7 results on '"Graciela E Delgado"'
Search Results
2. Effect of Galectin 3 on Aldosterone-Associated Risk of Cardiovascular Mortality in Patients Undergoing Coronary Angiography
- Author
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Martin R. Grübler, Stefan Pilz, Martin H. Keppel, Bríain ó Hartaigh, Nicolas Verheyen, Johannes Schmid, Winfried März, Rudolf A. de Boer, Andreas Tomaschitz, Burkert Pieske, George C.M. Siontis, Graciela E. Delgado, Marcus E. Kleber, Lorenz Räber, Cardiovascular Centre (CVC), Epidemiology and Data Science, and APH - Health Behaviors & Chronic Diseases
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Male ,medicine.medical_specialty ,Galectin 3 ,610 Medicine & health ,Coronary Artery Disease ,030204 cardiovascular system & hematology ,Coronary Angiography ,Risk Assessment ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Interquartile range ,Risk Factors ,Internal medicine ,Germany ,medicine ,Humans ,FIBROSIS ,030212 general & internal medicine ,Prospective Studies ,Adverse effect ,Prospective cohort study ,Aldosterone ,Aged ,Proportional hazards model ,business.industry ,Hazard ratio ,DIETARY-SODIUM ,Middle Aged ,medicine.disease ,Prognosis ,Confidence interval ,DYSFUNCTION ,Survival Rate ,RECEPTOR ANTAGONIST USE ,chemistry ,Cardiovascular Diseases ,Heart failure ,Cardiology ,HEART-FAILURE ,Female ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
Recent experimental studies have suggested that galectin-3 has an interaction with aldosterone, and modifies its adverse effects. We therefore aimed to elucidate whether the relationship between plasma aldosterone concentrations (PACs) and long-term fatal cardiovascular (CV) events would depend on plasma galectin-3 levels. A total of 2,457 patients (median age: 63.5 [interquartile range (IQR) = 56.3 to 70.6] years, 30.1% women) from the LUdwigshafen RIsk and Cardiovascular Health study, with a median follow-up of 9.9 (IQR = 8.5 to 10.7) years, were included. We tested the interaction between aldosterone and galectin-3 for CV-mortality using a multivariate Cox proportional hazard model, reporting hazard ratios (HRs) with 95% confidence intervals (95%CIs). Adjustments for multiple CV risk factors as well as medication use were included. Mean PAC was 79.0 (IQR = 48.0 to 124.0) pg/ml and there were 558 (16.8%) CV deaths. There was a significant interaction between PAC and galectin-3 (p = 0.021). When stratifying patients by the median galectin-3, there was a significant association between aldosterone and CV-mortality for those above (HR per 1 standard deviation = 1.14; 95%CI [1.01 to 1.30], p = 0.023), but not below the cut-off value (HR per 1 standard deviation = 1.00; 95%CI [0.87 to 1.15], p = 0.185). In conclusion, the current study demonstrates for the first time a modifying effect of galectin-3 on the association between aldosterone and CV-mortality risk in humans. These findings indicate that galectin-3 is an intermediate between aldosterone and adverse outcomes.
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- 2020
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3. Data on gender and subgroup specific analyses of omega-3 fatty acids in the Ludwigshafen Risk and Cardiovascular Health Study
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Stefan Lorkowski, Marcus E. Kleber, Winfried März, Clemens von Schacky, and Graciela E. Delgado
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Coronary angiography ,medicine.medical_specialty ,Pathology ,Multidisciplinary ,business.industry ,Cardiovascular health ,030204 cardiovascular system & hematology ,Systemic inflammation ,lcsh:Computer applications to medicine. Medical informatics ,3. Good health ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,lcsh:R858-859.7 ,Research article ,In patient ,030212 general & internal medicine ,medicine.symptom ,business ,lcsh:Science (General) ,lcsh:Q1-390 ,Data Article - Abstract
This paper contains additional data related to the research article “Omega-3 fatty acids and mortality in patients referred for coronary angiography – The Ludwigshafen Risk and Cardiovascular Health Study” (Kleber et al., in press) [1]. The data shows characteristics of the Ludwigshafen Risk and Cardiovascular Health (LURIC) study according to tertiles of omega-3 fatty acids as well as stratified by gender. The association of proportions of omega-3 fatty acids measured in erythrocyte membranes with different causes of death is investigated with a special focus on modeling the association of EPA with mortality in a nonlinear way. Further, the association of omega-3 fatty acids with all-cause mortality adjusted for high-sensitive C-reactive protein as a marker of systemic inflammation is examined as well as the association of EPA with cause-specific death.
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- 2016
4. Trans Fatty Acids and Mortality
- Author
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Marcus E. Kleber and Graciela E. Delgado
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Human health ,Increased risk ,business.industry ,Diabetes mellitus ,Medicine ,Food science ,Carbohydrate metabolism ,business ,medicine.disease ,Beneficial effects - Abstract
The term “trans fatty acids” (TFAs) describes unsaturated fatty acids that contain at least one double bond in trans configuration. Ruminant animals produce TFAs in small quantities. Industrial hardening produces far larger amounts of TFAs. A high intake of TFAs has been associated with an increased risk of cardiovascular disease. Legal actions to limit the use of TFA are effective as demonstrated by markedly decreasing levels of TFA in most nations worldwide. Although there is a broad consent that the consumption of high amounts of industrially produced TFAs is harmful for human health and leads to a higher mortality risk, the picture is less clear regarding a low intake with a majority of studies reporting no association with LDL-C or cardiovascular risk. Regarding ruminant-derived TFAs, most studies do not observe an increased mortality risk and some beneficial effects on glucose metabolism and diabetes incidence have been reported.
