[Cardiovascular risk factors among young subjects with high carotid intima media thickness]
Mónica Acevedo1, Verónica Krämer, Rodrigo Tagle
1División de Enfermedades Cardiovasculares, Pontificia Universidad Católica de Chile, Santiago, Chile. macevedo@med.puc.cl
Insights
Young individuals with multiple cardiovascular risk factors face a significantly higher likelihood of developing elevated carotid intima-media thickness (CIMT), a marker of early atherosclerosis.
Area of Science:
- Cardiovascular Medicine
- Preventive Cardiology
- Diagnostic Imaging
Context:
- Cardiovascular risk factor (RF) assessment is crucial for preventing cardiovascular disease.
- Early identification of RFs in youth predicts later-life atherosclerosis.
- High carotid intima-media thickness (CIMT) is an indicator of subclinical atherosclerosis.
Purpose:
- To investigate the cardiovascular risk factor (RF) profile in young individuals exhibiting high carotid intima-media thickness (CIMT).
Summary:
- A study of 689 young adults (mean age 36) in Santiago, Chile, assessed RFs including BMI, waist circumference, blood pressure, lipids, glucose, and C-reactive protein.
- Higher CIMT quartiles correlated with elevated BMI, waist circumference, blood pressure, and serum lipids.
- Individuals with three or more RFs had a threefold increased risk of being in the highest CIMT quartile (OR=3.1, p<0.01).
Impact:
- Findings highlight the detrimental impact of cardiovascular RFs on CIMT in young populations.
- Early RF management in youth may mitigate the progression of atherosclerosis.
- This research underscores the importance of early cardiovascular health screening in young adults.
Background:
Cardiovascular risk factor (RF) assessment is essential to prevent and predict cardiovascular disease. The presence of RF at early ages, are determinant for the presence of atherosclerosis later in life.
Aim:
To determine the RF profile of young subjects with high carotid intima media thickness (CIMT).
Material And Methods:
We studied 689 subjects (50% women, mean age 36±6 years) from Santiago, Chile. We determined body mass index (BMI), waist circumference, blood pressure, fasting serum lipids, blood glucose and C-reactive protein. CIMT was assessed by ultrasound using an automatic border recognition software.
Results:
Body mass index, waist circumference, blood pressure and serum lipids were significantly higher among subjects located in the higher CIMT quartile. Also, subjects in the higher quartile of CIMT had a higher prevalence of three or more RF compared with the lower quartile (p = 0.01). Finally, individuals with three or more RF showed three times more risk of being in the higher CIMT quartile, than subjects with no RF (odds ratio = 3.1, p < 0.01).
Conclusions:
There is a negative influence of cardiovascular RF on CIMT among young subjects.
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Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...

