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Ultrasonic Assessment of Myocardial Microstructure
Published on: January 14, 2014
Uric acid and high sensitive C-reactive protein are associated with subclinical thoracic aortic atherosclerosis
Mustafa Gür1, Durmuş Yıldıray Sahin, Zafer Elbasan
1Adana Numune Education and Research Hospital, Department of Cardiology, Adana, Turkey. drmugur@yahoo.com
Insights
Serum uric acid (UA) and high-sensitivity C-reactive protein (hsCRP) are linked to subclinical thoracic atherosclerosis. This study found a positive association between UA levels and the severity of aortic intima-media thickness, indicating a potential role in cardiovascular disease progression.
Area of Science:
- Cardiovascular Medicine
- Biochemistry
- Medical Imaging
Background:
- Transesophageal echocardiography (TEE) detects atherosclerotic lesions in the aorta, indicating widespread disease.
- Hyperuricemia is a known cardiovascular disease risk factor, but its link to thoracic aortic atherosclerosis is unstudied.
Purpose of the Study:
- To investigate the association between serum uric acid (UA) levels and subclinical thoracic aortic atherosclerosis.
Main Methods:
- 181 patients underwent TEE to assess thoracic aortic intima-media thickness (IMT) graded 1-4.
- Serum UA and other biochemical markers were measured.
Main Results:
- Higher UA levels correlated with increased IMT grades (p<0.001).
- Multiple regression analysis revealed UA, age, total cholesterol, LDL cholesterol, and hsCRP were independently associated with IMT.
Conclusions:
- Serum UA and hsCRP levels show an independent, positive association with subclinical thoracic atherosclerosis.
Background And Purpose:
The detection of atherosclerotic lesions in the aorta by transesophageal echocardiography (TEE) is a marker of diffuse atherosclerotic disease. Hyperuricemia is a well-recognized risk factor for cardiovascular diseases. However, no data are available concerning the relationship between serum uric acid (UA) and subclinical thoracic aortic atherosclerosis. We aimed to investigate the association between thoracic aortic atherosclerosis and serum UA level.
Methods:
We studied 181 patients (mean age 46.3 ± 8 years) who underwent TEE for various indications. Four different grades were determined according to intima-media thickness (IMT) of thoracic aorta. UA and other biochemical markers were measured with an automated chemistry analyzer.
Results:
TEE evaluation characterized thoracic aortic intimal morphology as Grade 1 in 69 patients, Grade 2 in 52 patients, Grade 3 in 31 patients, and Grade 4 in 29 patients. The highest UA level was observed in patients with Grade 4 IMT when compared with Grade 1 and 2 IMT groups (p<0.001 and p=0.014, respectively). UA levels in patients with Grade 3 and Grade 2 IMT were also higher than patients with Grade 1 IMT group (p<0.001, for all). In multiple linear regression analysis, IMT was independently associated with UA level (β=0.350, p<0.001), age (β=0.219, p=0.001), total cholesterol (β=-0.212, p=0.031), low-density lipoprotein cholesterol (β=0.350, p=0.001), and high sensitivity C-reactive protein (hsCRP) levels (β=0.148, p=0.014).
Conclusion:
Uric acid and hsCRP levels are independently and positively associated with subclinical thoracic atherosclerosis.
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