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PCSK9 inhibitors tug of war: Compliance, adverse events and LDL-cholesterol target PCSK9抑制剂的拔河:依从性、不良事件和ldl -胆固醇目标。
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-03-01 DOI: 10.1016/j.arteri.2025.500771
Francesco Sbrana, Beatrice Dal Pino
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引用次数: 0
Extracellular vesicles in atherosclerosis: Current and forthcoming impact. 动脉粥样硬化中的细胞外囊泡:当前和未来的影响?
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-03-01 DOI: 10.1016/j.arteri.2024.03.006
José A. Páramo , Ana Cenarro , Fernando Civeira , Carmen Roncal
Atherosclerosis is the main pathogenic substrate for cardiovascular diseases (CVDs). Initially categorized as a passive cholesterol storage disease, nowadays, it is considered an active process, identifying inflammation among the key players for its initiation and progression. Despite these advances, patients with CVDs are still at high risk of thrombotic events and death, urging to deepen into the molecular mechanisms underlying atherogenesis, and to identify novel diagnosis and prognosis biomarkers for their stratification. In this context, extracellular vesicles (EVs) have been postulated as an alternative in search of novel biomarkers in atherosclerotic diseases, as well as to investigate the crosstalk between the cells participating in the processes leading to arterial remodelling. EVs are nanosized lipidic particles released by most cell types in physiological and pathological conditions, that enclose lipids, proteins, and nucleic acids from parental cells reflecting their activation status. First considered cellular waste disposal systems, at present, EVs have been recognized as active effectors in a myriad of cellular processes, and as potential diagnosis and prognosis biomarkers also in CVDs. This review summarizes the role of EVs as potential biomarkers of CVDs, and their involvement into the processes leading to atherosclerosis.
动脉粥样硬化是心血管疾病(CVDs)的主要致病因素。动脉粥样硬化最初被认为是一种被动的胆固醇贮存疾病,如今则被认为是一种主动过程,炎症是动脉粥样硬化发生和发展的关键因素。尽管取得了这些进展,但心血管疾病患者仍然面临着血栓事件和死亡的高风险,这就需要深入研究动脉粥样硬化发生的分子机制,并确定新的诊断和预后生物标志物,以便对其进行分层。在这种情况下,细胞外囊泡(EVs)被认为是寻找动脉粥样硬化疾病新型生物标志物的一种替代方法,也是研究参与动脉重塑过程的细胞之间相互影响的一种方法。EVs是大多数细胞类型在生理和病理条件下释放的纳米级脂质颗粒,其中包含来自亲代细胞的脂质、蛋白质和核酸,反映了细胞的活化状态。EVs 最初被认为是细胞废物处理系统,目前已被认为是无数细胞过程中的活跃效应物,也是心血管疾病潜在的诊断和预后生物标志物。这篇综述总结了 EVs 作为心血管疾病潜在生物标志物的作用,以及它们参与导致动脉粥样硬化的过程。
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引用次数: 0
Riesgo poligénico y aterosclerosis subclínica en individuos asintomáticos de mediana edad. Estudio ILERVAS 无症状中年人的多基因风险与亚临床动脉粥样硬化。ILERVAS研究。
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-03-01 DOI: 10.1016/j.arteri.2024.11.004
Emilio Ortega , Amanda Jiménez , Sheila López-Ruiz , Eva Castro-Boqué , José Manuel Valdivielso , Marcelino Bermúdez-López , Gemma Chiva-Blanch

Introduction and objectives

More than 50% of first cardiovascular events (CVE) occur in populations identified as at low or intermediate risk by the risk equations, so the inclusion of additional variables, such as polygenic risk scores (PRS), has been proposed to improve the predictive capacity of these equations. The aim of this study was to assess whether a PRS, independently or with clinical risk equations, is associated with the presence, severity and extent of subclinical atherosclerosis.

Methods

109 subjects with atherosclerosis were selected from the ILERVAS cohort (primary prevention) and matched with 109 participants without atherosclerosis of the same age, sex and SCORE2 risk level. Atherosclerosis was assessed and quantified by arterial wall vascular ultrasound in 12 territories, and PRS was estimated using the Cardio inCode Score®. The predictive capacity of the presence of subclinical atherosclerosis was estimated, as well as the association between the extent and severity of atherosclerosis with PRS and clinical risk (SCORE2).