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- 2019
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5. Genetic risk score for coronary artery calcification and its predictive ability for coronary artery disease
- Author
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Pashupati P. Mishra, Binisha H. Mishra, Leo-Pekka Lyytikäinen, Sirkka Goebeler, Mika Martiskainen, Emma Hakamaa, Marcus E. Kleber, Graciela E. Delgado, Winfried März, Mika Kähönen, Pekka J. Karhunen, and Terho Lehtimäki
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Genetic risk score ,Coronary artery calcification ,Coronary artery disease ,Prediction ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 ,Public aspects of medicine ,RA1-1270 - Abstract
Aim: The modest added predictive value of the existing genetic risk scores (GRSs) for coronary artery disease (CAD) could be partly due to missing genetic components, hidden in the genetic architecture of intermediate phenotypes such as coronary artery calcification (CAC). In this study, we investigated the predictive ability of CAC GRS for CAD. Materials and methods: We investigated the association of CAC GRSs with CAD and coronary calcification among the participants in the Ludwigshafen Risk and Cardiovascular Health study (LURIC) (n = 2742), the Tampere Vascular Study (TVS) (n = 133), and the Tampere Sudden Death Study (TSDS) (n = 660) using summary data from the largest multi-ancestry GWAS meta-analysis of CAC to date. Added predictive value of the CAC GRS over the traditional CVD risk factors as well as metaGRS, a GRS for CAD constructed with 1.7 million genetic variants, was tested with standard train–test machine learning approach using the LURIC data, which had the largest sample size. Results: CAC GRS was significantly associated with CAD in LURIC (OR=1.41, 95 % CI [1.28–1.55]), TVS (OR=1.79, 95 % CI [1.05–3.21]) as well as in TSDS (OR=4.20, 95 % CI [1.74–10.52]). CAC GRS showed strong association with calcification areas in left (OR=1.78, 95 % CI [1.16–2.74]) and right (OR=1.71, 95 % CI [1.98–2.67]) coronary arteries. There was statistically significant added predictive value of the CAC GRS for CAD over the used traditional CVD risk factors (AUC 0.734 vs 0.717, p-value = 0.02). Furthermore, CAC GRS improved the prediction accuracy for CAD when combined with metaGRS. Conclusions: This study showed that CAC GRS is a new risk marker for CAD in three European cohorts, with added predictive value over the traditional CVD risk factors.
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- 2024
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6. Association of branched-chain amino acids with mortality-the Ludwigshafen Risk and Cardiovascular Health (LURIC) study
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Angela P. Moissl, Stefan Lorkowski, Andreas Meinitzer, Stefan Pilz, Hubert Scharnagl, Graciela E. Delgado, Marcus E. Kleber, Bernhard K. Krämer, Burkert Pieske, Martin R. Grübler, Helmut Brussee, Dirk von Lewinski, Hermann Toplak, Astrid Fahrleitner-Pammer, Winfried März, and Andreas Tomaschitz
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Health sciences ,Cardiovascular medicine ,Association analysis ,Science - Abstract
Summary: Branched-chain amino acids (BCAAs) are effectors of metabolic diseases, but their impact on mortality is largely unknown. We investigated the association of BCAA with risk factors and mortality in 2,236 participants of the Ludwigshafen Risk and Cardiovascular Health (LURIC) study using linear and Cox regression. Adiponectin, hemoglobin, C-peptide, hemoglobin A1c, and homoarginine showed the strongest association with BCAA concentration (all p
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- 2023
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7. Data on gender and subgroup specific analyses of omega-3 fatty acids in the Ludwigshafen Risk and Cardiovascular Health Study
- Author
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Marcus E. Kleber, Graciela E. Delgado, Stefan Lorkowski, Winfried März, and Clemens von Schacky
- Subjects
Computer applications to medicine. Medical informatics ,R858-859.7 ,Science (General) ,Q1-390 - Abstract
This paper contains additional data related to the research article “Omega-3 fatty acids and mortality in patients referred for coronary angiography – The Ludwigshafen Risk and Cardiovascular Health Study” (Kleber et al., in press) [1]. The data shows characteristics of the Ludwigshafen Risk and Cardiovascular Health (LURIC) study according to tertiles of omega-3 fatty acids as well as stratified by gender. The association of proportions of omega-3 fatty acids measured in erythrocyte membranes with different causes of death is investigated with a special focus on modeling the association of EPA with mortality in a nonlinear way. Further, the association of omega-3 fatty acids with all-cause mortality adjusted for high-sensitive C-reactive protein as a marker of systemic inflammation is examined as well as the association of EPA with cause-specific death.
- Published
- 2016
- Full Text
- View/download PDF
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