The correlation of thrombolysis in myocardial infarction frame count with insulin resistance in patients with slow coronary flow

BACKGROUNDIt has been reported that coronary endothelial dysfunction plays an important pathogenetic role in patients with slow coronary flow (SCF). Insulin resistance is defined as impairment of insulin-stimulated glucose and/or lipid metabolism, while endothelial dysfunction is defined as paradoxi...

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Veröffentlicht in:Coronary artery disease 2008-12, Vol.19 (8), p.591-595
Hauptverfasser: Ozcan, Turkay, Gen, Ramazan, Akbay, Esen, Horoz, Mehmet, Akcay, Burak, Genctoy, Gultekin, Muslu, Necati, Camsari, Ahmet, Cicek, Dilek, Gok, Ebru, Kiykim, Ahmet
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container_end_page 595
container_issue 8
container_start_page 591
container_title Coronary artery disease
container_volume 19
creator Ozcan, Turkay
Gen, Ramazan
Akbay, Esen
Horoz, Mehmet
Akcay, Burak
Genctoy, Gultekin
Muslu, Necati
Camsari, Ahmet
Cicek, Dilek
Gok, Ebru
Kiykim, Ahmet
description BACKGROUNDIt has been reported that coronary endothelial dysfunction plays an important pathogenetic role in patients with slow coronary flow (SCF). Insulin resistance is defined as impairment of insulin-stimulated glucose and/or lipid metabolism, while endothelial dysfunction is defined as paradoxical or inadequate endothelial-mediated vasodilation. In this study, we aimed to evaluate insulin resistance in patients with SCF. METHODSThe study population included 25 patients with SCF and 28 healthy controls. Insulin resistance was estimated via homeostasis model assessment insulin resistance index (HOMA-IR). RESULTSPatients with SCF had higher high-sensitive C-reactive protein (hs-CRP) and HOMA-IR scores (P
doi_str_mv 10.1097/MCA.0b013e32831381c8
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Insulin resistance is defined as impairment of insulin-stimulated glucose and/or lipid metabolism, while endothelial dysfunction is defined as paradoxical or inadequate endothelial-mediated vasodilation. In this study, we aimed to evaluate insulin resistance in patients with SCF. METHODSThe study population included 25 patients with SCF and 28 healthy controls. Insulin resistance was estimated via homeostasis model assessment insulin resistance index (HOMA-IR). RESULTSPatients with SCF had higher high-sensitive C-reactive protein (hs-CRP) and HOMA-IR scores (P&lt;0.05) than controls. Mean thrombolysis in myocardial infarction frame count had significant correlation with hs-CRP, fasting plasma insulin levels and HOMA-IR score (r=0.566, P&lt;0.05; r=0.883, P&lt;0.05; r=0.884, P&lt;0.05, respectively). CONCLUSIONIn patients with SCF, thrombolysis in myocardial infarction frame counts and hs-CRP are correlated with increased insulin resistance and thus, it can be suggested that insulin resistance and inflammation may, in part, have a role in the pathogenesis of SCF.</description><identifier>ISSN: 0954-6928</identifier><identifier>EISSN: 1473-5830</identifier><identifier>DOI: 10.1097/MCA.0b013e32831381c8</identifier><identifier>PMID: 19005294</identifier><language>eng</language><publisher>England: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adult ; Biomarkers - blood ; Blood Flow Velocity ; C-Reactive Protein - metabolism ; Case-Control Studies ; Cineangiography ; Contrast Media ; Coronary Angiography ; Coronary Circulation ; Coronary Disease - blood ; Coronary Disease - diagnostic imaging ; Coronary Disease - physiopathology ; Coronary Vessels - pathology ; Coronary Vessels - physiopathology ; Female ; Humans ; Inflammation Mediators - blood ; Insulin - blood ; Insulin Resistance ; Iohexol - analogs &amp; derivatives ; Male ; Middle Aged ; Models, Biological ; Myocardial Infarction - blood ; Myocardial Infarction - diagnostic imaging ; Myocardial Infarction - physiopathology ; Thrombolytic Therapy ; Up-Regulation</subject><ispartof>Coronary artery disease, 2008-12, Vol.19 (8), p.591-595</ispartof><rights>2008 Lippincott Williams &amp; Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3507-321fc12eb5e4ed9bfe42dba9aa5521d631a4f57abd44c47c9c8555bb7c5f92f13</citedby><cites>FETCH-LOGICAL-c3507-321fc12eb5e4ed9bfe42dba9aa5521d631a4f57abd44c47c9c8555bb7c5f92f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27911,27912</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19005294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozcan, Turkay</creatorcontrib><creatorcontrib>Gen, Ramazan</creatorcontrib><creatorcontrib>Akbay, Esen</creatorcontrib><creatorcontrib>Horoz, Mehmet</creatorcontrib><creatorcontrib>Akcay, Burak</creatorcontrib><creatorcontrib>Genctoy, Gultekin</creatorcontrib><creatorcontrib>Muslu, Necati</creatorcontrib><creatorcontrib>Camsari, Ahmet</creatorcontrib><creatorcontrib>Cicek, Dilek</creatorcontrib><creatorcontrib>Gok, Ebru</creatorcontrib><creatorcontrib>Kiykim, Ahmet</creatorcontrib><title>The