Coronary Plaque Vulnerability in Metabolic Syndrome: Assessment of Carotid Artery Morphology in Acute Coronary Syndrome
Background The aim of the present study was to investigate the clinical implication of metabolic syndrome and carotid artery morphologies on coronary plaque vulnerability in Japanese men with acute coronary syndrome (ACS). Methods and Results Consecutive ACS Japanese men (n=225) underwent emergent c...
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| Veröffentlicht in: | Circulation Journal 2007, Vol.71(8), pp.1229-1233 |
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| container_title | Circulation Journal |
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| creator | Kato, Masaya Dote, Keigo Sasaki, Shota Ueda, Kentaro Matsuda, Osamu Nakano, Yoshinori Naganuma, Toru Sugiura, Tomohito |
| description | Background The aim of the present study was to investigate the clinical implication of metabolic syndrome and carotid artery morphologies on coronary plaque vulnerability in Japanese men with acute coronary syndrome (ACS). Methods and Results Consecutive ACS Japanese men (n=225) underwent emergent coronary angiography and B-mode ultrasonography within 1 week of the acute coronary event. With a 11.3-MHz linear array transducer, the morphologies of common carotid artery were examined. Common carotid arteries with an intima-media thickness >1.1 mm and interadventitial diameter >8.0 mm were considered to be undergoing carotid artery remodeling. Patients were divided into 2 groups based on the number of complex plaques identified by coronary angiography. Abdominal obesity, low level of high-density lipoprotein and carotid artery remodeling were more often observed in patients with multiple, complex coronary plaques than in patients with a single, complex plaque (p |
| doi_str_mv | 10.1253/circj.71.1229 |
| format | Article |
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Methods and Results Consecutive ACS Japanese men (n=225) underwent emergent coronary angiography and B-mode ultrasonography within 1 week of the acute coronary event. With a 11.3-MHz linear array transducer, the morphologies of common carotid artery were examined. Common carotid arteries with an intima-media thickness >1.1 mm and interadventitial diameter >8.0 mm were considered to be undergoing carotid artery remodeling. Patients were divided into 2 groups based on the number of complex plaques identified by coronary angiography. Abdominal obesity, low level of high-density lipoprotein and carotid artery remodeling were more often observed in patients with multiple, complex coronary plaques than in patients with a single, complex plaque (p<0.03, p<0.03 and p=0.0001, respectively). Metabolic syndrome and carotid artery remodeling were independent predictors of multiple, complex coronary plaques (odds ratio 1.86, p<0.05; odds ratio 5.96, p<0.0001). Conclusion Metabolic syndrome and carotid artery remodeling might be useful indicators to assess the efficacy of aggressive treatments for secondary prevention of cardiovascular events in ACS Japanese men. (Circ J 2007; 71: 1229 - 1233)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.71.1229</identifier><identifier>PMID: 17652886</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Acute Disease ; Aged ; Carotid arteries ; Carotid Arteries - pathology ; Coronary Angiography ; Coronary artery disease ; Coronary Disease - diagnosis ; Coronary Disease - etiology ; Humans ; Male ; Metabolic syndrome ; Metabolic Syndrome - complications ; Middle Aged ; Myocardial Infarction ; Myocardial Ischemia ; Risk Factors ; Vascular remodeling</subject><ispartof>Circulation Journal, 2007, Vol.71(8), pp.1229-1233</ispartof><rights>2007 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-3755c81a35423e6b7e2dced442a05abbf08ae54c1e202c671d90cb74a9c5bf783</citedby><cites>FETCH-LOGICAL-c479t-3755c81a35423e6b7e2dced442a05abbf08ae54c1e202c671d90cb74a9c5bf783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17652886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kato, Masaya</creatorcontrib><creatorcontrib>Dote, Keigo</creatorcontrib><creatorcontrib>Sasaki, Shota</creatorcontrib><creatorcontrib>Ueda, Kentaro</creatorcontrib><creatorcontrib>Matsuda, Osamu</creatorcontrib><creatorcontrib>Nakano, Yoshinori</creatorcontrib><creatorcontrib>Naganuma, Toru</creatorcontrib><creatorcontrib>Sugiura, Tomohito</creatorcontrib><title>Coronary Plaque Vulnerability in Metabolic Syndrome: Assessment of Carotid Artery Morphology in Acute Coronary Syndrome</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background The aim of the present study was to investigate the clinical implication of metabolic syndrome and carotid artery morphologies on coronary plaque vulnerability in Japanese men with acute coronary syndrome (ACS). Methods and Results Consecutive ACS Japanese men (n=225) underwent emergent coronary angiography and B-mode ultrasonography within 1 week of the acute coronary event. With a 11.3-MHz linear array transducer, the morphologies of common carotid artery were examined. Common carotid arteries with an intima-media thickness >1.1 mm and interadventitial diameter >8.0 mm were considered to be undergoing carotid artery remodeling. Patients were divided into 2 groups based on the number of complex plaques identified by coronary angiography. Abdominal obesity, low level of high-density lipoprotein and carotid artery remodeling were more often observed in patients with multiple, complex coronary plaques than in patients with a single, complex plaque (p<0.03, p<0.03 and p=0.0001, respectively). Metabolic syndrome and carotid artery remodeling were independent predictors of multiple, complex coronary plaques (odds ratio 1.86, p<0.05; odds ratio 