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February 15, 2017Journal of Hypertension

Increased high-risk coronary plaque burden is associated with arterial stiffness in patients with type 2 diabetes without clinical signs of coronary artery disease

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Key result

Asymptomatic patients with type 2 diabetes had larger calcified coronary plaque volumes than healthy controls (11 vs. 3 μl; P=0.03), and baseline arterial stiffness correlated with plaque volumes.

Why the study?

Is baseline arterial stiffness associated with coronary plaque volumes at 5-year follow-up in asymptomatic patients with type 2 diabetes compared to healthy controls?

Population

106 asymptomatic participants, mean age 63 ± 10 years at follow-up.

Design

Cohort

Follow-up

5 years

Authors

KFKristian Løkke FunckSteno Diabetes CentersELEsben LaugesenSteno Diabetes CentersKØKristian Altern ØvrehusCardiac Imaging

Discussion

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Implication

May support PWV for plaque risk stratification in diabetes; hypothesis-generating and requires prospective validation.

Study Design

Type

Observational (n=106)

Structured PICO

Is baseline arterial stiffness associated with coronary plaque volumes at 5-year follow-up in asymptomatic patients with type 2 diabetes compared to healthy controls?

P
Population
106 asymptomatic patients with type 2 diabetes and matched healthy controls, followed for 5 years to assess coronary atherosclerosis and arterial stiffness.
C
Comparator
Matched healthy controls
O
Outcome
Coronary plaque volumes (total, calcified, noncalcified, low-density noncalcified) and characteristics assessed by coronary computed tomography angiography at 5-year follow-up, and their association with baseline arterial stiffness (PWV)surrogate

Main Result

Absolute Event Rate: 11% vs 3%

p-value: p=0.03

In asymptomatic patients with type 2 diabetes, baseline arterial stiffness is independently associated with higher volumes of high-risk low-density noncalcified coronary plaques at 5-year follow-up.

Cite This Study

Funck et al. (2017) conducted an observational in Type 2 diabetes without clinical signs of coronary artery disease (n=106). Type 2 diabetes vs. Healthy controls was evaluated on Calcified plaque volumes (μl) (p=0.03). Asymptomatic patients with type 2 diabetes had larger calcified coronary plaque volumes than healthy controls (11 vs. 3 μl; P=0.03), and baseline arterial stiffness correlated with plaque volumes.

synapsesocial.com/papers/6a3ff8661bee466fb4fd0c2ehttps://doi.org/10.1097/hjh.0000000000001308

Topics

Coronary artery diseaseCoronary CT angiography
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