. The relationships between coronary atherosclerosis, MetS, and other clinical factors were assessed. To further investigate the relationship between MetS and the presence and extent of coronary plaque, subjects were divided into 3 subgroups according to the number of metabolic factors (MF0, 1-2 or ≥ 3) and the number of coronary segments with plaque (segment involvement score: SIS0, 1, ≥ 2). MetS showed significant association with the presence of coronary plaque after adjustment for other clinical factors [odds radio (OR) 1.791 (1.159-2.775), P = 0.009]. Among metabolic components, abdominal obesity and high blood pressure were significantly associated with the presence of coronary plaque [OR 1.708 (1.189-2.455), P = 0.004; OR 1.677 (1.165-2.415), P = 0.005]. Coronary plaque was more frequently found in subgroups with a higher number of metabolic factors (32.4, 36.7 and 52.1 %). Higher SISs were also found in subjects with more MetS components (SIS1: 14.6, 16.2 and 27.2 %; SIS ≥ 2: 17, 19.7 and 23.7 %). In asymptomatic CVD free subjects, MetS and number of metabolic factors were related with an increased risk of the presence and the extent of coronary plaque. Abdominal obesity and high blood pressure were significantly associated with the presence of coronary plaque.

Authors+Show Affiliations

Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, 97 Gurodong-gil, Guro-gu, Seoul, 152-703, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24186238

Citation

Ryu, Jaeil, et al. "Relation of Coronary Atherosclerosis and Metabolic Syndrome in Asymptomatic Subjects: Evaluation With Coronary CT Angiography." The International Journal of Cardiovascular Imaging, vol. 29 Suppl 2, 2013, pp. 101-7.
Ryu J, Yong HS, Huh S, et al. Relation of coronary atherosclerosis and metabolic syndrome in asymptomatic subjects: evaluation with coronary CT angiography. Int J Cardiovasc Imaging. 2013;29 Suppl 2:101-7.
Ryu, J., Yong, H. S., Huh, S., Kang, E. Y., & Woo, O. H. (2013). Relation of coronary atherosclerosis and metabolic syndrome in asymptomatic subjects: evaluation with coronary CT angiography. The International Journal of Cardiovascular Imaging, 29 Suppl 2, 101-7. https://doi.org/10.1007/s10554-013-0319-2
Ryu J, et al. Relation of Coronary Atherosclerosis and Metabolic Syndrome in Asymptomatic Subjects: Evaluation With Coronary CT Angiography. Int J Cardiovasc Imaging. 2013;29 Suppl 2:101-7. PubMed PMID: 24186238.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relation of coronary atherosclerosis and metabolic syndrome in asymptomatic subjects: evaluation with coronary CT angiography. AU - Ryu,Jaeil, AU - Yong,Hwan Seok, AU - Huh,Sik, AU - Kang,Eun-Young, AU - Woo,Ok Hee, Y1 - 2013/11/02/ PY - 2013/10/20/received PY - 2013/10/21/accepted PY - 2013/11/5/entrez PY - 2013/11/5/pubmed PY - 2014/8/19/medline SP - 101 EP - 7 JF - The international journal of cardiovascular imaging JO - Int J Cardiovasc Imaging VL - 29 Suppl 2 N2 - To assess the relationship between metabolic syndrome (MetS) and coronary atherosclerosis using coronary CT angiography (CCTA) as the evaluation tool in asymptomatic cardiovascular disease (CVD) free subjects. The presence and extent of coronary atherosclerosis in 755 asymptomatic self-referred subjects were measured using CCTA. The relationships between coronary atherosclerosis, MetS, and other clinical factors were assessed. To further investigate the relationship between MetS and the presence and extent of coronary plaque, subjects were divided into 3 subgroups according to the number of metabolic factors (MF0, 1-2 or ≥ 3) and the number of coronary segments with plaque (segment involvement score: SIS0, 1, ≥ 2). MetS showed significant association with the presence of coronary plaque after adjustment for other clinical factors [odds radio (OR) 1.791 (1.159-2.775), P = 0.009]. Among metabolic components, abdominal obesity and high blood pressure were significantly associated with the presence of coronary plaque [OR 1.708 (1.189-2.455), P = 0.004; OR 1.677 (1.165-2.415), P = 0.005]. Coronary plaque was more frequently found in subgroups with a higher number of metabolic factors (32.4, 36.7 and 52.1 %). Higher SISs were also found in subjects with more MetS components (SIS1: 14.6, 16.2 and 27.2 %; SIS ≥ 2: 17, 19.7 and 23.7 %). In asymptomatic CVD free subjects, MetS and number of metabolic factors were related with an increased risk of the presence and the extent of coronary plaque. Abdominal obesity and high blood pressure were significantly associated with the presence of coronary plaque. SN - 1875-8312 UR - https://www.unboundmedicine.com/medline/citation/24186238/Relation_of_coronary_atherosclerosis_and_metabolic_syndrome_in_asymptomatic_subjects:_evaluation_with_coronary_CT_angiography_ L2 - https://doi.org/10.1007/s10554-013-0319-2 DB - PRIME DP - Unbound Medicine ER -