1. Risk factors and utility of maximum carotid intima–media thickness as a surrogate marker for coronary artery stenosis
- Author
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Hirai K, Imamura S, Hirai A, Misumi K, Ookawara S, and Morishita Y
- Subjects
coronary artery stenosis ,diabetes mellitus ,maximum intima–media thickness ,renal impairment ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Keiji Hirai,1 Shigeki Imamura,2 Aizan Hirai,2 Kazuo Misumi,3 Susumu Ookawara,1 Yoshiyuki Morishita1 1Division of Nephrology, First Department of Integrated Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan; 2Department of Internal Medicine, Chiba Cerebral and Cardiovascular Center, Chiba, Japan; 3Division of Cardiology, Heart Institute, Chiba-Nishi General Hospital, Chiba, Japan Background: This study investigated the factors associated with coronary artery stenosis in outpatients. Furthermore, the usefulness of maximum carotid intima–media thickness (maximum-IMT) as a surrogate marker of coronary artery stenosis was evaluated. Methods: We conducted a single-center retrospective study. A total of 601 outpatients (338 males; 263 females; mean age, 69.8±10.0 years) who underwent coronary computed tomography angiography between April 2006 and March 2012 were analyzed. The associations between coronary artery stenosis (≥75%) as determined by coronary computed tomography angiography and clinical and laboratory parameters were evaluated by multivariate logistic regression. Validation of maximum-IMT as measured by ultrasonography as a surrogate marker of coronary artery stenosis was analyzed by receiver operating characteristic (ROC) curve analysis. Results: The estimated glomerular filtration rate (eGFR: mL/min/1.73 m2) (odds ratio [OR] 0.985, p
- Published
- 2018