Fibrinogen,Lp(a), Microalbuminuria and Left Ventricular Mass Index: Cardiovascular Disease Risk factors in Diabetes |
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| Authors: | Satinder Kaur Parminder Singh Verma Indu Gaurav Singla |
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| Institution: | (1) Department of Endocrinology, Dayanand Medical College and Hospital, Ludhiana, India;(2) Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, India;(3) Department of Biochemistry, Dayanand Medical College & Hospital, Ludhiana, 141 001, Punjab, India |
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| Abstract: | The present work was undertaken to study interrelation of Fibrinogen, Lp(a) and LVMI in Type II diabetes patients with or
without nephropathy. 100 Type II Diabetic patients attending OPD/IPD of DMC&H, Ludhiana were included. They were divided in
two groups. Group I: 50 patients without microalbuminuria (MAU). Group II: 50 patients with MAU. Fibrinogen (Clauss method),
Lp(a) and MAU were estimated on Multichannel Autoanalyzer Hitachi-911 (Roche). LVMI was estimated by echocardiography using
formula of Devereux and Reicheck. Type II diabetes patients with MAU had significantly raised levels of Fibrinogen, Lp(a),
and LVMI as compared to normoalbuminuric diabetics (P < 0.01). Group II patients had positive correlation between Lp(a) and LVMI but no relation between Fibrinogen and LVMI. MAU,
marker of microangiopathy, is associated with higher Fibrinogen and Lp(a) levels. This becomes basis of increase cardiovascular
risk as demonstrated by higher mean LVMI in Group II patients. |
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| Keywords: | LVMI Microalbuminuria Cardiovascular disease |
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