Relationship Between Carotid Intima-Media Thickness and Silent Cerebral Infarction in Japanese Subjects With Type 2 Diabetes

被引:60
作者
Nomura, Kazuhiro [1 ]
Hamamoto, Yoshiyuki [2 ]
Takahara, Shiho [2 ]
Kikuchi, Osamu [1 ]
Honjo, Sachiko [1 ]
Ikeda, Hiroki [1 ]
Wada, Yoshiharu [1 ]
Nabe, Koichro [1 ]
Okumra, Ryosuke [3 ]
Koshiyama, Hiroyuki [1 ]
机构
[1] Kitano Hosp, Tazuke Kofukai Med Res Inst, Ctr Diabet & Endocrinol, Osaka, Japan
[2] Kyoto Univ, Dept Diabet & Clin Nutr, Grad Sch Med, Kyoto, Japan
[3] Kitano Hosp, Tazuke Kofukai Med Res Inst, Dept Radiol, Osaka, Japan
关键词
ARTERIAL-WALL THICKNESS; PULSE-WAVE VELOCITY; BASAL GANGLIA; RISK-FACTORS; STROKE; LESIONS;
D O I
10.2337/dc09-0453
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
OBJECTIVE - We examined the relationship between intima-media thickness of common carotid artery (CCA-IMT) and silent cerebral infarction (SCI) with the magnetic resonance imaging (MRI) study in Japanese subjects with type 2 diabetes. RESEARCH DESIGN AND METHODS - The brain MRI study and the carotid ultrasonography were performed in a total of 217 consecutive Japanese subjects with type 2 diabetes. Various risk factors for SCI were examined using multiple logistic analyses. RESULTS - The SCI was found in 60.4% of the diabetic subjects. in the diabetic subjects, age, Systolic blood pressure (SBP), pulse wave velocity, and CCA-IMT were significantly higher in the subjects With SCI than in those without it. Multiple logistic analyses indicated that age, SBP, and CCA-IMT were significant and independent risk factors of SCI in the diabetic subjects. CONCLUSIONS - CCA-IMT, but not pulse wave velocity, was independently associated with SCI in Japanese subjects with type 2 diabetes.
引用
收藏
页码:168 / 170
页数:3
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