Grosor íntima media carotídeo y asociación con factores de riesgo cardiovascular tradicionales y metabólicos

Background: Carotid intima-media thickness (IMT) is a surrogate marker of subclinical atherosderosis and is associated with cardiovascular risk factors (CVRF) Aim: To analyze the association of CVRF and metabolic factors (MF) with IMT, and if the clustering of these factors modify IMT. Material and...

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Autores principales: Varleta,Paola, Concepción,Roberto, Vargas,Patricio, Casanova,Héctor
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2013
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000600002
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spelling oai:scielo:S0034-988720130006000022013-10-08Grosor íntima media carotídeo y asociación con factores de riesgo cardiovascular tradicionales y metabólicosVarleta,PaolaConcepción,RobertoVargas,PatricioCasanova,Héctor Atherosderosis Carotid intima-media thickness Metabolic syndrome Risk Factors Background: Carotid intima-media thickness (IMT) is a surrogate marker of subclinical atherosderosis and is associated with cardiovascular risk factors (CVRF) Aim: To analyze the association of CVRF and metabolic factors (MF) with IMT, and if the clustering of these factors modify IMT. Material and Methods: Cross sectional study in 187 participants aged 46±10years (53% male) without CV disease. Weight, height, waist circumference (WC), blood pressure, fasting plasma glucose and lipid profile were measured. Abdominal obesity (AOb) was defined by ATP III criteria. Mean carotid IMT was measured at the farwall of the common carotid artery. The cutoff point for an abnormally high IMT was set at the 75th IMT percentile of the sample. Results: The 75th IMT percentile of the sample was 0.67 mm. In a multivariate analysis four factors were significantly related with a high IMT: age (odds ratio (OR): 5.3, confidence intervals (CI): 2.2-12.9), dyslipidemia (OR: 6.4 CI: 2.3-17.9), systolic blood pressure (OR: 2.9, CI: 1.2-7.1) and AOb (OR: 2.9 (IC: 1.1-7.2). The presence of Oto 4 of these factors was associated with an IMT increment from 0.54 to 0.71 mm (p < 0,001). Conclusions: In this sample dyslipidemia, systolic blood pressure and abdominal obesity were the main predictors of a high IMT.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.6 20132013-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000600002es10.4067/S0034-98872013000600002
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Atherosderosis
Carotid intima-media thickness
Metabolic syndrome
Risk Factors
spellingShingle Atherosderosis
Carotid intima-media thickness
Metabolic syndrome
Risk Factors
Varleta,Paola
Concepción,Roberto
Vargas,Patricio
Casanova,Héctor
Grosor íntima media carotídeo y asociación con factores de riesgo cardiovascular tradicionales y metabólicos
description Background: Carotid intima-media thickness (IMT) is a surrogate marker of subclinical atherosderosis and is associated with cardiovascular risk factors (CVRF) Aim: To analyze the association of CVRF and metabolic factors (MF) with IMT, and if the clustering of these factors modify IMT. Material and Methods: Cross sectional study in 187 participants aged 46±10years (53% male) without CV disease. Weight, height, waist circumference (WC), blood pressure, fasting plasma glucose and lipid profile were measured. Abdominal obesity (AOb) was defined by ATP III criteria. Mean carotid IMT was measured at the farwall of the common carotid artery. The cutoff point for an abnormally high IMT was set at the 75th IMT percentile of the sample. Results: The 75th IMT percentile of the sample was 0.67 mm. In a multivariate analysis four factors were significantly related with a high IMT: age (odds ratio (OR): 5.3, confidence intervals (CI): 2.2-12.9), dyslipidemia (OR: 6.4 CI: 2.3-17.9), systolic blood pressure (OR: 2.9, CI: 1.2-7.1) and AOb (OR: 2.9 (IC: 1.1-7.2). The presence of Oto 4 of these factors was associated with an IMT increment from 0.54 to 0.71 mm (p < 0,001). Conclusions: In this sample dyslipidemia, systolic blood pressure and abdominal obesity were the main predictors of a high IMT.
author Varleta,Paola
Concepción,Roberto
Vargas,Patricio
Casanova,Héctor
author_facet Varleta,Paola
Concepción,Roberto
Vargas,Patricio
Casanova,Héctor
author_sort Varleta,Paola
title Grosor íntima media carotídeo y asociación con factores de riesgo cardiovascular tradicionales y metabólicos
title_short Grosor íntima media carotídeo y asociación con factores de riesgo cardiovascular tradicionales y metabólicos
title_full Grosor íntima media carotídeo y asociación con factores de riesgo cardiovascular tradicionales y metabólicos
title_fullStr Grosor íntima media carotídeo y asociación con factores de riesgo cardiovascular tradicionales y metabólicos
title_full_unstemmed Grosor íntima media carotídeo y asociación con factores de riesgo cardiovascular tradicionales y metabólicos
title_sort grosor íntima media carotídeo y asociación con factores de riesgo cardiovascular tradicionales y metabólicos
publisher Sociedad Médica de Santiago
publishDate 2013
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000600002
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AT concepcionroberto grosorintimamediacarotideoyasociacionconfactoresderiesgocardiovasculartradicionalesymetabolicos
AT vargaspatricio grosorintimamediacarotideoyasociacionconfactoresderiesgocardiovasculartradicionalesymetabolicos
AT casanovahector grosorintimamediacarotideoyasociacionconfactoresderiesgocardiovasculartradicionalesymetabolicos
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