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The relation between insulin resistance determined by homeostatic corrected from haemostatic modelling and slow coronary flow
Annals of the Academy of Medicine, Singapore ; : 188-191, 2008.
Article in English | WPRIM | ID: wpr-348302
ABSTRACT
<p><b>INTRODUCTION</b>In this study, we sought to determine whether insulin resistance, which is investigated by homeostatic modelling, is related to slow coronary flow (SCF).</p><p><b>MATERIALS AND METHODS</b>A total of 24 patients with SCF (4 females/20 males, mean age 47 +/- 12 years) and 32 patients with normal coronary artery (10 females/22 males, mean age 52 +/- 12 years) were included in the study. Baseline glucose, insulin and plasma lipid levels were measured. A standard oral glucose tolerance test (OGTT) was performed and post-challenge insulin levels were also measured. The index of insulin resistance was calculated with the homeostatic modelling [homeostatic model assessment for insulin resistance index (HOMA-IR)].</p><p><b>RESULTS</b>There were no differences between the 2 groups with regard to age, lipid levels, blood pressure levels, history of smoking, fasting and post-challenge plasma glucose. Baseline insulin levels were augmented in the SCF group (9.64 +/- 5.93 vs 7.04 +/- 3.26, P = 0.041). HOMA-IR levels were not different between the study groups (2.20 +/- 1.44 vs 1.69 +/- 0.86, P = 0.129). Manifest insulin resistance was significantly higher in the CSF group as compared with the control group (25% vs 3%, P = 0.01).</p><p><b>CONCLUSION</b>Manifest insulin resistance is seen more frequently in patients with SCF.</p>
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Physiology / Blood / Blood Flow Velocity / Blood Glucose / Blood Pressure / Insulin Resistance / Body Mass Index / Coronary Circulation / Glucose Tolerance Test / Homeostasis Type of study: Prognostic study Limits: Female / Humans / Male Language: English Journal: Annals of the Academy of Medicine, Singapore Year: 2008 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Physiology / Blood / Blood Flow Velocity / Blood Glucose / Blood Pressure / Insulin Resistance / Body Mass Index / Coronary Circulation / Glucose Tolerance Test / Homeostasis Type of study: Prognostic study Limits: Female / Humans / Male Language: English Journal: Annals of the Academy of Medicine, Singapore Year: 2008 Type: Article