ABSTRACT
OBJECTIVE: We investigated the relationships between body weight (BWt) and metabolic syndrome (MS) risk factors to elucidate the effect of BWt (?BWt) change and body mass index (BMI) on these factors in the Japanese population. METHODS: Data were collected on MS-related parameters measured during two annual examinations of 16,640 men (mean age: 41.7±11.6 years) and 10,184 women (mean age: 45.0±12.2 years) without prior treatment of hypertension, diabetes mellitus, or dyslipidemia in 2006 and 2011 in Fukuoka, Japan. The subjects were divided into three groups according to BMI in 2006 (low, middle and high BMI) and into three groups according to change in BMI between 2006 and 2011 (decreased, stable, and increased BMI). Mean values for blood pressure (BP), systolic BP (SBP), diastolic BP (DBP), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), hemoglobin A1c (HbA1c), and fasting blood glucose (FBG) for each group were determined by sex and subjected to statistical analysis for comparison. RESULTS: High BMI (>26) was associated with higher SBP, LDL-C, FBG, and TG in both sexes. An increase≥1.1 BMI units in 5 years was associated with increased DBP, LDL-C, TG, HbA1c, and FBG and decreased HDL-C. In contrast, decreased BMI was associated with decreased BP and LDL-C and increased HDL-C in both sexes, and decreased TG in men and FBG in women. CONCLUSIONS: Maintaining a desirable weight or losing weight may help prevent hypertension and MS, even in non-obese individuals.
Subject(s)
Blood Glucose/metabolism , Blood Pressure/physiology , Lipids/blood , Weight Loss/physiology , Adult , Body Mass Index , Cross-Sectional Studies , Female , Humans , Hypertension/prevention & control , Japan , Male , Metabolic Syndrome/prevention & control , Middle Aged , Retrospective StudiesABSTRACT
OBJECTIVE: To elucidate the key points for safe performance of transradial angiography. CONCLUSIONS: Transradial angiography can be performed safely if attention is paid to the following points from after radial artery puncture to reaching the aortic arch: resistance during guide wire operation for sheath insertion after puncture; confirmation of the superficial brachial artery; guide wire resistance while guiding the catheter to the aortic arch; and aortic arch anomalies.
ABSTRACT
PURPOSE: To report a case of deteriorating consumptive coagulopathy with type III endoleak following endovascular aneurysm repair (EVAR) of the abdominal aorta associated with liver cirrhosis. CASE REPORT: A 72-year-old man with liver cirrhosis developed type III endoleak following EVAR. Spontaneous intramuscular hematoma developed due to deteriorating consumptive coagulopathy induced by type III endoleak and liver dysfunction. Although additional EVAR was performed at 52 months after primary EVAR, the patient died due to multiorgan failure and multifocal hematoma of the muscles and subserosa. CONCLUSION: EVAR for patients with liver dysfunction and coagulopathy should be considered with great caution. We suggest that prompt and adequate treatment using an endovascular technique or surgical repair should be performed for patients with liver dysfunction, coagulopathy, and turbulent endoleak, even if the coagulopathies are worse compared to before EVAR.
Subject(s)
Aortic Aneurysm, Abdominal/surgery , Blood Vessel Prosthesis Implantation/adverse effects , Blood Vessel Prosthesis , Disseminated Intravascular Coagulation/etiology , Liver Cirrhosis/complications , Prosthesis Failure , Stents , Aged , Angiography, Digital Subtraction , Aortic Aneurysm, Abdominal/diagnostic imaging , Aortic Aneurysm, Abdominal/etiology , Blood Component Transfusion , Blood Vessel Prosthesis Implantation/instrumentation , Disseminated Intravascular Coagulation/complications , Disseminated Intravascular Coagulation/surgery , Disseminated Intravascular Coagulation/therapy , Fatal Outcome , Hematoma/etiology , Humans , Liver Cirrhosis/diagnostic imaging , Liver Cirrhosis/surgery , Male , Plasma , Polytetrafluoroethylene , Prosthesis Design , Reoperation , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
PURPOSE: The purpose of this study was to compare the usefulness of soft-copy images displayed on a cathode ray tube (CRT) with hard-copy images (film images) for detecting ureteral stones on abdominal radiography. MATERIALS AND METHODS: Five radiologists read images from 50 cases of ureteral stones and 50 normal cases diagnosed on the basis of intravenous urography and CT. For hard-copy reading, 10-bit images at 3,520x4,280 pixels obtained by computed radiography were printed on 14x17-inch films. For soft-copy reading, 8-bit images were displayed on a 17-inch monochrome monitor at 1,024x1,280 pixels. The study items were area under receiver operating characteristics (ROC) curve (Az), ureteral stone detection sensitivity and specificity, and reading time. RESULTS: For soft-copy and hard-copy images, the average Az values were 0.855 and 0.851, sensitivity was 62.8% and 62%, and specificity was 70.8% and 62.4%, respectively. There were no statistically significant differences between these values. Reading time was 106.6 min for soft-copy images, significantly longer than the 71.2 min for hard-copy images (p<0.05). CONCLUSION: Although soft-copy image reading time was longer than hard-copy image reading time, the ability to diagnose ureteral stones on abdominal radiography did not differ for soft- and hard-copy images.
