“…In the randomized placebo controlled ß-blocker Cholesterol-lowering Asymptomatic Plaque Study (BCAPS) three-year low dose metoprolol treatment (25 mg daily) was associated with reduced rate of progression of IMT in the carotid bifurcation, the vessel region where carotid plaques are most frequently found. Similar results have been reported from several statin studies [12][13][14] although there was no effect of the statin used in BCAPS (fluvastatin, 40 mg once daily) on bifurcation IMT progression rate [3].…”
“…In the randomized placebo controlled ß-blocker Cholesterol-lowering Asymptomatic Plaque Study (BCAPS) three-year low dose metoprolol treatment (25 mg daily) was associated with reduced rate of progression of IMT in the carotid bifurcation, the vessel region where carotid plaques are most frequently found. Similar results have been reported from several statin studies [12][13][14] although there was no effect of the statin used in BCAPS (fluvastatin, 40 mg once daily) on bifurcation IMT progression rate [3].…”
“…The rationale, study design and main results of METEOR have been reported in detail before [18,19]. In summary, METEOR was a randomized, double-blind, placebocontrolled trial designed to assess the impact of rosuvastatin 40 mg daily versus placebo on the rate of change in CIMT over 2 years of follow-up.…”
Abstract. Peters SAE, den Ruijter HM, Palmer MK, Grobbee DE, Crouse JR, O'Leary DH, Evans GW, Raichlen JS, Lind L, Bots ML, on behalf of the METEOR Study
“…Moreover, we considered only patients with a more aggressive disease receiving a biologic therapy. To assess pre-clinical atherosclerosis, we used the CIMT measurement, which is a non-invasive and highly accurate method (11). In detail, it has been shown that a 0.1 mm increment of CIMT corresponds to 10-15% and 13-18% increased risk for acute myocardial infarction and stroke, respectively (17).…”
Background: An independent role of chronic inflammation in the atherosclerotic process in patients with inflammatory bowel diseases (IBD) has been suggested, but data are still contentious. We assessed preclinical atherosclerosis in the IBD patients without traditional risk factors.
Methods:In this case-control study we assessed the early atherosclerotic alterations by carotid artery intima-media thickness (CIMT) measurement in IBD patients and matched controls. The normal CIMT values were ≤0.9 mm; moderate thickness when >0.9 and ≤1.2 mm, and pre-clinical atherosclerosis when >1.2 mm. We selected a homogeneous group of IBD patients, all in ongoing biologic therapy, without any traditional risk factor for atherosclerosis as well as controls. Conclusions: This case-control study found that the atherosclerotic process is not more apparent in IBD patients without traditional risk factors.
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