[Associations of glycated albumin level with coronary artery disease]

Ya-ping Hao1, Xiao-jing Ma, Mi Zhou

  • 1Department of Endocrinology & Metabolism, Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai Clinical Center for Diabetes, Shanghai Diabetes Institute, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai 200233, China.

Zhonghua Yi Xue Za Zhi
|November 20, 2012
PubMed

Insights

Elevated glycated albumin (GA) levels are significantly higher in patients with coronary artery disease (CAD). This finding indicates that GA is an independent risk factor for CAD, even in individuals with normal glucose tolerance.

Area of Science:

  • Cardiology
  • Endocrinology
  • Biochemistry

Background:

  • Coronary artery disease (CAD) is a leading cause of mortality worldwide.
  • Glycemic control is crucial in managing cardiovascular health.
  • Glycated albumin (GA) is a marker of short-term glycemic control.

Purpose of the Study:

  • To investigate the association between serum glycated albumin (GA) levels and the presence of coronary artery disease (CAD).
  • To determine if GA is an independent risk factor for CAD.

Main Methods:

  • A cohort of 306 patients undergoing coronary angiography (CA) was analyzed.
  • Patients were categorized based on the presence or absence of CAD.
  • Logistic regression analysis was employed to assess independent correlations.

Main Results:

  • Coronary artery disease (CAD) was diagnosed in 74.2% of the study population.
  • Patients with CAD exhibited significantly higher levels of 2-hour postprandial glucose, GA, and hemoglobin A1c compared to non-CAD patients.
  • Elevated GA levels were independently associated with CAD in both normal glucose tolerance (NGR) and hyperglycemia subgroups.

Conclusions:

  • Serum GA levels are significantly elevated in patients with CAD.
  • Glycated albumin (GA) serves as an independent risk factor for coronary artery disease (CAD) across different glucose tolerance statuses.
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 III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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...
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Diabetic Nephropathy01:28

Diabetic Nephropathy

Definition Diabetic nephropathy is a chronic kidney complication that results from prolonged hyperglycemia.Prevalence It is the most common cause of chronic kidney disease (CKD) and end-stage renal disease (ESRD) worldwide, affecting up to half of individuals with diabetes.Pathophysiology • Sustained hyperglycemia triggers multiple hemodynamic and metabolic changes in the kidney. • Early in the disease, increased renal blood flow and glomerular hyperfiltration occur due to afferent arteriolar...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...