2013
DOI: 10.1093/ehjci/jet158
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Insulin resistance is associated with coronary plaque vulnerability: insight from optical coherence tomography analysis

Abstract: This study suggests that insulin resistance might be associated with coronary plaque vulnerability.

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Cited by 67 publications
(55 citation statements)
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“…In addition, we also identified the optimal cut-off of TyG index for predicting MACE. We found the AUC of the optimal cut-off value 9.456 is poor, suggesting that it is As a reliable maker of severity of IR, the proatherogenic property may partly account for the association [35,36]. In the present study, TyG index levels were positively associated with BMI, HbA1c and uric acid, and were negatively associated with HDL-C and eGFR, suggesting that the observed association between TyG index and poor prognosis may be explained by the presence of cardiovascular risk factors.…”
Section: Baseline Characteristics Of Patientsmentioning
confidence: 88%
See 1 more Smart Citation
“…In addition, we also identified the optimal cut-off of TyG index for predicting MACE. We found the AUC of the optimal cut-off value 9.456 is poor, suggesting that it is As a reliable maker of severity of IR, the proatherogenic property may partly account for the association [35,36]. In the present study, TyG index levels were positively associated with BMI, HbA1c and uric acid, and were negatively associated with HDL-C and eGFR, suggesting that the observed association between TyG index and poor prognosis may be explained by the presence of cardiovascular risk factors.…”
Section: Baseline Characteristics Of Patientsmentioning
confidence: 88%
“…Atherosclerotic CVD is the most cause of death in patients with diabetes. independent association between TyG index and CAD or obstructive CAD in 996 established diabetic patients after adjusting for traditional cardiovascular risk factors [35]. The differences in subject selection, event definition or research methods may contribute to the disparity of these results.…”
Section: Baseline Characteristics Of Patientsmentioning
confidence: 99%
“…Regarding development of insulin resistance, miscellaneous environmental factors, such as a Western-style diet and a sedentary lifestyle, increase insulin resistance, where glucotoxicity and lipotoxicity as well as chronic inflammation are deeply involved [22]. When insulin resistance progresses gradually, these factors play central roles in the coronary endothelial dysfunction, leading to coronary spasm and thrombus formation, both of which can induce ACS attack [23]. It is of clinically importance, an additional physical and mental stresses and high anxiety can become the final straw, inducing an attack.…”
Section: Discussionmentioning
confidence: 99%
“…Так, при проведении ангиографического исследования коронарных сосудов с использованием современного и информативного метода внутрикоронарного ультразвука (IVUS) исследователи обнаружили тесную взаимосвязь между гиперинсулинемией и увеличением содержания липидов в атеросклеротической бляшке [7,8]. В недавнем исследовании Iguchi et al был применен метод оптической когерентной томографии, позволяющий детально охарактеризовать структуру атеросклеротической бляшки: было показано, что инсулинорезистентность тесно взаимосвязана с большей склонностью атеросклеротической бляшки к тромбообразованию, что проявлялось меньшей толщиной фиброзной оболочки, большим содержанием липидов в бляшке у группы обследованных лиц с наибольшей выраженностью инсулинорезистентности [9]. В проспективных наблюдениях больных, перенесших острый коронарный синдром, обнаружено, что инсулинорезистентность была сопряжена со значительно худшим прогнозом [10], а также с развитием повторных острых коронарных синдромов [11].…”
Section: рис 1 содержание инсулина в плазме крови натощак и через 2unclassified