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001-es BibID:	BIBFORM103904
Első szerző:	Lőrincz Hajnalka (biológus)
Cím:	Plasminogen activator inhibitor-1 level associated with the components of metabolic syndrome in a 4G/5G polymorphism dependent manner / Lőrincz H., Galgóczy E., Katkó M., Ratku B., Ötvös T., Harangi M., Paragh G., Szabó Z., Somodi S.
Dátum:	2022
ISSN:	0021-9150
Megjegyzések:	Background and Aims : The elevated level of plasminogen activator inhibitor- 1 (PAI-1) in obese subjects with metabolic syndrome and in patients with type 2 diabetes is well established. A common 4G/5G single guanine insertion/deletion polymorphism in the promoter region of the PAI-1 gene is of functional importance in regulating PAI-1 expression. We aimed to study the potential different correlations of carbohydrate and lipid parameters and plasma PAI-1 levels in the 4G and 5G carriers in obese and lean subjects. Methods: Ninety-three morbid obese and thirty-two lean non-diabetic participants were enrolled. PAI-1 4G/5G polymorphism was determined with allele-specific PCR. Plasma PAI-1 levels were measured by ELISA. Results: The genotype distribution of PAI-1 4G/5G polymorphism was not significantly differed in obese patients (4G/4G 27.9%; 4G/5G 45.2% and 5G/ 5G 26.9%) compared to controls (4G/4G 31.3%; 4G/5G 46.9% and 5G/5G 21.9%, p?0.8). Slightly higher PAI-1 levels were found in 4G carriers (4G/ 4G+4G/5G) in obese and control group (p?0.07 and p?0.02, respectively). In all subjects with 4G/5G genotype, plasma PAI-1 correlated negatively with high-density lipoprotein-cholesterol (HDL-C) (p?0.02) and apolipoprotein AI (apoAI) levels (p<0.001). In 5G/5G participants, PAI-1 also correlated negatively with HDL-C (p?0.025) and apoAI (p?0.007) concentrations, moreover positively with triglyceride (p?0.02), fasting glucose (p?0.002) and haemoglobin A1c (p?0.027). These correlations are lacking in 4G/4G participants. Conclusions: The observed correlations between PAI-1 levels and the components of metabolic syndrome suggest a closer link between PAI-1 and lipid and carbohydrate metabolism in subjects with 5G/5G genotype. This presentation was supported by the Bridging Fund (Faculty of Medicine, University of Debrecen) and PD124126 project.
Tárgyszavak:	Orvostudományok Egészségtudományok idézhető absztrakt folyóiratcikk atherosclerosis Plasminogen activator inhibitor-1 promoter polymorphism obesity lipid metabolism lipoprotein
Megjelenés:	Atherosclerosis. - 355 (2022), p. e248. -
További szerzők:	Galgóczi Erika (1986-) (biológus) Katkó Mónika (1980-) (biológus) Ratku Balázs (1985-) (mentőtiszt) Ötvös Tamás (1980-) (orvos) Harangi Mariann (1974-) (belgyógyász, endokrinológus) Paragh György (1953-) (belgyógyász) Szabó Zoltán (1973-) (belgyógyász, kardiológus) Somodi Sándor (1977-) (belgyógyász)
Pályázati támogatás:	PD124126 Egyéb
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001-es BibID:	BIBFORM076274
Első szerző:	Ujvárosy Dóra
Cím:	Cardiovascular risk factors differently affect the survival of patients undergoing manual or mechanical resuscitation / Ujvárosy Dóra, Sebestyén Veronika, Pataki Tamás, Ötvös Tamás, Lőrincz István, Paragh György, Szabó Zoltán
Dátum:	2018
ISSN:	1471-2261
Megjegyzések:	Background: Chest compression is a decisive element of cardio-pulmonary resuscitation (CPR). By applying a mechanical CPR device, compression interruptions can be minimised. We examined the efficiency of manual and device-assisted resuscitation as well as the effects of cardiovascular risk factors on the outcome of resuscitation. Methods: In our retrospective, randomised 3-year study the data of adult patients suffering non-traumatic, out-of-hospital, sudden cardiac death (SCD) were analysed (n = 287). The data were retrieved by processing case reports, Utstein sheets and acute coronary syndrome sheets. We compared the data of patients undergoing manual (n = 232) and device-assisted resuscitation (LUCAS-2, n = 55). The primary endpoint was the on-site restoration of spontaneous circulation (ROSC). Results and conclusion: In 37% of the cases ROSC happened. With respect to ROSC an insignificantly more favourable tendency was demonstrated in the case of device-assisted resuscitation (p = 0.072). In the Lucas group, a higher success rate occurred even in the case of prolonged resuscitation. We found a better outcome in the Lucas group in the case of CPR started a longer time after the SCD (p < 0.05). A positive correlation was established between age and unsuccessful resuscitation (p = < 0.017; r = 0.125). An unfavourable correlation was observed between hypertension and the outcome of resuscitation (p = 0.018; r = 0.143). According to our results the presence of left ventricular hypertrophy poses 5.1-fold risk of unsuccessful CPR (CI: 4.97 - 5.29). Advanced age and structural heart diseases can play a role in the genesis of SCD. Importantly, left ventricular hypertrophy and hypertension negatively affect survival.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Resuscitation Sudden cardiac death Chest compression
Megjelenés:	BMC Cardiovascular Disorders. - 18 : 1 (2018), p. 1-7. -
További szerzők:	Borbásné Sebestyén Veronika (1990-) (biofizikus) Pataki Tamás Ötvös Tamás (1980-) (orvos) Lőrincz István (1950-) (belgyógyász, kardiológus) Paragh György (1953-) (belgyógyász) Szabó Zoltán (1973-) (belgyógyász, kardiológus)
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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