Results

PRS was similar between participants with or without atherosclerosis (P = 0.525). We did not find an association between PRS and SCORE2 (r = -0.29, P = 0.709), and the addition of PRS to SCORE2 did not improve the prediction of atherosclerosis [AUC (95% CI) = 0.566 (0.477, 0.654), P = 0.148]. The extent of atherosclerosis was related to SCORE2 (P = 0.009), but not to PRS (P = 0.709).

Conclusions

The Selected PRS is not associated with the presence of atherosclerosis or clinical risk, suggesting that its additional contribution to CVE risk would be mediated by mechanisms independent of the development of atherosclerosis. Additional biomarkers are needed to improve the prediction of subclinical atherosclerosis without using imaging tests as a first step in personalized assessment.
简介和目标:超过50%的首次心血管事件(CVE)发生在风险方程确定为低或中等风险的人群中,因此已经提出纳入额外的变量,如多基因风险评分(PRS),以提高这些方程的预测能力。本研究的目的是评估PRS是否与亚临床动脉粥样硬化的存在、严重程度和程度相关,无论是独立的还是与临床风险方程相关。方法:从ILERVAS队列(一级预防)中选择109名动脉粥样硬化患者,与109名年龄、性别和SCORE2风险水平相同的无动脉粥样硬化患者配对。通过动脉壁血管超声对12个地区的动脉粥样硬化进行评估和量化,并使用Cardio inCode Score®评估PRS。评估亚临床动脉粥样硬化存在的预测能力,以及动脉粥样硬化的程度和严重程度与PRS和临床风险之间的关系(SCORE2)。结果:有无动脉粥样硬化的受试者的PRS相似(P=0.525)。我们没有发现PRS和SCORE2之间存在关联(r=-0.29, P=0.709),并且将PRS加入SCORE2并不能改善动脉粥样硬化的预测[AUC (95% CI)=0.566 (0.477, 0.654), P=0.148]。动脉粥样硬化程度与SCORE2相关(P=0.009),与PRS无关(P=0.709)。结论:选定的PRS与动脉粥样硬化或临床风险无关,表明其对CVE风险的额外贡献可能是由独立于动脉粥样硬化发展的机制介导的。需要额外的生物标志物来改善亚临床动脉粥样硬化的预测,而不是将影像学检查作为个性化评估的第一步。
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引用次数: 0
Los niveles plasmáticos elevados de TNF-R1 predicen el desarrollo de eventos isquémicos agudos en pacientes coronarios con diabetes 血浆 TNF-R1 水平升高可预测冠心病糖尿病患者急性缺血事件的发生。
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-03-01 DOI: 10.1016/j.arteri.2024.08.004
Sebastián Mas-Fontao , Nieves Tarín , Carmen Cristóbal , Manuel Soto-Catalán , Ana Pello , Alvaro Aceña , Jairo Lumpuy-Castillo , Carmen Garces , Carmen Gomez-Guerrero , Carlos Gutiérrez-Landaluce , Luis M. Blanco-Colio , José Luis Martín-Ventura , Ana Huelmos , Joaquín Alonso , Lorenzo López Bescós , Juan A. Moreno , Ignacio Mahíllo-Fernández , Óscar Lorenzo , María Luisa González-Casaus , Jesús Egido , José Tuñón

Objectives

To examine the relationship between inflammatory biomarkers and the occurrence of cardiovascular events in patients with type 2 diabetes mellitus (DM2) and stable coronary artery disease.

Methods

A total of 964 patients with stable coronary artery disease were included. Plasma levels of inflammatory markers, including tumour necrosis factor receptors 1 and 2 (TNF-R1 and TNF-R2), growth differentiation factor-15 (GDF-15), soluble suppression of tumorigenicity 2 (sST2), and high-sensitivity C-reactive protein (hsCRP) were measured. The primary endpoint was the development of acute ischaemic events (any type of acute coronary syndrome, stroke, or transient ischaemic attack).

Results

There were 232 diabetic patients and 732 non-diabetic patients. Patients with coronary artery disease and DM2 (232, 24%) had higher levels of TNF-R1, TNF-R2, GDF-15, sST2 (P<.001), and hsCRP compared to patients without DM2, indicating a higher inflammatory state. After a median follow-up of 5.39 (2.81-6.92) years, patients with DM2 more frequently developed the primary endpoint (15.9% vs 10.8%; P=.035). Plasma levels of TNF-R1 were independent predictors of the primary endpoint in patients with DM2, along with male gender, triglyceride levels, and the absence of treatment with angiotensin-converting enzyme inhibitors. None of these inflammatory markers predicted the development of this event in non-diabetic patients.

