Journals / Düzce Tıp Fakültesi Dergisi / 2014 / Cilt: 16 - Sayı: 2

The Relationship Between Insulin Resistance and the Parameters Obtained From Gated Spect Myocardial Perfusion Scintigraphy

İNSÜLİN DİRENCİ İLE GATED MYOKARD PERFÜZYON SPECT SİNTİGRAFİSİNDEN ELDE EDİLEN PARAMETRELERİN İLİŞKİSİ

Pages
14–18
Publication Date
2014-07-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: We found no significant correlation between insulin resistance and cardiovascularrisk parameters obtained from GATED SPECT MPS

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: To investigate the correlation between myocardial perfusion scintigraphic findingsand insulin resistance.Methods: Our study group consisted of 153 non-diabetic patients (80 women and 73 men, meanage 54 ± 12), referred to our department for the myocardial perfusion scintigraphy withsuspected coronary artery disease between October/2011-April/2012., Fasting insulin and bloodsugar levels were measured.
📊
Key Findings & Data:Leftventricular quantitative parameters were automatically calculated using quantitative GATEDSPECT (QGS) software.Results: According to the scintigraphic results, 90 (58.8%) of the patients were normal and 48(31.3%) of the patients had ischemia.
💡
Conclusion & Impact:Conclusion: We found no significant correlation between insulin resistance and cardiovascularrisk parameters obtained from GATED SPECT MPS
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:İnsülin direnci · HOMA-IR · Miyokard perfüzyon sintigrafisi

Abstract

Purpose: To investigate the correlation between myocardial perfusion scintigraphic findingsand insulin resistance.Methods: Our study group consisted of 153 non-diabetic patients (80 women and 73 men, meanage 54 ± 12), referred to our department for the myocardial perfusion scintigraphy withsuspected coronary artery disease between October/2011-April/2012., Fasting insulin and bloodsugar levels were measured. Insulin resistance was calculated using HOMA-IR method. Leftventricular quantitative parameters were automatically calculated using quantitative GATEDSPECT (QGS) software.Results: According to the scintigraphic results, 90 (58.8%) of the patients were normal and 48(31.3%) of the patients had ischemia. Mean insulin values of patients were found to be9.06±13.95 in normal group and 7.50±5.71 in the ischemic group (p=0.943). Additionally,HOMA-IR was 2.19±3.59 in normal group and 1.71±1.34 in the ischemic group (p=0.368).There was no significant difference between scintigraphic findings and insulin resistance orHOMA-IR results. Conclusion: We found no significant correlation between insulin resistance and cardiovascularrisk parameters obtained from GATED SPECT MPS

Özet

Amaç: GATED SPECT miyokart perfüzyon sintigrafisi (MPS) çalışmasında elde ettiğimizkardiyovasküler risk parametreleri ile insülin direnci arasındaki ilişkiyi araştırmaktır.Yöntem: Ekim/2011-Nisan/2012 tarihleri arasında koroner arter hastalığı (KAH) öntanısı ileMPS için bölümümüze başvuran diyabet tanısı olmayan 153 hasta çalışmaya dahil edildi.80kadın, 73 erkek (ortalama yaş 54±12) çalışma grubunu oluşturdu. Hastalardan açlık kan örneklerialınıp alınan kan örneklerinde açlık insülin ve açlık kan şekeri seviyeleri ölçüldü. İnsülin direnciHOMA-IR metodu ile hesaplandı. Görsel olarak iskemi varlığı değerlendirildi. Sol ventriküleait sayısal parametreler kantitatif GATED SPECT (QGS) yazılımı ile otomatik olarak elde edildi.Bulgular: Hastalar sintigrafik sonuçlarına göre 90 (%58.8)’ı normal ve 48 (31.3)’i iskemikolarak bulundu. Hastaların insülin değerleri normal grupta 9.06±13.95 ve iskemik grupta7.50±5.71 bulundu (p=0.943). Ayrıca normal grupta HOMA-IR 2.19±3.59 iken iskemik grupta1.71±1.34 olarak bulundu (p=0.368).Sonuç: Çalışmamızda GATED SPECT MPS çalışmasından elde ettiğimiz kardiyovasküler riskparametreleri ile insülin rezistansı arasında anlamlı bir ilişkisinin olmadığı bulunmuştur

