PLESKOVIC, A., M.S. LETONJA, A.C. VUJKOVAC, J.N. STARCEVIC, K. GAZDIKOVA, M. CAPRNDA, L. GASPAR, Peter KRUŽLIAK and D. PETROVIOC. C-reactive protein as a marker of progression of carotid atherosclerosis in subjects with type 2 diabetes mellitus. VASA-EUROPEAN JOURNAL OF VASCULAR MEDICINE. BERN: VERLAG HANS HUBER HOGREFE AG, 2017, vol. 46, No 3, p. 187-192. ISSN 0301-1526. Available from: https://dx.doi.org/10.1024/0301-1526/a000614.
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Basic information
Original name C-reactive protein as a marker of progression of carotid atherosclerosis in subjects with type 2 diabetes mellitus
Authors PLESKOVIC, A. (705 Slovenia), M.S. LETONJA (705 Slovenia), A.C. VUJKOVAC (705 Slovenia), J.N. STARCEVIC (705 Slovenia), K. GAZDIKOVA (703 Slovakia), M. CAPRNDA (703 Slovakia), L. GASPAR (703 Slovakia), Peter KRUŽLIAK (703 Slovakia, guarantor, belonging to the institution) and D. PETROVIOC (705 Slovenia).
Edition VASA-EUROPEAN JOURNAL OF VASCULAR MEDICINE, BERN, VERLAG HANS HUBER HOGREFE AG, 2017, 0301-1526.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher Switzerland
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.210
RIV identification code RIV/00216224:14110/17:00098634
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1024/0301-1526/a000614
UT WoS 000400880500006
Keywords in English Carotid atherosclerosis; inflammation; high sensitive C-reactive protein; prospective study
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 20/3/2018 16:47.
Abstract
Background: This prospective study was designed to evaluate the effect of inflammatory markers on the presence and progression of subclinical markers of carotid atherosclerosis in a 3.8-year follow-up period in patients with type 2 diabetes mellitus (T2DM). Patients and methods: A total of 595 subjects with T2DM were enrolled. Subclinical markers of carotid atherosclerosis (carotid intima media thickness (CIMT), plaque thickness, and plaques presence) were assessed with ultrasound at the time of recruitment and again after 3.8 years. Subjects, with T2DM were divided into 2 groups according to the plasma high sensitive C-reactive protein (hs-CRP) levels (subjects with hs-CRP >= 2 mg/L and subjects with hs-CRP below 2 mg/L). Results: Subjects with T2DM and hs-CRP levels a 2 mg/L had higher CIMT in comparison with subjects with T2DM and hs-CRP levels below 2 mg/L, and higher incidence of plaques/unstable plaques in comparison with subjects with T2DM and hs-CRP levels below 2 mg/L. Multivariate logistic regression analysis found the association between the HDL cholesterol level and presence of plaques, whereas the inflammatory marker hs-CRP was not associated with subclinical markers of progression of carotid atherosclerosis. Multiple linear regression analysis found the association between the hs-CRP levels and either CIMT, progression rate or a change in the number of sites with plaques in a 3.8-year follow-up. Conclusions: We demonstrated an association between the inflammatory marker hs-CRP and either CIMT or incidence of plaques/unstable plaques at the time of recruitment in Caucasians with T2DM. Moreover, we found the association between hs-CRP levels and either CIMT progression rate or a change in the number of sites with plaques in a 3.8-year follow-up in subjects with T2DM.
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