Conclusions

Patients with stable coronary artery disease and DM2 exhibit elevated levels of the proinflammatory markers TNF-R1, TNF-R2, GDF-15, and sST2. Moreover, TNF-R1 is an independent predictor of acute ischaemic events only in diabetic patients.
研究目的研究2型糖尿病(DM2)和稳定型冠状动脉疾病患者的炎症生物标志物与心血管事件发生之间的关系:方法:共纳入 964 名冠状动脉疾病稳定期患者。测量了血浆中的炎症标志物水平,包括肿瘤坏死因子受体1和2(TNF-R1和TNF-R2)、生长分化因子-15(GDF-15)、可溶性抑制肿瘤生成素2(sST2)和高敏C反应蛋白(hsCRP)。主要终点是急性缺血性事件(任何类型的急性冠状动脉综合征、中风或短暂性缺血性发作)的发生率:共有 232 名糖尿病患者和 732 名非糖尿病患者。冠状动脉疾病和 DM2 患者(232 人,24%)的 TNF-R1、TNF-R2、GDF-15 和 sST2 水平较高:稳定型冠状动脉疾病和 DM2 患者的促炎标志物 TNF-R1、TNF-R2、GDF-15 和 sST2 水平升高。此外,只有糖尿病患者的 TNF-R1 才是急性缺血性事件的独立预测因子。
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引用次数: 0
Hábitos nutricionales en los pacientes con enfermedad arterial periférica: adherencia a la dieta mediterránea 外周动脉疾病患者的营养习惯:坚持地中海饮食。
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-03-01 DOI: 10.1016/j.arteri.2024.06.002
Elena Vilalta Doñate , Francisca García Fernández , Salvador Martínez Meléndez , Consuelo Castillo Castillo , Pablo Salas Medina , Isabel Almodóvar Fernández

Introduction

Adherence to the Mediterranean diet (Dietmed) exerts protective effects on cardiovascular disease (CVD). In the Lower Extremity Peripheral Arterial Disease (PAD) there are fewer studies that analyze these data.

Objective

To determine adherence to Dietmed and dietary habits in patients with PAD, according to a history of CVD (coronary and/or cerebral ischaemic pathology) and according to the ankle-brachial index (ABI ≥ or <0,5).

Material and methods

Cross-sectional analytical study carried out in a tertiary hospital. The sample was collected consecutively. Sociodemographic and clinical history, ankle-brachial index (ABI) and a 14-point Dietmed adherence dietary questionnaire were included. The analysis of categorical variables was carried out using the Pearson's Chi-Square test, the T-Student's statistic test for independent samples was used for parametric variables and the U. Mann-Whitney test for non-parametric variables.

Results

Of the 97 patients, 87,6% had low adherence to Dietmed, with no differences according to the severity of PAD. However, when we analysed the data according to whether or not they had a history of CVD, we observed a high adherence to some items included in Dietmed, specifically, in the CVD group, the consumption of lean meat (95,5% vs 64%; P=.004). In addition, we observed a significant difference in the consumption in the group without a history of CVD (32% vs 9,1%; P=.033).

