Evidence map›Paper›PMID 27891375›Full record

ArticleJournal of clinical and diagnostic research : JCDR2016

Flow Mediated Dilatation, Carotid Intima Media Thickness, Ankle Brachial Pressure Index and Pulse Pressure in Young Male Post Myocardial Infarction Patients in India.

Nikhil Gupta, Subhash Giri, Vinita Rathi, Gajender Singh Ranga

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Article in Journal of clinical and diagnostic research : JCDR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Nikhil GuptaSenior Resident, Department of Rheumatology, CMC , Vellore, Tamilnadu, India .
Subhash GiriProfessor, Department of Medicine, University College of Medical Sciences , Dilshad Garden, Delhi, India .
Vinita RathiProfessor, Department of Radio-Diagnosis, University College of Medical Sciences , Dilshad Garden, Delhi, India .
Gajender Singh RangaProfessor, Department of Medicine, University College of Medical Sciences , Dilshad Garden, Delhi, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDue to increase in Coronary Artery Disease (CAD) at a younger age, we should try to diagnose atherosclerotic process and population at risk, at the earliest. Flow Mediated Dilatation (FMD), Carotid Intima-Media Thickness (CIMT) and Ankle-Brachial Pressure Index (ABI) are probable markers for early atherosclerosis and may be useful in coronary risk stratification.

aimTo compare and correlate the FMD, CIMT, ABI and Pulse Pressure (PP) in young male patients of Myocardial Infarction (MI) with age and sex matched healthy controls. MATERIALS AND

methodsEighty male patients of MI aged ≤45 years, who presented to the Cardiac Care Unit and Department of Medicine of Guru Teg Bahadur Hospital, Delhi, India, from November 2010 to April 2012 were recruited consecutively for this case control study and same number of age and sex matched healthy controls were also analyzed. Six weeks after MI, FMD of the brachial artery, intima media thickness of carotid artery, ABPI and PP were measured in the cases and compared with healthy controls.

resultsThe FMD was lower among young patients of MI than controls (p<0.001). CIMT was higher among cases than controls (p=0.001). ABI was lower among cases than controls (p<0.001). Compared to controls, PP was higher among cases (p=0.001). In all subjects, a negative correlation between FMD and CIMT (r=-0.220, p=0.005) and a positive correlation between FMD and ABPI (r=0.304, p<0.001) was found. A statistically significant negative correlation was found between endothelial dependent FMD and PP among cases and control groups (r=-0.209, p=0.007).

conclusionBiophysical parameters were deranged in young post MI patients. Majority of our young male patients fell in low risk Framingham risk score but still they manifested with CAD. Despite six weeks of treatment among young male patients of MI, various biophysical parameters were still deranged.

Indexed as

Biophysical parametersControls endothelial dysfunctionCoronary artery diseaseGlyceryl trinitrateYoung myocardial infarction

Identifiers

PMID27891375
PMCPMC5121713

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