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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Servadei, Francesca Anemona, Lucia Cardellini, Marina Scimeca, Manuel Montanaro, Manuela Rovella, Valentina Di Daniele, Francesca Giacobbi, Erica Legramante, Iacopo Maria Noce, Annalisa Bonfiglio, Rita Borboni, Patrizia Di Daniele, Nicola Ippoliti, Arnaldo Federici, Massimo Mauriello, Alessandro |
| Abstract | Background Metabolic syndrome certainly favors growth of carotid plaque; however, it is uncertain if it determines plaque destabilization. Furthermore, it is likely that only some components of metabolic syndrome are associated with increased risk of plaque destabilization. Therefore, we evaluated the effect of different elements of metabolic syndrome, individually and in association, on carotid plaques destabilization. Methods A total of 186 carotid endarterectomies from symptomatic and asymptomatic patients were histologically analysed and correlated with major cardiovascular risk factors. Results Metabolic syndrome, regardless of the cluster of its components, is not associated with a significant increase in risk of plaque destabilization, rather with the presence of stable plaques. The incidence of unstable plaques in patients with metabolic syndrome is quite low (43.9 %), when compared with that seen in the presence of some risk factors, but significantly increases in the subgroup of female patients with hypertriglyceridemia, showing an odds ratio of 3.01 (95% CI, 0.25–36.30). Conclusions Our data may help to identify patients with real increased risk of acute cerebrovascular diseases thus supporting the hypothesis that the control of hypertriglyceridemia should be a key point on prevention of carotid atherosclerotic plaque destabilization, especially in post-menopausal female patients. |
| Related Links | https://cardiab.biomedcentral.com/counter/pdf/10.1186/s12933-021-01277-8.pdf |
| Ending Page | 10 |
| Page Count | 10 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14752840 |
| DOI | 10.1186/s12933-021-01277-8 |
| Journal | Cardiovascular Diabetology |
| Issue Number | 1 |
| Volume Number | 20 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2021-05-06 |
| Access Restriction | Open |
| Subject Keyword | Diabetes Angiology Cardiology Metabolic syndrome Carotid Histology Hypertriglyceridemia Post‐menopause |
| Content Type | Text |
| Resource Type | Article |
| Subject | Cardiology and Cardiovascular Medicine Internal Medicine Endocrinology, Diabetes and Metabolism |
| Journal Impact Factor | 8.5/2023 |
| 5-Year Journal Impact Factor | 8.9/2023 |
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