Conclusion

In our population, patients with PAD, regardless of the stage of the disease and whether they had associated coronary or cerebral ischaemic pathology, had low adherence to Dietmed. Therefore, it is important to implement nutritional education programmes in patients with PAD in all stages, as well as in those patients who have already suffered a vascular event, so that they maintain adherence to healthy dietary habits in the long term.
导言:坚持地中海饮食(Dietmed)对心血管疾病(CVD)具有保护作用。在下肢外周动脉疾病(PAD)方面,对这些数据进行分析的研究较少:根据心血管疾病病史(冠心病和/或脑缺血病)和踝肱指数(ABI ≥ 或 材料和方法:在一家三级医院进行的横断面分析研究。样本连续采集。研究纳入了社会人口学和临床病史、踝肱指数(ABI)和 14 点 Dietmed 饮食依从性问卷。对分类变量的分析采用皮尔逊秩方检验,对参数变量采用独立样本 T-Student 统计检验,对非参数变量采用 U. Mann-Whitney 检验:在 97 名患者中,87.6% 的患者对饮食治疗的依从性较低,与 PAD 的严重程度无关。然而,当我们根据患者是否有心血管疾病病史对数据进行分析时,我们发现他们对饮食医学中某些项目的依从性较高,特别是在心血管疾病组中,瘦肉的摄入量较高(95.5% 对 64%;P=.004)。此外,我们还观察到无心血管疾病史组的食用量有显著差异(32% vs 9.1%;P=.033):结论:在我们的研究人群中,PAD 患者无论处于哪个阶段,也无论是否伴有冠状动脉或脑缺血病变,对饮食治疗的依从性都很低。因此,对各阶段的 PAD 患者以及已发生血管事件的患者实施营养教育计划非常重要,这样他们才能长期坚持健康的饮食习惯。
{"title":"Hábitos nutricionales en los pacientes con enfermedad arterial periférica: adherencia a la dieta mediterránea","authors":"Elena Vilalta Doñate ,&nbsp;Francisca García Fernández ,&nbsp;Salvador Martínez Meléndez ,&nbsp;Consuelo Castillo Castillo ,&nbsp;Pablo Salas Medina ,&nbsp;Isabel Almodóvar Fernández","doi":"10.1016/j.arteri.2024.06.002","DOIUrl":"10.1016/j.arteri.2024.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Adherence to the Mediterranean diet (Dietmed) exerts protective effects on cardiovascular disease (CVD). In the Lower Extremity Peripheral Arterial Disease (PAD) there are fewer studies that analyze these data.</div></div><div><h3>Objective</h3><div>To determine adherence to Dietmed and dietary habits in patients with PAD, according to a history of CVD (coronary and/or cerebral ischaemic pathology) and according to the ankle-brachial index (ABI ≥ or &lt;0,5).</div></div><div><h3>Material and methods</h3><div>Cross-sectional analytical study carried out in a tertiary hospital. The sample was collected consecutively. Sociodemographic and clinical history, ankle-brachial index (ABI) and a 14-point Dietmed adherence dietary questionnaire were included. The analysis of categorical variables was carried out using the Pearson's Chi-Square test, the T-Student's statistic test for independent samples was used for parametric variables and the U. Mann-Whitney test for non-parametric variables.</div></div><div><h3>Results</h3><div>Of the 97 patients, 87,6% had low adherence to Dietmed, with no differences according to the severity of PAD. However, when we analysed the data according to whether or not they had a history of CVD, we observed a high adherence to some items included in Dietmed, specifically, in the CVD group, the consumption of lean meat (95,5% vs 64%; <em>P</em>=.004). In addition, we observed a significant difference in the consumption in the group without a history of CVD (32% vs 9,1%; <em>P</em>=.033).</div></div><div><h3>Conclusion</h3><div>In our population, patients with PAD, regardless of the stage of the disease and whether they had associated coronary or cerebral ischaemic pathology, had low adherence to Dietmed. Therefore, it is important to implement nutritional education programmes in patients with PAD in all stages, as well as in those patients who have already suffered a vascular event, so that they maintain adherence to healthy dietary habits in the long term.</div></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"37 2","pages":"Article 100726"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluación del efecto sobre la trombogenicidad de modificaciones de la superficie en stents de nitinol en un modelo in vitro 在体外模型中评估镍钛诺支架表面改性对血栓形成的影响。
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 DOI: 10.1016/j.arteri.2024.10.002
Javier Rodríguez Lega, Ángel González Pinto
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引用次数: 0
Levels of sCD163 in women rheumatoid arthritis: Relationship with cardiovascular risk markers 女性类风湿性关节炎患者的 sCD163 水平:与心血管风险指标的关系。
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 DOI: 10.1016/j.arteri.2024.04.002
Oscar Zaragoza-García , Olivia Briceño , José Rafael Villafan-Bernal , Ilse Adriana Gutiérrez-Pérez , Héctor Ugo Rojas-Delgado , Gustavo Adolfo Alonso-Silverio , Antonio Alarcón-Paredes , José Eduardo Navarro-Zarza , Cristina Morales-Martínez , Rubén Rodríguez-García , Iris Paola Guzmán-Guzmán

Aim

The soluble scavenger receptor differentiation antigen 163 (sCD163), a monocyte/macrophage activation marker, is related to cardiovascular mortality in the general population. This study aimed to evaluate their relationship between serum levels of sCD163 with cardiovascular risk indicators in rheumatoid arthritis (RA).

