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April 29, 2008Diabetes CareOpen Access

Low Adiponectin Levels Are Associated With Atherogenic Dyslipidemia and Lipid-Rich Plaque in Nondiabetic Coronary Arteries

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Key result

Low adiponectin levels were significantly associated with increased normalized plaque volume (r = -0.16, P = 0.025) and atheroma lipid content (r = -0.19, P = 0.009) in nondiabetic patients.

Why the study?

Are adiponectin levels associated with adverse plaque composition in patients undergoing coronary angiography?

Population

185 patients undergoing coronary angiography and intravascular ultrasound (IVUS)

Design

Cross-sectional

Authors

SMSteven P. MarsoInterventional CardiologySMSameer K. MehtaTata Main HospitalAFAndrew D. FrutkinEisenhower Medical Center

Discussion

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Implication

May flag higher-risk plaques on angiography in nondiabetics; leaves open causal and prognostic implications.

Study Design

Type

Observational (n=185)

Structured PICO

Are adiponectin levels associated with adverse plaque composition in patients undergoing coronary angiography?

P
Population
185 patients undergoing coronary angiography and intravascular ultrasound (IVUS).
E
Exposure
Adiponectin levels (measured from fasting blood samples)
O
Outcome
Plaque composition (fibrous, fibrofatty, necrotic core, or dense calcium) and classification (adaptive or pathological intimal thickening, fibroatheroma, fibrocalcific, or thin cap fibroatheroma) assessed by IVUSsurrogate

Main Result

Effect estimate: r = -0.16

p-value: p=0.025

Low adiponectin levels are associated with increased lipid-rich plaque and pathological intimal thickening in nondiabetic patients, suggesting an antiatherogenic role in early lesion development.

Cite This Study

Marso et al. (2008) conducted an observational in Coronary artery disease (n=185). Adiponectin levels was evaluated on Normalized plaque volume and atheroma lipid content (r = -0.16, p=0.025). Low adiponectin levels were significantly associated with increased normalized plaque volume (r = -0.16, P = 0.025) and atheroma lipid content (r = -0.19, P = 0.009) in nondiabetic patients.

synapsesocial.com/papers/6a882fda2053543484aa7a24https://doi.org/10.2337/dc07-2024

Topics

Lipid management
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Also Consider

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