correlation of thrombolysis in myocardial infarction frame count with insulin resistance in patients with slow coronary flow</title><title>Coronary artery disease</title><addtitle>Coron Artery Dis</addtitle><description>BACKGROUNDIt has been reported that coronary endothelial dysfunction plays an important pathogenetic role in patients with slow coronary flow (SCF). Insulin resistance is defined as impairment of insulin-stimulated glucose and/or lipid metabolism, while endothelial dysfunction is defined as paradoxical or inadequate endothelial-mediated vasodilation. In this study, we aimed to evaluate insulin resistance in patients with SCF. METHODSThe study population included 25 patients with SCF and 28 healthy controls. Insulin resistance was estimated via homeostasis model assessment insulin resistance index (HOMA-IR). RESULTSPatients with SCF had higher high-sensitive C-reactive protein (hs-CRP) and HOMA-IR scores (P&lt;0.05) than controls. Mean thrombolysis in myocardial infarction frame count had significant correlation with hs-CRP, fasting plasma insulin levels and HOMA-IR score (r=0.566, P&lt;0.05; r=0.883, P&lt;0.05; r=0.884, P&lt;0.05, respectively). CONCLUSIONIn patients with SCF, thrombolysis in myocardial infarction frame counts and hs-CRP are correlated with increased insulin resistance and thus, it can be suggested that insulin resistance and inflammation may, in part, have a role in the pathogenesis of SCF.</description><subject>Adult</subject><subject>Biomarkers - blood</subject><subject>Blood Flow Velocity</subject><subject>C-Reactive Protein - metabolism</subject><subject>Case-Control Studies</subject><subject>Cineangiography</subject><subject>Contrast Media</subject><subject>Coronary Angiography</subject><subject>Coronary Circulation</subject><subject>Coronary Disease - blood</subject><subject>Coronary Disease - diagnostic imaging</subject><subject>Coronary Disease - physiopathology</subject><subject>Coronary Vessels - pathology</subject><subject>Coronary Vessels - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Inflammation Mediators - blood</subject><subject>Insulin - blood</subject><subject>Insulin Resistance</subject><subject>Iohexol - analogs &amp; derivatives</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Models, Biological</subject><subject>Myocardial Infarction - blood</subject><subject>Myocardial Infarction - diagnostic imaging</subject><subject>Myocardial Infarction - physiopathology</subject><subject>Thrombolytic Therapy</subject><subject>Up-Regulation</subject><issn>0954-6928</issn><issn>1473-5830</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9v1DAQxS0EokvhGyCUE7eU8b91fKxWQCsV9VLOluOMlYATL7aj1d760fGyK1XiYFuj-b03o2dCPlK4oaDVlx-72xvogXLkrOOUd9R1r8iGCsVb2XF4TTagpWi3mnVX5F3OvwCokEq-JVdUA0imxYY8P43YuJgSBlumuDTRN2VMce5jOOYpN9PSzMfobBomG2rlbXL_QJ_sfJKuS2kOUxlrL6-h4gmrrtjF4Um8r7a4lHxmcoiH07i42HRsfK3ekzfehowfLu81-fnt69Purn14_H6_u31oHZegWs6od5RhL1HgoHuPgg291dZKyeiw5dQKL5XtByGcUE67TkrZ98pJr5mn_Jp8PvvuU_yzYi5mnrLDEOyCcc1mq5XiXLIKijPoUsw5oTf7NM11XUPBnJI3NXnzf_JV9univ_YzDi-iS9QvvocYCqb8O6wHTGZEG8pooH6OlkBbBtDRekFbDyj-F0Lnk1w</recordid><startdate>200812</startdate><enddate>200812</enddate><creator>Ozcan, Turkay</creator><creator>Gen, Ramazan</creator><creator>Akbay, Esen</creator><creator>Horoz, Mehmet</creator><creator>Akcay, Burak</creator><creator>Genctoy, Gultekin</creator><creator>Muslu, Necati</creator><creator>Camsari, Ahmet</creator><creator>Cicek, Dilek</creator><creator>Gok, Ebru</creator><creator>Kiykim, Ahmet</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200812</creationdate><title>The correlation of thrombolysis in myocardial infarction frame count with insulin resistance in patients with slow coronary flow</title><author>Ozcan, Turkay ; Gen, Ramazan ; Akbay, Esen ; Horoz, Mehmet ; Akcay, Burak ; Genctoy, Gultekin ; Muslu, Necati ; Camsari, Ahmet ; Cicek, Dilek ; Gok, Ebru ; Kiykim, Ahmet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3507-321fc12eb5e4ed9bfe42dba9aa5521d631a4f57abd44c47c9c8555bb7c5f92f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Biomarkers - blood</topic><topic>Blood