Methods

A cross-sectional study was performed on 80 women diagnosed with RA. The cardiovascular risks were determined using the lipid profile, metabolic syndrome, and QRISK3 calculator. For the assessment of RA activity, we evaluated the DAS28 with erythrocyte sedimentation rate (DAS28-ESR). The serum levels of sCD163 were determined by the ELISA method. Logistic regression models and receiver operating characteristics (ROC) curve were used to assess the association and predictive value of sCD163 with cardiovascular risk in RA patients.

Results

Levels of sCD163 were significantly higher in RA patients with high sensitivity protein C-reactive to HDL-c ratio (CHR)  0.121 (p = 0.003), total cholesterol/HDL-c ratio > 7% (p = 0.004), LDL-c/HDL-c ratio > 3% (p = 0.035), atherogenic index of plasma > 0.21 (p = 0.004), cardiometabolic index (CMI)  1.70 (p = 0.005), and high DAS28-ESR (p = 0.004). In multivariate analysis, levels of sCD163  1107.3 ng/mL were associated with CHR  0.121 (OR = 3.43, p = 0.020), CMI  1.70 (OR = 4.25, p = 0.005), total cholesterol/HDL-c ratio > 7% (OR = 6.63, p = 0.044), as well as with DAS28-ESR > 3.2 (OR = 8.10, p = 0.008). Moreover, levels of sCD163 predicted CHR  0.121 (AUC = 0.701), cholesterol total/HDL ratio > 7% (AUC = 0.764), and DAS28-ESR > 3.2 (AUC = 0.720).

