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Atherogenic index of plasma is an independent predictor of mitral annular calcification
Sezen Baglan Uzunget1, Kader Eliz Sahin2
1Department of Cardiology, Sincan State Hospital Ankara, Ankara, Turkey. sezenbaglan@hotmail.com.
Insights
Atherogenic Index of Plasma (AIP) is linked to mitral annular calcification (MAC). Higher AIP independently predicts the presence of MAC, suggesting a potential new marker for cardiac health.
Area of Science:
- Cardiology
- Biochemistry
- Medical Diagnostics
Background:
- Atherogenic indices are linked to various cardiac conditions.
- Conventional risk factors are associated with mitral annular calcification (MAC).
- Data on atherogenic indices and MAC are limited.
Purpose of the Study:
- To investigate the relationship between MAC and atherogenic indices.
- To determine if atherogenic indices can predict MAC.
Main Methods:
- 741 patients (427 with MAC, 314 without) were studied.
- MAC diagnosed via transthoracic echocardiography.
- Atherogenic coefficient (AC), Castelli risk indices (CRI-1, CRI-2), and Atherogenic Index of Plasma (AIP) calculated from lipid profiles.
Main Results:
- No significant differences in sex, age, diabetes, or hypertension between groups.
- Serum triglyceride, AIP, Hs-CRP, smoking, and BMI were independently associated with MAC (p < 0.001).
Conclusions:
- Higher AIP is related to the presence of MAC.
- AIP independently predicts MAC.
- Further studies on modifying these indices are warranted.
Background:
In the latest reports, atherogenic indices have been related to acute coronary syndromes, stable coronary artery disease, heart failure and future cardiac events. Conventional atherosclerosis risk factors have been associated with mitral annular calcification (MAC), but data on the relationship between atherogenic indices and MAC are lacking. We aimed to investigate a possible relationship between MAC and atherogenic indices.
Methods:
In total 741 patients (n = 427 with MAC and n = 314 without MAC) who were examined in our cardiology clinic from February 2016 to October 2021 were recruited in the study. Mitral annular calcification was diagnosed by transthoracic 2-dimensional echocardiography. The atherogenic coefficient (AC), Castelli risk index 1 (CRI-1), Castelli risk index 2 (CRI-2) and atherogenic index of plasma (AIP) were calculated by utilizing standard lipid test values.
Results:
There was no statistically significant difference in sex, age, diabetes and hypertension status between the patient and the control groups. Serum triglyceride level, AIP, Hs-CRP, smoking and BMI were independently significantly associated with MAC in multiple regression analysis (p < 0.001).
Conclusion:
Higher AIP was related to the existence of MAC and also predict the presence of MAC independently. Studies evaluating the modification of these indices are needed.
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