KMID : 1039620180080010142
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Korean Journal of Family Practice 2018 Volume.8 No. 1 p.142 ~ p.146
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Correlation between the Intima-Media Thickness of Carotid Artery and Risk Factors of Cardiovascular Diseases
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Kim In-Seon
Jo Jae-Bum Kim Hong-Tae Jang Ji-Hyeong Seo Min Keon Heug-Chun Kang Jee-Hye
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Abstract
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Background: A significant correlation is known to exist between the intima-media thickness (IMT) of the carotid artery and cardiovascular and cerebrovascular disease. Using carotid artery ultrasonography, which is routinely available in a clinical setting, we aimed to determine the correlation between the carotid IMT and serum cholesterol and fasting blood glucose levels, blood pressure, waist circumference, smoking, family, and medical history of patients.
Methods: We studied 451 men and 238 women (age range, 30?65 years) who underwent a general medical check-up at the health screening center of a Sungae Hospital in Seoul between 2014 and 2015. Ultrasonographic examination of the carotid artery IMT and measurement of cardiovascular risk factors were performed in these individuals.
Results: Multivariate analysis showed that age and smoking were most strongly associated with carotid IMT. Additionally, a history of hypertension and/or diabetes mellitus, and gender (men) were found to show a stronger association with carotid IMT. A high IMT did not show a significant association with waist circumference, family history, triglyceride, low-density lipoprotein and high-density lipoprotein cholesterol levels, systolic and diastolic blood pressure, and fasting blood glucose individually, in this study.
Conclusion: These data suggest that several significant risk factors determine the existence and distribution of subclinical atherosclerosis. IMT is being widely recognized as a predictor of cardiovascular and cerebrovascular disease. Thus, measuring IMT in patients presenting with risk factors would be helpful to ensure that they receive appropriate management.
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KEYWORD
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Intima Media Thickness, Fasting Blood Glucose, Dyslipidemia, Waist Circumference, Smoking, Hypertension, Diabetes Mellitus
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