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[Hyperuricemia and atherosclerosis]
1Institute of Medical Science, St. Marianna University School of Medicine.
Insights
This study found that hyperuricemia alone may not directly cause atherosclerotic disease. Complications like hypertension and high triglycerides, not high uric acid levels, were linked to cardiovascular issues in gout patients.
Area of Science:
- Nephrology
- Cardiology
- Metabolic Diseases
Abstract:
To clearly determine whether hyperuricemia participates directly in atherosclerotic disease or not, the prognosis and associated factors were studied, based on data from 104 patients whose serum uric acid had been completely maintained at normal levels with prolonged medication. The mean age at death was 65.8 +/- 10.5 years. The causes of death were as follows: cardiovascular disease (26.9%), cerebral disease (26.2%), malignant neoplasms (26.0%), uremia (7.6%), and miscellaneous disease (18.3%). Serum lipids especially triglycerides, body weight and influenced on the prognosis of the patients FBS. Most common complications were in the cardiovascular disease group; hypertension and hyperlipidemia. These data suggested that the apparent increased incidence of cardiovascular disease in gout rather than renal failure bore a relationship to such complications as hypertension or hypertriglycemia. Hyperuricemia alone may not be an atherosclerotic risk factors. There was no correlation between treatment with allopurinol and probenecid and cardiovascular complications.