Conclusion

Serum levels of sCD163 could be considered a surrogate of cardiovascular risk and clinical activity in RA.
目的:可溶性清道夫受体分化抗原163(sCD163)是一种单核细胞/巨噬细胞活化标志物,与普通人群的心血管死亡率有关。本研究旨在评估类风湿关节炎(RA)患者血清中 sCD163 水平与心血管风险指标之间的关系:方法:对 80 名确诊为 RA 的女性进行了横断面研究。方法:我们对 80 名确诊为 RA 的女性进行了横断面研究,并使用血脂概况、代谢综合征和 QRISK3 计算器确定了心血管风险。为了评估 RA 的活动性,我们评估了 DAS28 和红细胞沉降率(DAS28-ESR)。血清中 sCD163 的水平采用 ELISA 方法测定。我们使用逻辑回归模型和接收器操作特征曲线(ROC)评估了sCD163与RA患者心血管风险的相关性和预测价值:结果:高敏感蛋白 C 反应与高密度脂蛋白胆固醇比值(CHR)≥0.121(P=0.003)、总胆固醇/高密度脂蛋白胆固醇比值>7%(P=0.004)、LDL-c/HDL-c 比值>3%(p=0.035)、血浆致动脉粥样硬化指数>0.21(p=0.004)、心脏代谢指数(CMI)≥1.70(p=0.005)、DAS28-ESR 偏高(p=0.004)。在多变量分析中,sCD163水平≥1107.3ng/mL与CHR≥0.121(OR=3.43,p=0.020)、CMI≥1.70(OR=4.25,p=0.005)、总胆固醇/HDL-c比值>7%(OR=6.63,p=0.044)以及DAS28-ESR>3.2(OR=8.10,p=0.008)相关。此外,sCD163水平可预测CHR≥0.121(AUC=0.701)、胆固醇总/高密度脂蛋白比率>7%(AUC=0.764)和DAS28-ESR>3.2(AUC=0.720):结论:血清sCD163水平可被视为RA心血管风险和临床活动的替代指标。
{"title":"Levels of sCD163 in women rheumatoid arthritis: Relationship with cardiovascular risk markers","authors":"Oscar Zaragoza-García ,&nbsp;Olivia Briceño ,&nbsp;José Rafael Villafan-Bernal ,&nbsp;Ilse Adriana Gutiérrez-Pérez ,&nbsp;Héctor Ugo Rojas-Delgado ,&nbsp;Gustavo Adolfo Alonso-Silverio ,&nbsp;Antonio Alarcón-Paredes ,&nbsp;José Eduardo Navarro-Zarza ,&nbsp;Cristina Morales-Martínez ,&nbsp;Rubén Rodríguez-García ,&nbsp;Iris Paola Guzmán-Guzmán","doi":"10.1016/j.arteri.2024.04.002","DOIUrl":"10.1016/j.arteri.2024.04.002","url":null,"abstract":"<div><h3>Aim</h3><div>The soluble scavenger receptor differentiation antigen 163 (sCD163), a monocyte/macrophage activation marker, is related to cardiovascular mortality in the general population. This study aimed to evaluate their relationship between serum levels of sCD163 with cardiovascular risk indicators in rheumatoid arthritis (RA).</div></div><div><h3>Methods</h3><div>A cross-sectional study was performed on 80 women diagnosed with RA. The cardiovascular risks were determined using the lipid profile, metabolic syndrome, and QRISK3 calculator. For the assessment of RA activity, we evaluated the DAS28 with erythrocyte sedimentation rate (DAS28-ESR). The serum levels of sCD163<span> were determined by the ELISA<span> method. Logistic regression models and receiver operating characteristics (ROC) curve were used to assess the association and predictive value of sCD163 with cardiovascular risk in RA patients.</span></span></div></div><div><h3>Results</h3><div>Levels of sCD163 were significantly higher in RA patients with high sensitivity protein C-reactive to HDL-c ratio (CHR)<!--> <!-->≥<!--> <!-->0.121 (<em>p</em> <!-->=<!--> <!-->0.003), total cholesterol/HDL-c ratio<!--> <!-->&gt;<!--> <!-->7% (<em>p</em> <!-->=<!--> <!-->0.004), LDL-c/HDL-c ratio<!--> <!-->&gt;<!--> <!-->3% (<em>p</em> <!-->=<!--> <!-->0.035), atherogenic index of plasma<!--> <!-->&gt;<!--> <!-->0.21 (<em>p</em> <!-->=<!--> <!-->0.004), cardiometabolic index (CMI)<!--> <!-->≥<!--> <!-->1.70 (<em>p</em> <!-->=<!--> <!-->0.005), and high DAS28-ESR (<em>p</em> <!-->=<!--> <!-->0.004). In multivariate analysis, levels of sCD163<!--> <!-->≥<!--> <!-->1107.3<!--> <!-->ng/mL were associated with CHR<!--> <!-->≥<!--> <!-->0.121 (OR<!--> <!-->=<!--> <!-->3.43, <em>p</em> <!-->=<!--> <!-->0.020), CMI<!--> <!-->≥<!--> <!-->1.70 (OR<!--> <!-->=<!--> <!-->4.25, <em>p</em> <!-->=<!--> <!-->0.005), total cholesterol/HDL-c ratio<!--> <!-->&gt;<!--> <!-->7% (OR<!--> <!-->=<!--> <!-->6.63, <em>p</em> <!-->=<!--> <!-->0.044), as well as with DAS28-ESR<!--> <!-->&gt;<!--> <!-->3.2 (OR<!--> <!-->=<!--> <!-->8.10, <em>p</em> <!-->=<!--> <!-->0.008). Moreover, levels of sCD163 predicted CHR<!--> <!-->≥<!--> <!-->0.121 (AUC<!--> <!-->=<!--> <!-->0.701), cholesterol total/HDL ratio<!--> <!-->&gt;<!--> <!-->7% (AUC<!--> <!-->=<!--> <!-->0.764), and DAS28-ESR<!--> <!-->&gt;<!--> <!-->3.2 (AUC<!--> <!-->=<!--> <!-->0.720).</div></div><div><h3>Conclusion</h3><div>Serum levels of sCD163 could be considered a surrogate of cardiovascular risk and clinical activity in RA.</div></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"37 1","pages":"Article 100721"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of baseline clinical characteristics among people with type 2 diabetes on second-line therapy previously added with dapagliflozin or another oral glucose-lowering drug: AGORA study 比较曾接受达帕格列净或其他口服降糖药物二线治疗的 2 型糖尿病患者的基线临床特征:AGORA 研究。
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 DOI: 10.1016/j.arteri.2024.05.001
Vicente Pallarés-Carratalá , Antonio Ruiz-García , Adalberto Serrano-Cumplido , Antonio Segura Fragoso , Verónica Fernández-Pascual , Beatriz Sánchez-Sánchez , María Inmaculada Cervera-Pérez , Francisco Javier Alonso-Moreno , Ezequiel Arranz-Martínez , Alfonso Barquilla-García , Daniel Rey-Aldana , José Polo García , Sergio Cinza-Sanjurjo , on behalf of the Investigators of the AGORA study, of the Spanish Society of Primary Care Physicians SEMERGEN Foundation

Introduction

Type 2 diabetes mellitus (T2D) has acquired epidemic proportions worldwide. In recent years, new oral glucose-lowering drugs (OGLD) have emerged that improve the cardiovascular–kidney–metabolic control in T2D people.

