頁籤選單縮合
題 名 | Rheumatoid Factor is a Strong Risk Factor for Coronary Artery Disease in Men with Metabolic Syndrome |
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作 者 | Chang, Mu-hsin; Ma, Tsochiang; Liou, Yi-sheug; Tien, Liyun; Wu, En Hsuan; Lai, Chao-hung; Jong, Gwo-ping; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 26:2 2010.06[民99.06] |
頁 次 | 頁89-93 |
分類號 | 415.3162 |
關鍵詞 | Coronary artery disease; Man; Metabolic syndrome; Rheumatoid factor; |
語 文 | 英文(English) |
英文摘要 | Background: Recent studies have indicated an association between the autoantibody rheumatoid factor (RF), a circulating marker of in f1ammation, and coronary artery disease (CAD). However, the relation between the level of circulating RF and CAD in patients with metabolic syndrome (MS) has not been well documented. Methods: We prospectively studied a total of 219 consecutive patients who underwent coronary angiography during the period February 2007 to December 2009. These patients were divided into three groups. The control group comprised 38 patients with no significant CAD (coronary artery stenosis<50%, all segments of three vessels). The MS group consisted of 57 patients with no significant CAD. The MS/CAD group comprised 124 patients with significant CAD. Plasma RF was measured before coronary angiography. Results: The mean RF levels were 5.21IU/mL in the control group, 6.75IU/mL in the MS group, and 9.28IU/mL in the MS/CAD group. 1n the MS and MS/CAD groups, multiple logistic regression analysis using binary analysis for males and females variables showed that elevated plasma RF level (≥6.0IU/mL) was a significant predictor of significant CAD (OR=3.13, 95% CI1.12-8.77, p<0.05) in men. The RF level was not associated with the presence of significant CAD in women. Conclusion: Elevated plasma RF is an independent risk factor for CAD in men with MS. This finding implies an important relationship between in f1ammation and atherosclerosis and suggests that autoimmune processes may be involved in the development of CAD in men with MS. |
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