Evaluation of Clinical Variables Associated with Increased Carotid Intima-Media Thickness in Middle-Aged Hypertensive Women

It has been previously documented that carotid intima-media thickness (cIMT) is a predictor of cardiovascular disease. The aim of this study was to identify clinical parameters associated with an increased cIMT treated hypertensive women. Female patients (n=116) with essential hypertension, aged 40–...

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Main Authors: Michelle Trindade, Renata Brum Martucci, Adriana K. Burlá, Wille Oigman, Mario Fritsch Neves, Denizar Vianna Araújo
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Hypertension
Online Access:http://dx.doi.org/10.1155/2012/257501
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author Michelle Trindade
Renata Brum Martucci
Adriana K. Burlá
Wille Oigman
Mario Fritsch Neves
Denizar Vianna Araújo
author_facet Michelle Trindade
Renata Brum Martucci
Adriana K. Burlá
Wille Oigman
Mario Fritsch Neves
Denizar Vianna Araújo
author_sort Michelle Trindade
collection DOAJ
description It has been previously documented that carotid intima-media thickness (cIMT) is a predictor of cardiovascular disease. The aim of this study was to identify clinical parameters associated with an increased cIMT treated hypertensive women. Female patients (n=116) with essential hypertension, aged 40–65 years, were included in this study. Vascular ultrasound was performed and the patients were divided into two groups according to the values of cIMT (< or ≥0.9 mm). Patients with greater cIMT presented significantly higher systolic blood pressure and pulse pressure. Serum HDL-cholesterol was significantly lower and CRP was significantly higher in the same group. There was a significant correlation between cIMT and age (r=0.25, P=0.007), systolic blood pressure (r=0.19, P=0.009), pulse pressure (r=0.30, P=0.001), and LDL-cholesterol (r=0.19, P=0.043). cIMT was correlated to CRP (r=0.31, P=0.007) and negatively correlated to HDL-cholesterol (r=0.33, P=0.001). In logistic regression, only HDL-cholesterol, CRP, and pulse pressure were shown to be independent variables associated to increased cIMT. In conclusion, pulse pressure, HDL-cholesterol, and CRP are variables correlated with cIMT in treated hypertensive women.
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spelling doaj-art-6522f03bb96e4f2aa286966b333f3df32025-02-03T01:21:45ZengWileyInternational Journal of Hypertension2090-03842090-03922012-01-01201210.1155/2012/257501257501Evaluation of Clinical Variables Associated with Increased Carotid Intima-Media Thickness in Middle-Aged Hypertensive WomenMichelle Trindade0Renata Brum Martucci1Adriana K. Burlá2Wille Oigman3Mario Fritsch Neves4Denizar Vianna Araújo5Department of Clinical Medicine, State University of Rio de Janeiro, Rua Vinte e Oito de Setembro, 77, Sala 329—Vila Isabel, 20551-030—Rio de Janeiro, RJ, BrazilInstitution of Nutrition, State University of Rio de Janeiro, Rua Vinte e Oito de Setembro, 77, Sala 329, Vila Isabel, 20551-030 Rio de Janeiro, RJ, BrazilDepartment of Clinical Medicine, State University of Rio de Janeiro, Rua Vinte e Oito de Setembro, 77, Sala 329—Vila Isabel, 20551-030—Rio de Janeiro, RJ, BrazilDepartment of Clinical Medicine, State University of Rio de Janeiro, Rua Vinte e Oito de Setembro, 77, Sala 329—Vila Isabel, 20551-030—Rio de Janeiro, RJ, BrazilDepartment of Clinical Medicine, State University of Rio de Janeiro, Rua Vinte e Oito de Setembro, 77, Sala 329—Vila Isabel, 20551-030—Rio de Janeiro, RJ, BrazilDepartment of Clinical Medicine, State University of Rio de Janeiro, Rua Vinte e Oito de Setembro, 77, Sala 329—Vila Isabel, 20551-030—Rio de Janeiro, RJ, BrazilIt has been previously documented that carotid intima-media thickness (cIMT) is a predictor of cardiovascular disease. The aim of this study was to identify clinical parameters associated with an increased cIMT treated hypertensive women. Female patients (n=116) with essential hypertension, aged 40–65 years, were included in this study. Vascular ultrasound was performed and the patients were divided into two groups according to the values of cIMT (< or ≥0.9 mm). Patients with greater cIMT presented significantly higher systolic blood pressure and pulse pressure. Serum HDL-cholesterol was significantly lower and CRP was significantly higher in the same group. There was a significant correlation between cIMT and age (r=0.25, P=0.007), systolic blood pressure (r=0.19, P=0.009), pulse pressure (r=0.30, P=0.001), and LDL-cholesterol (r=0.19, P=0.043). cIMT was correlated to CRP (r=0.31, P=0.007) and negatively correlated to HDL-cholesterol (r=0.33, P=0.001). In logistic regression, only HDL-cholesterol, CRP, and pulse pressure were shown to be independent variables associated to increased cIMT. In conclusion, pulse pressure, HDL-cholesterol, and CRP are variables correlated with cIMT in treated hypertensive women.http://dx.doi.org/10.1155/2012/257501
spellingShingle Michelle Trindade
Renata Brum Martucci
Adriana K. Burlá
Wille Oigman
Mario Fritsch Neves
Denizar Vianna Araújo
Evaluation of Clinical Variables Associated with Increased Carotid Intima-Media Thickness in Middle-Aged Hypertensive Women
International Journal of Hypertension
title Evaluation of Clinical Variables Associated with Increased Carotid Intima-Media Thickness in Middle-Aged Hypertensive Women
title_full Evaluation of Clinical Variables Associated with Increased Carotid Intima-Media Thickness in Middle-Aged Hypertensive Women
title_fullStr Evaluation of Clinical Variables Associated with Increased Carotid Intima-Media Thickness in Middle-Aged Hypertensive Women
title_full_unstemmed Evaluation of Clinical Variables Associated with Increased Carotid Intima-Media Thickness in Middle-Aged Hypertensive Women
title_short Evaluation of Clinical Variables Associated with Increased Carotid Intima-Media Thickness in Middle-Aged Hypertensive Women
title_sort evaluation of clinical variables associated with increased carotid intima media thickness in middle aged hypertensive women
url http://dx.doi.org/10.1155/2012/257501
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