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Evaluation of pro-atherogenic lipid profile and high atherohenic indexes in patients with Behçet's disease: A
Onur Acar1, Gulhan Aksoy Sarac2, Didem Dinçer Rota2
1Ağrı Provincial Health Directorate, Republic of Turkey, Ministry of Health, Ağrı, Turkey.
Insights
Patients with Behçet's disease exhibit a pro-atherogenic lipid profile, characterized by higher triglycerides and LDL-C, and lower HDL-C. This indicates an elevated cardiovascular disease risk due to atherosclerosis.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Clinical Biochemistry
Background:
- Behçet's disease is a chronic systemic autoimmune and autoinflammatory condition.
- Patients with Behçet's disease face a significant risk of comorbidities, particularly cardiovascular diseases.
- Genetic and environmental factors contribute to the pathogenesis of Behçet's disease.
Purpose of the Study:
- To investigate the relationship between serum lipid parameters and atherogenic indexes in Behçet's disease patients.
- To evaluate the cardiovascular risk status in individuals with Behçet's disease.
- To identify key lipid markers associated with atherosclerosis risk in Behçet's disease.
Main Methods:
- A single-center, retrospective case-control study design.
- Inclusion of 212 patients over 18 years of age, divided into 106 cases (Behçet's disease) and 106 controls.
- Analysis of serum lipid parameters and atherogenic indexes.
Main Results:
- Significant differences in lipid profiles were observed between Behçet's disease patients and controls.
- Patients with Behçet's disease showed higher serum triglyceride, total cholesterol, LDL-C, and non-HDL-C levels.
- Elevated levels of Atherogenic Index of Plasma (AIP), Castelli Risk Index I (CRI-I), Castelli Risk Index II (CRI-II), and Atherogenic Coefficient (AC) were found in Behçet's disease patients.
- Lower high-density lipoprotein cholesterol (HDL-C) levels were noted in patients with Behçet's disease.
Conclusions:
- Behçet's disease patients present with a pro-atherogenic lipid profile and elevated atherogenic indexes.
- These findings suggest a high risk for developing atherosclerosis and associated cardiovascular diseases in patients with Behçet's disease.
- Monitoring lipid parameters and atherogenic indexes is crucial for cardiovascular risk assessment in Behçet's disease management.
Background:
Behçet's disease is a systemic auto-immune and auto-inflammatory chronic disease in which genetic and environmental factors play a role. Patients with Behçet's are at significant risk for developing many comorbidities, including cardiovascular diseases.
Aims:
It was aimed to investigate the relationship between serum lipid parameters and atherogenic indexes to evaluate the cardiovascular risk status in patients with Behçet's disease.
Patients/Methods:
This study was designed as a single-center, retrospective case-control study. The study was conducted with 212 patients over 18 years of age, 106 in the case group and 106 in the control group.
Results:
There was a significant difference in lipid values between the patients with Behçet's disease and the control group. While the serum triglyceride, total cholesterol, low-density lipoprotein cholesterol (LDL-C), and non-high-density lipoprotein cholesterol (NHC) levels were significantly higher, the high-density lipoprotein cholesterol (HDL-C) level was low in patients with Behçet's disease. From atherogenic indexes, Atherogenic Index of Plasma (AIP) (0.03 ± 0.27 vs. -0.07 ± 0.23, p = 0.003), Castelli Risk Index I (CRI-I) (4.24 ± 1.07 vs. 3.02 ± 0.96, p < 0.001), Castelli Risk Index II (CRI-II) (2.65 ± 0.81 vs. 1.84 ± 0.59, p < 0.001) and Atherogenic Coefficient (AC) (3.24 ± 1.07 vs. 2.02 ± 0.96, p < 0.001) levels were significantly higher in patients with Behçet's disease.
Conclusion:
Our study shows that patients with Behçet's have a higher pro-atherogenic lipid profile and atherogenic indexes at high risk. Patients with Behçet's have an increased risk of cardiovascular diseases associated with atherosclerosis.
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