Possible early detection of coronary artery calcium progression in type 1 diabetes: A case-control study of normoalbuminuric type 1 diabetes patients and matched controls
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Possible early detection of coronary artery calcium progression in type 1 diabetes : A case-control study of normoalbuminuric type 1 diabetes patients and matched controls. / Hjortkjær, Henrik Ø; Jensen, Tonny; Hilsted, Jannik; Corinth, Helle; Mogensen, Ulrik M; Køber, Lars; Fuchs, Andreas; Nordestgaard, Børge G; Kofoed, Klaus F.
I: Diabetes Research and Clinical Practice, Bind 141, 2018, s. 18-25.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Possible early detection of coronary artery calcium progression in type 1 diabetes
T2 - A case-control study of normoalbuminuric type 1 diabetes patients and matched controls
AU - Hjortkjær, Henrik Ø
AU - Jensen, Tonny
AU - Hilsted, Jannik
AU - Corinth, Helle
AU - Mogensen, Ulrik M
AU - Køber, Lars
AU - Fuchs, Andreas
AU - Nordestgaard, Børge G
AU - Kofoed, Klaus F
N1 - Copyright © 2018 Elsevier B.V. All rights reserved.
PY - 2018
Y1 - 2018
N2 - AIMS: Coronary artery calcium (CAC) is associated with cardiovascular (CV) disease and progression of CAC is an independent predictor of mortality. Type 1 diabetes is associated with increased CV risk, especially in persons with cardiovascular autonomic neuropathy (CAN). This study aimed to examine whether short-term progression of CAC is increased in persons with type 1 diabetes compared to matched controls and if CAN increases risk of CAC progression.METHODS: Fifty-three normoalbuminuric persons with long-term type 1 diabetes (20 with CAN) were matched in a 1:2 ratio with 106 controls without diabetes according to age, sex and baseline CAC. All were examined twice with cardiac computed tomography scans. Progression of CAC was defined as a value ≥2.5 between the square root-transformed values of follow-up and baseline CAC volume scores.RESULTS: The participants were examined median (interquartile range) of 25 (23-27) months (type 1 diabetes) and 29 (25-33) months (controls) apart. In multivariable logistic regression, participants with type 1 diabetes had an odds ratio of 3.3 (95% CI 1.3-8.2, p = 0.01) for CAC progression. CAN did not increase progression of CAC (p = 0.64).CONCLUSIONS: Progression of CAC was increased in well-treated, normoalbuminuric persons with type 1 diabetes compared to matched controls without diabetes, suggesting that type 1 diabetes is a risk factor for short-term progression. This finding could explain some of the increased morbidity and mortality observed in persons with type 1 diabetes, but it does not specifically explain the increased CV risk in persons with CAN.
AB - AIMS: Coronary artery calcium (CAC) is associated with cardiovascular (CV) disease and progression of CAC is an independent predictor of mortality. Type 1 diabetes is associated with increased CV risk, especially in persons with cardiovascular autonomic neuropathy (CAN). This study aimed to examine whether short-term progression of CAC is increased in persons with type 1 diabetes compared to matched controls and if CAN increases risk of CAC progression.METHODS: Fifty-three normoalbuminuric persons with long-term type 1 diabetes (20 with CAN) were matched in a 1:2 ratio with 106 controls without diabetes according to age, sex and baseline CAC. All were examined twice with cardiac computed tomography scans. Progression of CAC was defined as a value ≥2.5 between the square root-transformed values of follow-up and baseline CAC volume scores.RESULTS: The participants were examined median (interquartile range) of 25 (23-27) months (type 1 diabetes) and 29 (25-33) months (controls) apart. In multivariable logistic regression, participants with type 1 diabetes had an odds ratio of 3.3 (95% CI 1.3-8.2, p = 0.01) for CAC progression. CAN did not increase progression of CAC (p = 0.64).CONCLUSIONS: Progression of CAC was increased in well-treated, normoalbuminuric persons with type 1 diabetes compared to matched controls without diabetes, suggesting that type 1 diabetes is a risk factor for short-term progression. This finding could explain some of the increased morbidity and mortality observed in persons with type 1 diabetes, but it does not specifically explain the increased CV risk in persons with CAN.
KW - Calcium/metabolism
KW - Cardiovascular Diseases/complications
KW - Case-Control Studies
KW - Coronary Artery Disease/diagnosis
KW - Diabetes Mellitus, Type 1/complications
KW - Disease Progression
KW - Early Diagnosis
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Risk Factors
KW - Serum Albumin/metabolism
U2 - 10.1016/j.diabres.2018.04.027
DO - 10.1016/j.diabres.2018.04.027
M3 - Journal article
C2 - 29679631
VL - 141
SP - 18
EP - 25
JO - Diabetes Research and Clinical Practice
JF - Diabetes Research and Clinical Practice
SN - 0168-8227
ER -
ID: 217610138