Flow Velocity</topic><topic>C-Reactive Protein - metabolism</topic><topic>Case-Control Studies</topic><topic>Cineangiography</topic><topic>Contrast Media</topic><topic>Coronary Angiography</topic><topic>Coronary Circulation</topic><topic>Coronary Disease - blood</topic><topic>Coronary Disease - diagnostic imaging</topic><topic>Coronary Disease - physiopathology</topic><topic>Coronary Vessels - pathology</topic><topic>Coronary Vessels - physiopathology</topic><topic>Female</topic><topic>Humans</topic><topic>Inflammation Mediators - blood</topic><topic>Insulin - blood</topic><topic>Insulin Resistance</topic><topic>Iohexol - analogs &amp; derivatives</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Models, Biological</topic><topic>Myocardial Infarction - blood</topic><topic>Myocardial Infarction - diagnostic imaging</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Thrombolytic Therapy</topic><topic>Up-Regulation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozcan, Turkay</creatorcontrib><creatorcontrib>Gen, Ramazan</creatorcontrib><creatorcontrib>Akbay, Esen</creatorcontrib><creatorcontrib>Horoz, Mehmet</creatorcontrib><creatorcontrib>Akcay, Burak</creatorcontrib><creatorcontrib>Genctoy, Gultekin</creatorcontrib><creatorcontrib>Muslu, Necati</creatorcontrib><creatorcontrib>Camsari, Ahmet</creatorcontrib><creatorcontrib>Cicek, Dilek</creatorcontrib><creatorcontrib>Gok, Ebru</creatorcontrib><creatorcontrib>Kiykim, Ahmet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Coronary artery disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozcan, Turkay</au><au>Gen, Ramazan</au><au>Akbay, Esen</au><au>Horoz, Mehmet</au><au>Akcay, Burak</au><au>Genctoy, Gultekin</au><au>Muslu, Necati</au><au>Camsari, Ahmet</au><au>Cicek, Dilek</au><au>Gok, Ebru</au><au>Kiykim, Ahmet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The correlation of thrombolysis in myocardial infarction frame count with insulin resistance in patients with slow coronary flow</atitle><jtitle>Coronary artery disease</jtitle><addtitle>Coron Artery Dis</addtitle><date>2008-12</date><risdate>2008</risdate><volume>19</volume><issue>8</issue><spage>591</spage><epage>595</epage><pages>591-595</pages><issn>0954-6928</issn><eissn>1473-5830</eissn><abstract>BACKGROUNDIt has been reported that coronary endothelial dysfunction plays an important pathogenetic role in patients with slow coronary flow (SCF). Insulin resistance is defined as impairment of insulin-stimulated glucose and/or lipid metabolism, while endothelial dysfunction is defined as paradoxical or inadequate endothelial-mediated vasodilation. In this study, we aimed to evaluate insulin resistance in patients with SCF. METHODSThe study population included 25 patients with SCF and 28 healthy controls. Insulin resistance was estimated via homeostasis model assessment insulin resistance index (HOMA-IR). RESULTSPatients with SCF had higher high-sensitive C-reactive protein (hs-CRP) and HOMA-IR scores (P&lt;0.05) than controls. Mean thrombolysis in myocardial infarction frame count had significant correlation with hs-CRP, fasting plasma insulin levels and HOMA-IR score (r=0.566, P&lt;0.05; r=0.883, P&lt;0.05; r=0.884, P&lt;0.05, respectively). CONCLUSIONIn patients with SCF, thrombolysis in myocardial infarction frame counts and hs-CRP are correlated with increased insulin resistance and thus, it can be suggested that insulin resistance and inflammation may, in part, have a role in the pathogenesis of SCF.</abstract><cop>England</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>19005294</pmid><doi>10.1097/MCA.0b013e32831381c8</doi><tpages>5</tpages></addata></record>
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subjects Adult
Biomarkers - blood
Blood Flow Velocity
C-Reactive Protein - metabolism
Case-Control Studies
Cineangiography
Contrast Media
Coronary Angiography
Coronary Circulation
Coronary Disease - blood
Coronary Disease - diagnostic imaging
Coronary Disease - physiopathology
Coronary Vessels - pathology
Coronary Vessels - physiopathology
Female
Humans
Inflammation Mediators - blood
Insulin - blood
Insulin Resistance
Iohexol - analogs & derivatives
Male
Middle Aged
Models, Biological
Myocardial Infarction - blood
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - physiopathology
Thrombolytic Therapy
Up-Regulation
title The correlation of thrombolysis in myocardial infarction frame count with insulin resistance in patients with slow coronary flow
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