Objectives

To compare the baseline clinical–biological characteristics among T2D people to whom had added-on dapagliflozin (DAPA group) or another OGLD (SOC group) second-line hypoglycaemic therapies among the AGORA study population.

Methods

This is a multicentre cross-sectional observational study of the baseline characteristics of T2D people recruited through competitive sampling among 46 primary care health centres in Spain for the AGORA study. The inclusion and exclusion criteria of participants, and justification of the sample size are reported. After verifying the data necessary to be evaluated and informed consent, 317 subjects were included to the DAPA group and 288 to the SOC group. Both categorical and continuous variables were analysed and compared with the usual statistics. Cohen's d was used to assess the standardised difference in means.

Results

Six hundred and five patients with T2D were assessed (mean age 63.5 [SD ± 8.1] years, 61.8% men), whom 17.4% were smokers, 47.6% had obesity, 74.8% hypertension, 87.3% dyslipidaemia, and 41.7% reported physical inactivity, with no significant differences between both comparison groups. The mean (SD) evolution time of T2D was 10.1 (5.6) years. Most baseline clinical–biological characteristics at recruitment were similar in both groups. However, DAPA group was younger (2.9 years), and had lower systolic blood pressure (SBP) (2.8 mmHg), higher body weight (BW) (3.7 kg), and higher glycated haemoglobin A1c (HbA1c) (0.3%) than SOC group. Only 11.5% of participants had poor glycaemic control (HbA1c > 8%) at recruitment, 54.9% had good glycaemic control (HbA1c < 7%), being significantly lower in the DAPA group (47.3%) than in the SOC group (63.4%). The percentage of T2D patients with high vascular risk (VR) was 46.3%, and 53.7% with very high VR, being significantly higher in the DAPA group (57.4%) than in the SOC group (49.6%).

