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首页> 外文期刊>Korean Circulation Journal >Insulin Sensitivity is Associated with the Presence and Extent of Coronary Artery Disease
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Insulin Sensitivity is Associated with the Presence and Extent of Coronary Artery Disease

机译:胰岛素敏感性与冠状动脉疾病的存在和程度有关

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Background and Objectives Insulin resistance has been suggested to be an important risk factor in the development of arteriosclerosis. The correlation between insulin sensitivity and the degree of coronary atherosclerosis in patients with angina pectoris was investigated. Subjects and Methods The study population consisted of 74 subjects with angina (54 men, 20 women), aged from 31 to 73 years. Coronary angiograms were evaluated by 3 semiquantitative scoring systems (vessel score, stenosis score and extent score) to estimate the extent of focal and diffuse coronary artery disease (CAD). Insulin sensitivity (K ITT) was determined by an insulin tolerance test. Results There were significant correlations between K ITT and all 3 coronary scores. Multivariate analysis revealed significant and independent correlations between all 3 coronary scores and K ITT, even in patients without diabetes mellitus. Both HDL cholesterol level and K ITT were significantly lower in patients with CAD than in those without. Conclusion Decreased insulin sensitivity was significantly associated with the presence and extent of CAD. These results suggest the potential benefits of insulin-sensitizing treatment strategies for patients with decreased insulin sensitivity.
机译:背景与目的胰岛素抵抗被认为是动脉硬化发展的重要危险因素。研究了心绞痛患者胰岛素敏感性与冠状动脉粥样硬化程度的相关性。受试者和方法研究人群包括74名患有心绞痛的受试者(54名男性,20名女性),年龄从31岁至73岁。通过3个半定量评分系统(血管评分,狭窄评分和程度评分)评估冠状动脉造影照片,以评估局灶性和弥漫性冠状动脉疾病(CAD)的程度。胰岛素敏感性(K ITT)通过胰岛素耐受性测试确定。结果K ITT与所有3个冠状动脉评分之间均存在显着相关性。多变量分析显示,即使在没有糖尿病的患者中,所有3个冠状动脉评分与K ITT之间也存在显着且独立的相关性。有CAD的患者的HDL胆固醇水平和K ITT均显着低于无CAD的患者。结论胰岛素敏感性降低与CAD的存在和程度密切相关。这些结果表明,胰岛素敏感性治疗策略对胰岛素敏感性降低的患者具有潜在的益处。

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