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Effects of liver function, insulin resistance and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease patients complicated with NAFLD

  • Authors:
    • Bin Wang
    • Fang Li
    • Jingjing Guo
    • Changmei Wang
    • Dashuai Xu
    • Congcong Li
  • View Affiliations / Copyright

    Affiliations: Department of Geriatrics, Jinan Central Hospital, Shandong University, Jinan, Shandong 250013, P.R. China
  • Pages: 1306-1311
    |
    Published online on: December 4, 2018
       https://doi.org/10.3892/etm.2018.7043
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Abstract

Effects of liver function, insulin resistance (IR) and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease (CHD) patients complicated with non‑alcoholic fatty liver disease (NAFLD) were investigated. A total of 80 patients with CHD treated in Jinan Central Hospital from October 2016 to July 2017 were randomly enrolled and divided into the NAFLD group (n=41) and the simple CHD group (n=39). The IR, the vascular endothelial dilation function and the related inflammatory factors were also detected, followed by statistical analysis. The level of high‑sensitivity C‑reactive protein (hs‑CRP), serum total bilirubin and alanine aminotransferase (ALT) levels and body mass index in the NAFLD group was decreased and the expression of tumor necrosis factor‑α was increased compared with that in the simple CHD group (P<0.05). There was a linearly positive correlation between ALT and brachial artery diameter in the NAFLD group (r=0.311, P<0.05). There was a correlation between homeostasis model assessment‑IR (HOMA‑IR) and HOMA‑β indexes and brachial artery diameter, hs‑CRP and brachial artery diameter in both groups (r=‑0.128, r=0.219, P<0.05). The HOMA indexes in the NAFLD group were increased compared with those in the simple CHD group (P<0.01). There were significant differences in the intima‑media thickness, number of carotid plaques and detection rate of carotid plaques (P<0.05). The risk of cardiovascular events within 10 years in the NAFLD group was increased compared with that in the simple CHD group. The differences of incidence of cardiovascular diseases (CVD)s were statistically significant (P<0.05). Therefore, The changes in liver function indexes, IR and related inflammatory factors in CHD patients complicated with NAFLD significantly affect the vascular endothelial dilation function, which also have some effects on the occurrence of CVDs.
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Copy and paste a formatted citation
Spandidos Publications style
Wang B, Li F, Guo J, Wang C, Xu D and Li C: Effects of liver function, insulin resistance and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease patients complicated with NAFLD. Exp Ther Med 17: 1306-1311, 2019.
APA
Wang, B., Li, F., Guo, J., Wang, C., Xu, D., & Li, C. (2019). Effects of liver function, insulin resistance and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease patients complicated with NAFLD. Experimental and Therapeutic Medicine, 17, 1306-1311. https://doi.org/10.3892/etm.2018.7043
MLA
Wang, B., Li, F., Guo, J., Wang, C., Xu, D., Li, C."Effects of liver function, insulin resistance and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease patients complicated with NAFLD". Experimental and Therapeutic Medicine 17.2 (2019): 1306-1311.
Chicago
Wang, B., Li, F., Guo, J., Wang, C., Xu, D., Li, C."Effects of liver function, insulin resistance and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease patients complicated with NAFLD". Experimental and Therapeutic Medicine 17, no. 2 (2019): 1306-1311. https://doi.org/10.3892/etm.2018.7043
Copy and paste a formatted citation
x
Spandidos Publications style
Wang B, Li F, Guo J, Wang C, Xu D and Li C: Effects of liver function, insulin resistance and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease patients complicated with NAFLD. Exp Ther Med 17: 1306-1311, 2019.
APA
Wang, B., Li, F., Guo, J., Wang, C., Xu, D., & Li, C. (2019). Effects of liver function, insulin resistance and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease patients complicated with NAFLD. Experimental and Therapeutic Medicine, 17, 1306-1311. https://doi.org/10.3892/etm.2018.7043
MLA
Wang, B., Li, F., Guo, J., Wang, C., Xu, D., Li, C."Effects of liver function, insulin resistance and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease patients complicated with NAFLD". Experimental and Therapeutic Medicine 17.2 (2019): 1306-1311.
Chicago
Wang, B., Li, F., Guo, J., Wang, C., Xu, D., Li, C."Effects of liver function, insulin resistance and inflammatory factors on vascular endothelial dilation function and prognosis of coronary heart disease patients complicated with NAFLD". Experimental and Therapeutic Medicine 17, no. 2 (2019): 1306-1311. https://doi.org/10.3892/etm.2018.7043
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