Literature DB >> 22305578

The cardiovascular risk profile of atherosclerotic gastrointestinal ischemia is different from other vascular beds.

Renzo P Veenstra1, Rinze W F ter Steege, Robert H Geelkerken, Ad B Huisman, Jeroen J Kolkman.   

Abstract

BACKGROUND: The distribution of cardiovascular risk factors in patients with chronic gastrointestinal ischemia due to atherosclerosis of the splanchnic vessels (chronic splanchnic syndrome) is not well studied. The aim of this study was to determine the cardiovascular risk factor pattern in patients with chronic splanchnic syndrome.
METHODS: From April 2003 to September 2007, atherosclerotic risk factors in consecutive patients with chronic splanchnic syndrome were compared prospectively with the general atherosclerotic risk profile in Western Europe and worldwide risk profile of coronary heart disease, peripheral artery disease, and cerebral vascular disease.
RESULTS: Of 376 analyzed patients, 97 were diagnosed with chronic splanchnic syndrome. Data from 90 patients were available for analysis (7 were excluded because of incomplete data). Mean age was 63 years (range 28-86 years), and 74% were female. Fifty-nine percent of the patients had atherosclerotic disease in other vascular beds. Smoking was reported in 57%, and increased bodyweight in 21%. Hypercholesterolemia was present in 53%, hypertension in 62%, and diabetes in 21%.
CONCLUSIONS: The atherosclerotic risk profile in patients with chronic splanchnic syndrome differed from other atherosclerotic diseases with a female preponderance, lower incidence of obesity/increased bodyweight, diabetes, hypertension, and hypercholesterolemia. Reduced caloric intake, related to the postprandial pain, may explain the observed differences.
Copyright © 2012 Elsevier Inc. All rights reserved.

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Year:  2012        PMID: 22305578     DOI: 10.1016/j.amjmed.2011.09.013

Source DB:  PubMed          Journal:  Am J Med        ISSN: 0002-9343            Impact factor:   4.965


  3 in total

1.  Validation of a score chart to predict the risk of chronic mesenteric ischemia and development of an updated score chart.

Authors:  Louisa Jd van Dijk; Desirée van Noord; Robert H Geelkerken; Jihan Harki; Sophie A Berendsen; Annemarie C de Vries; Adriaan Moelker; Yvonne Vergouwe; Hence Jm Verhagen; Jeroen J Kolkman; Marco J Bruno
Journal:  United European Gastroenterol J       Date:  2019-06-04       Impact factor: 4.623

2.  European guidelines on chronic mesenteric ischaemia - joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia.

Authors:  Luke G Terlouw; Adriaan Moelker; Jan Abrahamsen; Stefan Acosta; Olaf J Bakker; Iris Baumgartner; Louis Boyer; Olivier Corcos; Louisa Jd van Dijk; Mansur Duran; Robert H Geelkerken; Giulio Illuminati; Ralph W Jackson; Jussi M Kärkkäinen; Jeroen J Kolkman; Lars Lönn; Maria A Mazzei; Alexandre Nuzzo; Felice Pecoraro; Jan Raupach; Hence Jm Verhagen; Christoph J Zech; Desirée van Noord; Marco J Bruno
Journal:  United European Gastroenterol J       Date:  2020-04-16       Impact factor: 4.623

3.  Early risk stratification of patients with suspected chronic mesenteric ischaemia using a symptom and mesenteric artery calcium score based score chart.

Authors:  Luke G Terlouw; Desirée van Noord; Theo van Walsum; Louisa J D van Dijk; Adriaan Moelker; Marco J Bruno
Journal:  United European Gastroenterol J       Date:  2021-06-02       Impact factor: 4.623

  3 in total

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