Serum Uric Acid Is Independently Associated with Coronary Calcification in an Asymptomatic Population

被引:22
作者
Kiss, Loretta Zsuzsa [1 ]
Bagyura, Zsolt [1 ]
Csobay-Novak, Csaba [1 ]
Lux, Arpad [1 ]
Polgar, Livia [1 ]
Jermendy, Adam [1 ]
Soos, Pal [1 ]
Szelid, Zsolt [1 ]
Maurovich-Horvat, Pal [1 ,2 ]
Becker, David [1 ]
Merkely, Bela [1 ]
机构
[1] Semmelweis Univ, Heart & Vasc Ctr, Varosmajor St 68, H-1122 Budapest, Hungary
[2] Semmelweis Univ, MTA SE Cardiovasc Imaging Res Grp, Heart & Vasc Ctr, Varosmajor St 68, H-1122 Budapest, Hungary
关键词
Cardiovascular screening; Hyperuricemia; Coronary artery calcium score; ARTERY CALCIFICATION; HYPERURICEMIA; CALCIUM; RISK; ATHEROSCLEROSIS; PREVALENCE; DISEASE; OBESITY;
D O I
10.1007/s12265-018-9843-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Detecting early-stage atherosclerosis is an important step towards cardiovascular disease prevention. Coronary artery calcium (CAC) score is a sensitive and non-invasive tool for detecting coronary atherosclerosis. Higher serum uric acid (SUA) levels are known to be associated with cardiovascular diseases. However, there is inconsistency regarding the independence of the association. The aim of our study was to assess the association of CAC and SUA in an asymptomatic population. CAC scans of 281 participants were analyzed in a voluntary screening program. A health questionnaire, physical examination, and laboratory tests were also performed. Participants with a history of cardiovascular disease were excluded from the analysis. 36.3% (n=102) of the participants had no detectable CAC and 13.9% (n=39) had a CAC score of >300. SUA showed positive correlation with CAC score (0.175, p<0.01). SUA was independently associated with Ca score >300 (OR 5.17, p=0.01) after the effects of conventional risk factors were eliminated.
引用
收藏
页码:204 / 210
页数:7
相关论文
共 33 条
[21]  
Li-ying Chen, 2007, Journal of Zhejiang University-Science B, V8, P593, DOI 10.1631/jzus.2007.130593
[22]   Regulation of uric acid metabolism and excretion [J].
Maiuolo, Jessica ;
Oppedisano, Francesca ;
Gratteri, Santo ;
Muscoli, Carolina ;
Mollace, Vincenzo .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2016, 213 :8-14
[23]   DISTRIBUTION OF SERUM URIC ACID VALUES IN A POPULATION UNSELECTED AS TO GOUT OR HYPERURICEMIA - TECUMSEH MICHIGAN 1959-1960 [J].
MIKKELSEN, WM ;
DODGE, HJ ;
VALKENBURG, H .
AMERICAN JOURNAL OF MEDICINE, 1965, 39 (02) :242-+
[24]   Association between coronary artery calcification score as assessed by multi-detector row computed tomography and upstroke time of pulse wave [J].
Mitsutake, Ryoko ;
Miura, Shin-ichiro ;
Saku, Keijiro .
INTERNAL MEDICINE, 2007, 46 (22) :1833-1836
[25]   Serum Urate Is Not Associated with Coronary Artery Calcification: The NHLBI Family Heart Study [J].
Neogi, Tuhina ;
Terkeltaub, Robert ;
Ellison, R. Curtis ;
Hunt, Steven ;
Zhang, Yuqing .
JOURNAL OF RHEUMATOLOGY, 2011, 38 (01) :111-117
[26]   Distribution of Coronary Artery Calcium Scores by Framingham 10-Year Risk Strata in the MESA (Multi-Ethnic Study of Atherosclerosis) Potential Implications for Coronary Risk Assessment [J].
Okwuosa, Tochi M. ;
Greenland, Philip ;
Ning, Hongyan ;
Liu, Kiang ;
Bild, Diane E. ;
Burke, Gregory L. ;
Eng, John ;
Lloyd-Jones, Donald M. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (18) :1838-1845
[27]  
Piepoli MF, 2016, ATHEROSCLEROSIS, V252, P207, DOI [10.1016/j.atherosclerosis.2016.05.037, 10.1177/2047487316653709]
[28]   Elevated uric acid and obesity-related cardiovascular disease risk factors among hypertensive youth [J].
Reschke, Lauren D. ;
Miller, Edgar R., III ;
Fadrowski, Jeffrey J. ;
Loeffler, Lauren F. ;
Holmes, Kathryn W. ;
Appel, Lawrence J. ;
Brady, Tammy M. .
PEDIATRIC NEPHROLOGY, 2015, 30 (12) :2169-2176
[29]   Uric acid transport and disease [J].
So, Alexander ;
Thorens, Bernard .
JOURNAL OF CLINICAL INVESTIGATION, 2010, 120 (06) :1791-1799
[30]   SERUM URIC-ACID IN ENGLAND AND SCOTLAND [J].
STURGE, RA ;
SCOTT, JT ;
KENNEDY, AC ;
HART, DP ;
BUCHANAN, WW .
ANNALS OF THE RHEUMATIC DISEASES, 1977, 36 (05) :420-427