P9.06 SERUM URIC ACID LEVELS AND ARTERIAL STIFFNESS AND CARDIAC AND CAROTID ARTERY STRUCTURE IN A GENERAL POPULATION IN NORTHERN ITALY
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Background: The relationship between serum uric acid (UA) levels and CV disease has been described since the late 19th century.The role of UA as an independent risk factor for CV events and its association with TOD is however less clear. Aim of the study was to assess the relationship between UA and TOD in a general population (Vobarno Study).
Methods: 385 subjects (age 56±9yrs, 44%males, 64% hypertensives, 32%treated) underwent laboratory examinations and clinic and 24 hours BP measurement.Left ventricular and carotid artery structure were assessed by ultrasound and carotid-femoral PWV was measured using Complior.
Results: Subjects with increased UA (>6 mg/dl in ♀ and >7 mg/dl in ♂) were older, had greater BMI, higher BP, glucose, cholesterol and triglycerides levels and lower HDL cholesterol and e-GFR.Subjects with increased UA had also increased PWV (11.1±4.1 vs 13.3±3.7m/sec,p<0.0001), and a slight increase in left ventricular mass index (LVMI) (38.7±10.6 vs 43.0±11gr/m2.7, p<0.05) and IMT (Meanmax 1.1±0.28 vs 1.2±0.29 mm, p<0.05).After adjusting for confounders, including e-GFR, in a multivariable model, PWV was significantly greater in subjects with increased UA (11.1±2.41 vs 13.4±3.7 m/sec, p<0.001), while no significant difference in LVMI and IMT was observed. A significant correlation between UA levels and PWV(r=0.279,p<0.001),LVMI(r=0.157,p<0.001),meanmax IMT(r=0.159,p<0.001) was observed. After adjusting for confounders, serum UA levels were independently correlated to PWV, but not to LVMI and IMT.
Conclusions: Subjects with increased UA have increased arterial stiffness, but comparable left ventricular anatomy and carotid artery structure. The increase in arterial stiffness might contribute to the higher CV risk in these subjects.
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TY - JOUR AU - M. Salvetti AU - M.L. Muiesan AU - A. Paini AU - C. Agabiti Rosei AU - C. Aggiusti AU - D. Stassaldi AU - F. Beschi AU - C. Monteduro AU - M. Castellano AU - E. Agabiti Rosei PY - 2010 DA - 2010/12/02 TI - P9.06 SERUM URIC ACID LEVELS AND ARTERIAL STIFFNESS AND CARDIAC AND CAROTID ARTERY STRUCTURE IN A GENERAL POPULATION IN NORTHERN ITALY JO - Artery Research SP - 174 EP - 174 VL - 4 IS - 4 SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2010.10.098 DO - 10.1016/j.artres.2010.10.098 ID - Salvetti2010 ER -