Relationship between coronary artery calcification and various biomarkers in type 2 diabetic patients

Volume: 34 Number: 1 March 27, 2012
EN TR

Relationship between coronary artery calcification and various biomarkers in type 2 diabetic patients

Abstract

Abstract

Aim. Cardiovascular disease is the most common made of mortality in type 2 diabetes mellitus. This study investigated the relationship between the presence of calcification in coronary artery and biochemical parameters alone with the classic risk factors of atherosclerosis in patients with type 2 diabetes. Methods. Forty one (27 female and 14 male) patients with type 2 diabetes without symptomatic coronary artery disease (CAD) or previous myocardial infarction and with normal kidney functions were included in the study. Multislice Computerized Tomography (MSCT) was used for coronary artery calcium scoring (CACS). Patients were classifed into two groups as CACS=0 and CACS>0. Results. In 12 (29.3%) patients coronary artery calcification was noted. Waist circumference, systolic blood pressure, total cholesterol, low-density lipoprotein, and triglyceride levels were significantly different between those with (CACS>0) and without (CACS=0) (p<0.05). Conclusion. Coronary artery calcification is related to atherosclerosis in diabetic patients.

Keywords: Type 2 diabetes mellitus, atherosclerosis, coronary artery calcification

 

Özet

Amaç. Kardiyovasküler hastalık Tip 2 Diabetes Mellitus’ta mortalitenin en sık görülen nedenidir. Bu çalışmada Tip 2 diyabetik hastalarda, koroner arterdeki kalsifikasyon varlığı ile biyokimyasal parametreler ve aterosklerozun klasik risk faktörleri arasındaki ilişki incelendi Yöntemler. Çalışmaya, semptomatik koroner arter hastalığı (KAH) yada geçirilmiş miyokard infarktüsü olmayan ve böbrek fonksiyonları normal olan, 41 (27 kadın, 14 erkek) Tip 2 diyabetik hasta alındı. Çok Kesitli Bilgisayarlı Tomografi (ÇKBT) ile koroner arter kalsiyum skorlaması (KAKS) yapıldı. Hastalar KAKS=0 ve KAKS>0 olarak 2 gruba ayrıldı. Bulgular. 12 (%29,3) hastada koroner arterlerde kalsifikasyon saptandı. Bel çevresi, sistolik kan basıncı, total kolesterol, düşük dansiteli lipoprotein ve trigliserid seviyeleri ile KAKS arasındaki ilişki önemli bulundu (p<0,05). Sonuç. Diyabetik hastalarda koroner arter kalsifikasyonu aterosklerozla ilişkilidir.

Anahtar sözcükler: Tip 2 diabetes mellitus, ateroskleroz, koroner arter kalsifikasyonu

Keywords

References

  1. Merz CN, Buse BJ, Tuncer D, Twillman GB. Physician attitudes and practices and patient awareness of the cardivasculary complications of diabetes. J Am Coll Cardiol 2002; 40:1877-81.
  2. Haffner SM, Lehto S, Ronnemaa T, Pyrola K, Laakso M. Mortality from coronary heart disease in subject with type 2 diabetes and in nondiabetic subject with without prior myocardial infarction. N Eng J Med 1998; 339: 229-34.
  3. Anand DV, Lim E, Darko D, Bassett P, Hopkins D, Lipkin D, Corder R, Lahiri A. Determinants of progression of coronary artery calcification in type 2 diabetes role of glycemic control and inflammatory/vascular calcification markers. J Am Coll Cardiol 2007; 50: 2218-25.
  4. Chambless L, Keil U, Dobson A, Mähönen M, Kuulasmaa K, Rajakangas AM, Löwel H, Tunstall-Pedoe H. Population versus clinical view of case fatality from acute coronary heart disease: results from the WHO MONICA Project 1985- 1990. Multinational MONItoring of Trends and Determinants in CArdiovascular Disease. Circulation 1997; 96: 3849-59.
  5. Janowitz WR, Agatston AS, Kaplan G, Viamonte M Jr. Differences in prevalence and extent of coronary calcium detected by ultrafast computed tomography in asymptomatic men and women. Am J Cardiol 1993; 72: 247-54.
  6. Yenigün M. Kardiyovasküler Diabet. Ed: Yenigün M, Altuntaş Y, Her yönüyle diabetes mellitus. 2. baskı, İstanbul, Nobel Tıp Kitabevleri 2001; 639-97.
  7. Çakır N. Diabetes Mellitus ve Ateroskleroz İlişkisi. Turkiye Klinikleri J Int Med Sci 2007, 3: 61-7.
  8. Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M Jr, Detrano R. Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol 1990; 15: 827-32.

Details

Primary Language

English

Subjects

-

Journal Section

-

Publication Date

March 27, 2012

Submission Date

June 22, 2011

Acceptance Date

-

Published in Issue

Year 2012 Volume: 34 Number: 1

AMA
1.Karabulut A, İçağasıoğlu S, Acıbucu F, Kılıçlı F, Gümüş C, Yontar O. Relationship between coronary artery calcification and various biomarkers in type 2 diabetic patients. CMJ. 2012;34(1):48-55. https://izlik.org/JA25BR92MB