Correlation of severity of coronary artery disease with insulin resistance

Mukund P. Srinivasan, Padmanabh K. Kamath, Poornima A. Manjrekar, B. Unnikrishnan, Aishwarya Ullal, Mohammed Faheem Kotekar, Chakrapani Mahabala

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Background: Insulin resistance (IR) has known to be associated with coronary artery disease (CAD), but the assessment of severity of the CAD based on IR in type 2 diabetes mellitus has not been established in detail. Aims: The aim of our study was to establish the correlation between IR and the severity of CAD in type 2 diabetes mellitus. Materials and Methods: In a cross-sectional study design, 61 consecutive patients with type 2 diabetes mellitus who underwent coronary angiogram for the evaluation of CAD were recruited. Fasting blood glucose, fasting insulin levels, systolic blood pressure and total cholesterol/high density lipoprotein-cholesterol ratio were determined. Homeostasis model assessment-IR (HOMA-IR) was correlated with severity of CAD, which was measured by modified Gensini Score. Results: There was a significant correlation between log HOMA-IR and severity of CAD (r = 0.303, P = 0.009) in diabetic patients. Correlation of the Gensini Score with other known risk factors was not significant. Conclusions: The results of our study indicate that we might able to predict the severity of CAD by measure of IR.

Original languageEnglish (US)
Pages (from-to)611-614
Number of pages4
JournalNorth American Journal of Medical Sciences
Volume5
Issue number10
DOIs
StatePublished - Oct 2013

Keywords

  • Coronary artery disease
  • Insulin resistance
  • Type 2 diabetes mellitus

ASJC Scopus subject areas

  • Medicine(all)

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    Srinivasan, M. P., Kamath, P. K., Manjrekar, P. A., Unnikrishnan, B., Ullal, A., Kotekar, M. F., & Mahabala, C. (2013). Correlation of severity of coronary artery disease with insulin resistance. North American Journal of Medical Sciences, 5(10), 611-614. https://doi.org/10.4103/1947-2714.120799