🔖

Cite This Article

ERKAN, M. E., YILMAZ, A., UÇGUN, T., KORKMAZ, A. N., YILMAZTEKİN, M. Z., YILDIRIM, M., DOĞAN, A. S., AŞIK, M. (2014). The Relationship Between Insulin Resistance and the Parameters Obtained From Gated Spect Myocardial Perfusion Scintigraphy. Düzce Tıp Fakültesi Dergisi, Cilt: 16 - Sayı: 2, 14–18. https://ajindex.com/articles/420469

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Yenigun M. Kardiyovaskuler diabet. “Yenigun M, Altuntaş Y (eds), Her yönüyle diabetes mellitus. 2.Baskı,
  2. İstanbul, Nobel Tıp Kitapevleri, 2001, s.637-696.
  3. Wallace TM, Matthews DR. The assessment of insulin resistance in man. Diabet. Med. 2002; 19: 527-534.
  4. De Fronzo RA, Ferrannini E. Insulin resistance. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidaemia, and atherosclerotic cardiovascular disease. Diabetes Care 1991; 14: 173–94.
  5. Yki-Jarvinen H, Koivisto VA. Effect of body composition on insulin sensitivity. Diabetes 1983; 32: 965–9.
  6. Swan JW, Walton C, Godsland IF, Clark AL, Coats AJS, Oliver MF. Insulin resistance in chronic heart failure. Eur. Heart J. 1994; 15: 1528–32
  7. Feskens EJ, Kromhout D. Hyperinsulinemia, risk factors and coronary heart disease. The Zutphen Elderly Study. Arterioscler and thromb 1994; 14: 1641-1647.
  8. Onat A, Ceyhan K, Sansoy V, Başar Ö, Erer B, Uysal Ö, Hergenç G. Diabeti bulunmayan yetişkinlerimizde açlık hiperinsülinemisi Koroner hastalığın bağımsız belirleyicisi. Türk Kardiyol Dern Arş 2001;29 Båvenholm P, Proudler A, Tornvall P, Godsland I, Landou C, de Faire U, Hamsten A. Insulin, intact and split proinsulin and coronary artery disease in young men. Circulation 1995:;92: 1422-1429.
  9. Fontbonne A, Charles MA, Thibult N. Hyperinsulinemia as a Predictor of Coronary Heart Disease Mortality in a Healty Population: The Paris Prospective Study, 15 Years Follow-up. Diabetologia, 34:356-361,1991 Maseri A. Ischemic Heart Disease. New York:Churchill Living-stone;1995.
  10. Pyorala K, Savolainen E, Kaukola S, Haapakoski J (1985) Plasma insulin as coronary heart disease risk factor: relationship to other risk factors and predictive value during 9 1/2-year follow-up of the Helsinki Policemen Study population. Acta Med Scand Suppl 701:38–52
  11. Welin L, Eriksson H, Larsson B, Ohlson LO, Svardsudd K, Tibblin G (1992) Hyperinsulinaemia is not a major coronary risk factor in elderly men. The study of men born in 1913. Diabetologia 35:766–770
  12. Hargreaves AD, Logan RL, Elton RA, Buchanan KD, Oliver MF, Riemersma RA (1992) Glucose tolerance, plasma insulin, HDL cholesterol and obesity: 12-year follow-up and development of coronary heart disease in Edinburgh men. Atherosclerosis 94:61–69
  13. Guida L, Celentano A, Iannuzzi R, et al. Insulin resistance, ventricular mass and function in normoglycaemic hypertensives. Nurt Metab Cardiovasc Dis. 2001;11(5): 306- 311. Sironi AM, Gastaldelli A, Mari A, Ciociaro D, Positano V, Buzzigoli E, Gh