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[The characteristics of carotid atherosclerosis in metabolic syndrome].

Zhigang Zhao, Zhiming Zhu, Yan-she Li

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Abstract

OBJECTIVE: To study the structure and function of the carotid artery in the metabolic syndrome (MS). METHODS: 171 patients were divided into three groups: metabolic syndrome (MS), diabetes mellitus (DM), and essential hypertension (EH). Plasma lipids and ultrasonography for carotid artery were examined. RESULTS: Levels of TG, LDL, ApoB were significantly higher in MS as compared with those EH (P < 0.01, 0.05, 0.01). Levels of TG were higher in MS as compared with those in DM (P < 0.01). The carotid resistance index and the intima-media thickness (IMT) of common carotid artery were significantly higher in MS as compared with those in DM or EH (P < 0.05). The occurrence rate of carotid plaque and plaque index was higher in patients with MS than that in patients with EH or DM (P < 0.01, 0.01). CONCLUSION: Clustering of multiple cardiovascular risk factors can cause more severe atherosclerosis of carotid artery in MS.

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What this paper is about

OBJECTIVE: To study the structure and function of the carotid artery in the metabolic syndrome (MS). METHODS: 171 patients were divided into three groups: metabolic syndrome (MS), diabetes mellitus (DM), and essential hypertension (EH). Plasma lipids and ultrasonography for carotid artery were examined. RESULTS: Levels of TG, LDL, ApoB were significantly higher in MS as compared with those EH (P < 0.01, 0.05, 0.01). Levels of TG were higher in MS as compared with those in DM (P < 0.01). The carotid resistance index and the intima-media thickness (IMT) of common carotid artery were significantly higher in MS as compared with those in DM or EH (P < 0.05). The occurrence rate of carotid plaque and plaque index was higher in patients with MS than that in patients with EH or DM (P < 0.01, 0.01). CONCLUSION: Clustering of multiple cardiovascular risk factors can cause more severe atherosclerosis of carotid artery in MS.

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Available abstract

OBJECTIVE: To study the structure and function of the carotid artery in the metabolic syndrome (MS). METHODS: 171 patients were divided into three groups: metabolic syndrome (MS), diabetes mellitus (DM), and essential hypertension (EH). Plasma lipids and ultrasonography for carotid artery were examined. RESULTS: Levels of TG, LDL, ApoB were significantly higher in MS as compared with those EH (P < 0.01, 0.05, 0.01). Levels of TG were higher in MS as compared with those in DM (P < 0.01). The carotid resistance index and the intima-media thickness (IMT) of common carotid artery were significantly higher in MS as compared with those in DM or EH (P < 0.05). The occurrence rate of carotid plaque and plaque index was higher in patients with MS than that in patients with EH or DM (P < 0.01, 0.01). CONCLUSION: Clustering of multiple cardiovascular risk factors can cause more severe atherosclerosis of carotid artery in MS.

Key concepts: Medicine, Internal medicine, Metabolic syndrome, Cardiology, Carotid arteries, Common carotid artery, Diabetes mellitus, Carotid ultrasonography

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