5.96, p<0.0001). Conclusion Metabolic syndrome and carotid artery remodeling might be useful indicators to assess the efficacy of aggressive treatments for secondary prevention of cardiovascular events in ACS Japanese men. (Circ J 2007; 71: 1229 - 1233)</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Carotid arteries</subject><subject>Carotid Arteries - pathology</subject><subject>Coronary Angiography</subject><subject>Coronary artery disease</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary Disease - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - complications</subject><subject>Middle Aged</subject><subject>Myocardial Infarction</subject><subject>Myocardial Ischemia</subject><subject>Risk Factors</subject><subject>Vascular remodeling</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkLtPwzAQhy0EoqUwsqJMbCl-xs4IFS-pCCQeq2U7F0jlJMVOhv73pE1Fl7uz_OnT3Q-hS4LnhAp246rgVnNJhhfNj9CUMC5Trig-3s1ZmivOJugsxhXGNMciP0UTIjNBlcqmiC3a0DYmbJI3b357SL5630AwtvJVt0mqJnmBztjWVy553zRFaGs4Ryel8REu9n2GPh_uPxZP6fL18Xlxu0wdl3mXMimEU8QwwSmDzEqghYOCc2qwMNaWWBkQ3BGgmLpMkiLHzkpucidsKRWboevRuw7tsFrsdF1FB96bBto-aoklzThjA5iOoAttjAFKvQ5VPRylCdbblPQuJS2J3qY08Fd7cW9rKA70PpYBuBuBVezMN_wDJnSV83DQqbFsrYfPHxM0NOwPX5Z7cA</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Kato, Masaya</creator><creator>Dote, Keigo</creator><creator>Sasaki, Shota</creator><creator>Ueda, Kentaro</creator><creator>Matsuda, Osamu</creator><creator>Nakano, Yoshinori</creator><creator>Naganuma, Toru</creator><creator>Sugiura, Tomohito</creator><general>The Japanese Circulation Society</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>2007</creationdate><title>Coronary Plaque Vulnerability in Metabolic Syndrome</title><author>Kato, Masaya ; Dote, Keigo ; Sasaki, Shota ; Ueda, Kentaro ; Matsuda, Osamu ; Nakano, Yoshinori ; Naganuma, Toru ; Sugiura, Tomohito</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-3755c81a35423e6b7e2dced442a05abbf08ae54c1e202c671d90cb74a9c5bf783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Carotid arteries</topic><topic>Carotid Arteries - pathology</topic><topic>Coronary Angiography</topic><topic>Coronary artery disease</topic><topic>Coronary Disease - diagnosis</topic><topic>Coronary Disease - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Metabolic syndrome</topic><topic>Metabolic Syndrome - complications</topic><topic>Middle Aged</topic><topic>Myocardial Infarction</topic><topic>Myocardial Ischemia</topic><topic>Risk Factors</topic><topic>Vascular remodeling</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kato, Masaya</creatorcontrib><creatorcontrib>Dote, Keigo</creatorcontrib><creatorcontrib>Sasaki, Shota</creatorcontrib><creatorcontrib>Ueda, Kentaro</creatorcontrib><creatorcontrib>Matsuda, Osamu</creatorcontrib><creatorcontrib>Nakano, Yoshinori</creatorcontrib><creatorcontrib>Naganuma, Toru</creatorcontrib><creatorcontrib>Sugiura, Tomohito</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>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kato, Masaya</au><au>Dote, Keigo</au><au>Sasaki, Shota</au><au>Ueda, Kentaro</au><au>Matsuda, Osamu</au><au>Nakano, Yoshinori</au><au>Naganuma, Toru</au><au>Sugiura, Tomohito</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary Plaque Vulnerability in Metabolic Syndrome: Assessment of Carotid Artery Morphology in Acute Coronary Syndrome</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2007</date><risdate>2007</risdate><volume>71</volume><issue>8</issue><spage>1229</spage><epage>1233</epage><pages>1229-1233</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background The aim of the present study was to investigate the clinical implication of metabolic syndrome and carotid artery morphologies on coronary plaque vulnerability in Japanese men with acute coronary syndrome (ACS). Methods and Results Consecutive ACS Japanese men (n=225) underwent emergent coronary angiography and B-mode ultrasonography within 1 week of the acute coronary event. With a 11.3-MHz linear array transducer, the morphologies of common carotid artery were examined. Common carotid arteries with an intima-media thickness >1.1 mm and interadventitial diameter >8.0 mm were considered to be undergoing carotid artery remodeling. Patients were divided into 2 groups based on the number of complex plaques identified by coronary angiography. Abdominal obesity, low level of high-density lipoprotein and carotid artery remodeling were more often observed in patients with multiple, complex coronary plaques than in patients with a single, complex plaque (p<0.03, p<0.03 and p=0.0001, respectively). Metabolic syndrome and carotid artery remodeling were independent predictors of multiple, complex coronary plaques (odds ratio 1.86, p<0.05; odds ratio 5.96, p<0.0001). Conclusion Metabolic syndrome and carotid artery remodeling might be useful indicators to assess the efficacy of aggressive treatments for secondary prevention of cardiovascular events in ACS Japanese men. (Circ J 2007; 71: 1229 - 1233)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>17652886</pmid><doi>10.1253/circj.71.1229</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Circulation Journal, 2007, Vol.71(8), pp.1229-1233 |
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| subjects | Acute Disease Aged Carotid arteries Carotid Arteries - pathology Coronary Angiography Coronary artery disease Coronary Disease - diagnosis Coronary Disease - etiology Humans Male Metabolic syndrome Metabolic Syndrome - complications Middle Aged Myocardial Infarction Myocardial Ischemia Risk Factors Vascular remodeling |
| title | Coronary Plaque Vulnerability in Metabolic Syndrome: Assessment of Carotid Artery Morphology in Acute Coronary Syndrome |
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