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The Evaluation of Early Atherosclerosis in Adult Patients with Asthma

Prof. Dr. Serdar Kalemci
Prof. Dr. Serdar Kalemci
19 Ocak 2023188 görüntülenme
Randevu Al
he aim of this study is the evaluation of early atherosclerosis in asthmatic patients through the measurement of carotid intima media thickness. 30 asthmatic patients in total, between the ages of 18-30, who applied to Mugla Sitki Kocman University Medical Faculty Hospital Chest Diseases Polyclinic between the dates of June 2014 and December 2014, were included in this study. And 30 healthy adults at the same age group were determined as the control group. The measurement of carotid intima media thicknesses was performed by only one specialist radiologist, who did not know about the clinical and laboratory information of the adults. The age average was 23.1±3.8 years (14 females and 16 males) for patients with asthma; and 23.0±4.0 (15 females and 15 males) for healthy adults. The average carotid intima media thickness was measured as 0.68±0.022 mm for patients with asthma and as 0.58±0.026 mm for healthy adults. There was a statistically significant difference between the average carotid intima media thicknesses of asthmatic and healthy groups (p<0.004). Consequently our study demonstrated that the carotid intima media thickness increased in asthmatic patients comparing to healthy adults. And this finding makes us think that it points the way for early atherosclerosis in asthmatic adults.
The Evaluation of Early Atherosclerosis in Adult Patients with Asthma
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Assessment of Early Atherosclerosis in Asthmatic Patients

This clinical study aims to evaluate the presence of early atherosclerosis in asthmatic patients by measuring carotid intima-media thickness (CIMT). Research indicates that chronic inflammatory conditions like asthma may have systemic effects, and measuring the thickness of the carotid artery walls serves as a critical non-invasive indicator for cardiovascular risks.

Study Methodology and Patient Demographics

The research was conducted at the Muğla Sıtkı Koçman University Medical Faculty Hospital, specifically within the Chest Diseases Polyclinic, between June 2014 and December 2014. The study cohort consisted of 30 asthmatic patients and 30 healthy adults as a control group, all aged between 18 and 30 years.

To ensure the highest level of objectivity, the carotid intima-media thickness measurements were performed by a single specialist radiologist. This specialist remained blinded to the clinical and laboratory data of the participants throughout the evaluation process.

Participant Characteristics

The demographic distribution of the study groups was carefully balanced to ensure statistical accuracy:

  • Asthmatic Group: The average age was 23.1±3.8 years, comprising 14 females and 16 males.
  • Control Group: The average age was 23.0±4.0 years, comprising 15 females and 15 males.

Comparative Analysis of Carotid Intima-Media Thickness

The findings revealed a clear distinction between the two groups regarding vascular health indicators. The data collected from the measurements are summarized in the table below:

GroupAverage CIMT (mm)Statistical Significance (p)
Asthmatic Patients0.68 ± 0.022 mmp < 0.004
Healthy Control Group0.58 ± 0.026 mmp < 0.004

Conclusion: Clinical Implications for Asthma and Atherosclerosis

The results of this study demonstrate a statistically significant difference (p < 0.004) between the average carotid intima-media thicknesses of asthmatic and healthy individuals. Specifically, the CIMT was notably increased in patients with asthma compared to the healthy control group.

In conclusion, these findings suggest that increased carotid intima-media thickness serves as a significant marker for early atherosclerosis in asthmatic adults. This study highlights the importance of monitoring vascular health in patients diagnosed with asthma to identify early cardiovascular changes.

Etiketler

Alerjik rinit ve astımAstımı tetikleyen durumlarAstım teşhisiAstım tedavisinin çeşitleri

Yazar Hakkında

Prof. Dr. Serdar Kalemci

Prof. Dr. Serdar Kalemci

1996 yılında İzmir Eşrefpaşa Lisesi’nden mezun olan Prof. Dr. Serdar KALEMCİ, 2003 yılında Süleyman Demirel Üniversitesi Tıp Fakültesi’nden mezun olmuştur. 2009 yılında Dokuz Eylül Üniversitesi Tıp Fakültesi Göğüs Hastalıkları bölümünden uzmanlığını almıştır. 2010 yılında Şanlıurfa Suruç Devlet Hastanesi’nde mecburi hizmeti tamamladı. 2015 yılında Muğla Üniversitesi Tıp Fakültesi Göğüs Hastalıkları Ana Bilim Dalı’nda çalışırken doçentlik unvanı aldı. Kalemci’nin Göğüs Hastalıkları alanında klinik ve deneysel çalışmaları bulunmaktadır. 50 adet uluslararası yayını bulunmaktadır. Bunlardan 4 tanesi SCI ve 36 tanesi SCI EXPANDED dergilerde yayınlanmıştır. 20 adet ulusal yayını bulunmaktadır. Çok sayıda ulusal ve uluslararası kongrede sözlü ve yazılı bildirisi olmuştur. 2 adet ulusal kongrede ödül, 1 adet uluslararası kongrede ödülü bulunmaktadır. 2 adet projede yürütücü olarak çalışmıştır. 2 adet projede de araştırıcı olarak bulunmuştur.

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