Conclusions

Most baseline cardiovascular–kidney–metabolic characteristics were similar in T2D patients whom had added dapagliflozin on second-line hypoglycaemic therapy as those whom had added-on another OGLD. However, patients whom had added-on dapagliflozin had higher VR, lower SBP, higher BW, and slightly worse HbA1c control. Future research is necessary to explain the causes of these differences in cardiometabolic control.
引言2 型糖尿病(T2D)已成为全球流行病。近年来,新的口服降糖药(OGLD)不断涌现,改善了T2D患者的心血管-肾脏-代谢控制:比较 AGORA 研究人群中接受达帕格列净(DAPA 组)或其他 OGLD(SOC 组)二线降糖治疗的 T2D 患者的基线临床生物学特征:这是一项多中心横断面观察性研究,通过竞争性抽样在西班牙的 46 个初级保健中心招募 T2D 患者参与 AGORA 研究。报告中介绍了纳入和排除参与者的标准,以及样本量的合理性。在核实评估所需数据和知情同意后,317 名受试者被纳入 DAPA 组,288 名受试者被纳入 SOC 组。对分类变量和连续变量进行了分析,并与常规统计方法进行了比较。科恩氏d用于评估平均值的标准化差异:共评估了 65 名 T2D 患者(平均年龄 63.5 [SD±8.1] 岁,61.8% 为男性),其中 17.4% 为吸烟者,47.6% 为肥胖者,74.8% 为高血压患者,87.3% 为血脂异常患者,41.7% 为缺乏运动者。T2D的平均(标清)演变时间为10.1(5.6)年。两组在招募时的大多数基线临床生物特征相似。然而,与 SOC 组相比,DAPA 组更年轻(2.9 岁),收缩压(SBP)更低(2.8mmHg),体重(BW)更高(3.7kg),糖化血红蛋白 A1c(HbA1c)更高(0.3%)。只有 11.5% 的参与者在招募时血糖控制不佳(HbA1c>8%),54.9% 的参与者血糖控制良好(HbA1cConclusions):在二线降糖治疗中添加达帕格列净的T2D患者与添加其他OGLD的患者的大多数心血管-肾脏-代谢特征相似。然而,加用达帕格列净的患者VR较高、SBP较低、体重较高,HbA1c控制稍差。未来的研究有必要解释这些心脏代谢控制差异的原因。
{"title":"Comparison of baseline clinical characteristics among people with type 2 diabetes on second-line therapy previously added with dapagliflozin or another oral glucose-lowering drug: AGORA study","authors":"Vicente Pallarés-Carratalá ,&nbsp;Antonio Ruiz-García ,&nbsp;Adalberto Serrano-Cumplido ,&nbsp;Antonio Segura Fragoso ,&nbsp;Verónica Fernández-Pascual ,&nbsp;Beatriz Sánchez-Sánchez ,&nbsp;María Inmaculada Cervera-Pérez ,&nbsp;Francisco Javier Alonso-Moreno ,&nbsp;Ezequiel Arranz-Martínez ,&nbsp;Alfonso Barquilla-García ,&nbsp;Daniel Rey-Aldana ,&nbsp;José Polo García ,&nbsp;Sergio Cinza-Sanjurjo ,&nbsp;on behalf of the Investigators of the AGORA study, of the Spanish Society of Primary Care Physicians SEMERGEN Foundation","doi":"10.1016/j.arteri.2024.05.001","DOIUrl":"10.1016/j.arteri.2024.05.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Type 2 diabetes mellitus (T2D) has acquired epidemic proportions worldwide. In recent years, new oral glucose-lowering drugs (OGLD) have emerged that improve the cardiovascular–kidney–metabolic control in T2D people.</div></div><div><h3>Objectives</h3><div>To compare the baseline clinical–biological characteristics among T2D people to whom had added-on dapagliflozin (DAPA group) or another OGLD (SOC group) second-line hypoglycaemic therapies among the AGORA study population.</div></div><div><h3>Methods</h3><div>This is a multicentre cross-sectional observational study of the baseline characteristics of T2D people recruited through competitive sampling among 46 primary care health centres in Spain for the AGORA study. The inclusion and exclusion criteria of participants, and justification of the sample size are reported. After verifying the data necessary to be evaluated and informed consent, 317 subjects were included to the DAPA group and 288 to the SOC group. Both categorical and continuous variables were analysed and compared with the usual statistics. Cohen's <em>d</em> was used to assess the standardised difference in means.</div></div><div><h3>Results</h3><div>Six hundred and five patients with T2D were assessed (mean age 63.5 [SD<!--> <!-->±<!--> <!-->8.1] years, 61.8% men), whom 17.4% were smokers, 47.6% had obesity, 74.8% hypertension, 87.3% dyslipidaemia, and 41.7% reported physical inactivity, with no significant differences between both comparison groups. The mean (SD) evolution time of T2D was 10.1 (5.6) years. Most baseline clinical–biological characteristics at recruitment were similar in both groups. However, DAPA group was younger (2.9 years), and had lower systolic blood pressure (SBP) (2.8<!--> <!-->mmHg), higher body weight (BW) (3.7<!--> <!-->kg), and higher glycated haemoglobin A<sub>1c</sub> (HbA<sub>1c</sub>) (0.3%) than SOC group. Only 11.5% of participants had poor glycaemic control (HbA<sub>1c</sub> <!-->&gt;<!--> <!-->8%) at recruitment, 54.9% had good glycaemic control (HbA<sub>1c</sub> <!-->&lt;<!--> <!-->7%), being significantly lower in the DAPA group (47.3%) than in the SOC group (63.4%). The percentage of T2D patients with high vascular risk (VR) was 46.3%, and 53.7% with very high VR, being significantly higher in the DAPA group (57.4%) than in the SOC group (49.6%).</div></div><div><h3>Conclusions</h3><div>Most baseline cardiovascular–kidney–metabolic characteristics were similar in T2D patients whom had added dapagliflozin on second-line hypoglycaemic therapy as those whom had added-on another OGLD. However, patients whom had added-on dapagliflozin had higher VR, lower SBP, higher BW, and slightly worse HbA<sub>1c</sub> control. Future research is necessary to explain the causes of these differences in cardiometabolic control.</div></div>","PeriodicalId":45230,"journal":{"name":"Clinica e Investigacion en Arteriosclerosis","volume":"37 1","pages":"Article 100724"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Las recomendaciones nutricionales: una fácil y difícil tarea para el médico 营养建议:对医生来说是一项既容易又困难的任务。
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 DOI: 10.1016/j.arteri.2025.500764
Francisco Pérez-Jiménez
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引用次数: 0
When “old” lipid lowering therapies not should be discontinued 当 "老 "降脂疗法不适用时,应停止使用。
IF 1.9 Q3 PERIPHERAL VASCULAR DISEASE Pub Date : 2025-01-01 DOI: 10.1016/j.arteri.2024.08.002
Francesco Sbrana, Beatrice Dal Pino
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引用次数: 0
期刊
Clinica e Investigacion en Arteriosclerosis
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