Relationships of Abdominal Obesity and Hyperinsulinemia to Angiographically Assessed Coronary Artery Disease in Men With Known Mutations in the LDL Receptor Gene
Author(s) -
Daniel Gaudet,
MarieClaude Vohl,
Patrice Perron,
G Tremblay,
Claude Gagné,
Daniel Lesiège,
Jean Bergeron,
Sital Moorjani,
Jean–Pierre Després
Publication year - 1998
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.97.9.871
Subject(s) - medicine , hyperinsulinemia , abdominal obesity , endocrinology , coronary artery disease , waist , odds ratio , apolipoprotein b , obesity , cardiology , risk factor , insulin resistance , cholesterol
Patients with a mutation in the LDL receptor gene (familial hypercholesterolemia, or FH) are characterized by substantial elevations in plasma LDL cholesterol and are at higher risk of developing coronary artery disease (CAD). Correlates of abdominal obesity may also contribute to the risk of ischemic cardiac events. Whether the hyperinsulinemic-insulin-resistant state of abdominal obesity affects coronary atherosclerosis among FH patients has not been determined.
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