[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

Revista Medica De Chile
|January 31, 2012
PubMed

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.
Abstract

Related Concept Videos

Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
Atherosclerosis I: Introduction01:30

Atherosclerosis I: Introduction

Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
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...