Ferhat Özyurtlu, Özgül Yıldız, Erkan Ayhan, Turgay Işık, Halit Acet, Zihni Bilik, Uğur Kemal Tezcan

Stabil anjina pektorisli hastalarda Gensini skoru, adiponektin ve glikoz düzeyleri arasındaki ilişki

Amaç: Adiponektin, insülin duyarlılığını düzenleyen ve adipositden sekrete edilen bir proteindir ve dolaşımdaki seviyesinin azalması insülin direnci ile ilişkilidir. Biz, stabil anjina pektorisli hastalarda serum adiponektin ve kan glikoz seviyeleri ile koroner arter hastalığı şiddeti arasındaki ilişkiyi değerlendirmeyi amaçladık. Gereç ve yöntem: Bu çalışmaya stabil anjina pektorisli 160 hasta (82 erkek) dahil edildi. Hastalar başvuru esnasındaki kan glikoz seviyerine göre 3 gruba ayrıldı; 24 hasta normal kan glikoz grubu,53 hasta bozulmuş glikoz tolerans grubu ve 53 hasta diabetes mellitus (DM) grubu. Koroner lezyonların şiddeti Gensini skoru kullanarak değerlendirildi. Tüm gruplarda serum adiponektin seviyeleri de ölçüldü. Bulgular: Hipertansiyon, hiperlipidemi, obesite ve insülin direnci DM grupta anlamlı olarak daha yüksekdi. DM'li hastalarda serum adiponektin seviyeleri anlamlı olarak daha düşük saptandı (13.55±7.16, p=0.002). Ortalama Gensini skoru DM grupta 40.84 ±37.25 olarak saptandı (p=0.006). Sonuç: Stabil anjina pektorisi olan hastalarda serum adiponektin düzeyleri koroner arter hastalığı yaygınlığı için bir ipucu olabilir.

Anahtar Kelimeler:

Adiponektin, diabetes mellitus, koroner anjiografi, insulin direnci, stabil anjina pektoris

Relationship among Gensini score and levels of glucose and adiponectin in patients with stable angina pectoris

Objectives: Adiponectin is an adipocyte-secreted protein that modulates insulin sensitivity and whose low circulating concentration is associated with insulin resistance. We evaluated the association between serum adiponectin and blood glucose levels with coronary artery disease severity on the angiogram in patients with stable angina pectoris. Materials and methods: The study included 160 patients (82 males) with stable angina pectoris. The patients were divided into three groups according to the blood glucose levels on admission; thus, 24 had normal glucose group, 53 had impaired glucose tolerance group, and 53 had diabetes mellitus (DM) group. The severity of coronary lesions was assessed using the Gensini score. Serum adiponectin levels were measured in the all group. Results: The hypertension, hyperlipidemia, obesity, and insulin resistance were significantly higher in the DM group. Patients with DM significantly lower serum levels of adiponectin (13.55±7.16, p=0.002). The mean Gensini score was 40.84± 37.25 in the DM group (p=0.006). Conclusion: Serum adiponectin levels may be a clue for severity coronary artery disease in patients with stable angina pectoris. J Clin Exp Invest 2012; 3(2): 229-234

Keywords:

Adiponectin, diabetes mellitus, coronary angiography, insulin resistance, stable angina pectoris,

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Journal of Clinical and Experimental Investigations-Cover

Başlangıç: 2010
Yayıncı: Sağlık Araştırmaları Derneği

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