PMID- 23363962 OWN - NLM STAT- MEDLINE DCOM- 20140811 LR - 20130131 IS - 0253-9624 (Print) IS - 0253-9624 (Linking) VI - 46 IP - 12 DP - 2012 Dec TI - [Effects of systolic blood pressure and low density lipoprotein on carotid plaques]. PG - 1074-8 AB - OBJECTIVE: To explore the different effects of systolic blood pressure (SBP) and low density lipoprotein on carotid plaques (LDL-C). METHODS: A total of 101 510 serving and retired workers of a company who participated in the health examination in 2006-2009, 5852 participants were selected as study subjects by stratified random sampling according to the age and sex ratio. These subjects took their health examination in 2010-2011 including the carotid ultrasound. Finally, 5361 eligible participants with complete data were included in the analysis. The detection and weighted rates of carotid plaques were calculated for four groups: normal SBP and LDL-C group (3524 subjects), normal SBP and high LDL-C group (356 subjects), elevated SBP and normal LDL-C group (1308 subjects) and elevated SBP and high LDL-C group (173 subjects). The effects of different baseline SBP and LDL-C on detection rates of the carotid artery plaques were analyzed by logistic regression. RESULTS: The detection rate of carotid plaques in normal SBP and LDL-C group, normal SBP and high LDL-C group, elevated SBP and normal LDL-C group, elevated SBP and high LDL-C group was 33.7% (1186/3524), 41.3% (147/356), 64.8% (847/1308), 68.8% (119/173) (chi(2) = 425.75, P < 0.05) and the weighted detection rate was 36.0%, 42.0%, 64.5% and 68.3% respectively. For men, the detection rate was 44.2% (877/1985), 51.1% (97/190), 70.6% (657/930), 71.3% (82/115) (chi(2) = 194.02, P < 0.05) and the weighted detection rate was 31.2%, 36.1%, 49.8% and 50.3% respectively. For women, the detection rate was 20.1% (309/1539), 30.1% (50/166), 50.3% (190/378), 63.8% (37/58) (chi(2) = 180.17, P < 0.05) and the weighted detection rate was 30.9%, 46.3%, 70.3%, and 88.1% respectively. After adjusted for other risk factors, the OR (95%CI) value was 1.37 (1.05 - 1.78), 2.05 (1.74 - 2.43) and 2.12 (1.45 - 3.12) for normal SBP and high LDL-C group, elevated SBP and normal LDL-C group and elevated SBP and high LDL-C group respectively compared with normal SBP and LDL-C group. CONCLUSION: Elevated SBP and high LDL-C were risk factors of the carotid artery plaques. Compared with high LDL-C, elevated SBP may add a higher risk for carotid plaques. FAU - Yao, Tao AU - Yao T AD - Department of Medicine, Linxi Hospital, Affiliated Kailuan General Hospital, Hebei University, Tangshan 063000, China. FAU - Li, Wen AU - Li W FAU - Zhang, Xiao-Hui AU - Zhang XH FAU - Sun, Jing AU - Sun J FAU - Wang, De-Sheng AU - Wang DS FAU - Zhao, Yong-Meng AU - Zhao YM FAU - Wang, Zhang-Feng AU - Wang ZF FAU - Zhao, Xing-Quan AU - Zhao XQ FAU - Wu, Shou-Ling AU - Wu SL LA - chi PT - English Abstract PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - China TA - Zhonghua Yu Fang Yi Xue Za Zhi JT - Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine] JID - 7904962 RN - 0 (Cholesterol, LDL) SB - IM MH - Adult MH - Aged MH - *Blood Pressure MH - Carotid Stenosis/blood/*epidemiology/physiopathology MH - Cholesterol, LDL/*blood MH - Dyslipidemias MH - Female MH - Humans MH - Male MH - Middle Aged MH - Risk Factors MH - Systole EDAT- 2013/02/01 06:00 MHDA- 2014/08/12 06:00 CRDT- 2013/02/01 06:00 PHST- 2013/02/01 06:00 [entrez] PHST- 2013/02/01 06:00 [pubmed] PHST- 2014/08/12 06:00 [medline] PST - ppublish SO - Zhonghua Yu Fang Yi Xue Za Zhi. 2012 Dec;46(12):1074-8.