Dandan Hu
Dandan Hu
D Hu, Department of Endocrinology, Suzhou Municipal Hospital, Suzhou, China
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Xiangguo Cong
Xiangguo Cong
X Cong, Department of Endocrinology, The Affiliated Suzhou Hospital of Nanjing Medical University, suzhou, China
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Beibei Gao
Beibei Gao
B Gao, Department of Endocrinology, Suzhou Municipal Hospital, Suzhou, China
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Ying Wu
Ying Wu
Y Wu, Department of Endocrinology, Suzhou Municipal Hospital, Suzhou, China
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Qiong Shen
Qiong Shen
Q Shen, Department of Endocrinology, Suzhou Municipal Hospital, Suzhou, China
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Lei Chen
Lei Chen
L Chen, The Affiliated Suzhou Hospital of Nanjing Medical University, 苏州, 2100000, China
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Background:
Evidence has demonstrated that visceral fat area (VFA) and subcutaneous fat area (SFA) had different influences on cardiovascular disease (CVD) risk in patients with type 2 diabetes mellitus (T2DM). We aimed to investigate the relationship between the visceral fat area (VFA) to subcutaneous fat area (SFA) ratio (V/S) and carotid atherosclerosis (CAS) in patients with T2DM.
Methods:
From January 2018 to May 2023, 1,838 patients with T2DM admitted to the National Metabolic Management Centre in our hospital were assigned to two groups based on comorbid CAS. Dual bioelectrical impedance analysis was used to measure the VAF and SFA, and the V/S was calculated. Patient characteristics and serum biochemical indices were compared between groups. Factors influencing comorbid CAS were determined, and correlations between V/S and other clinical indices were analyzed.
Results:
The group with comorbid CAS included 858 individuals and 980 without comorbid CAS. Those with comorbid CAS were older and had a longer disease duration, more significant systolic blood pressure, and greater V/S. The proportions of patients with comorbid hypertension increased significantly with the V/S ratio. The V/S ratio positively correlated with triglyceride (TG), low-density lipoprotein cholesterol levels, and waist circumference. According to binary logistic regression analysis, V/S was an independent risk factor for CAS.
Conclusion:
Elevated V/S is an independent risk factor for CAS in patients with T2DM.
Aasem Saif
Aasem Saif
Internal Medicine Department, Cairo University, Cairo, Egypt
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Shrook Mousa
Shrook Mousa
Internal Medicine Department, Cairo University, Cairo, Egypt
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Maha Assem
Maha Assem
Internal Medicine Department, Cairo University, Cairo, Egypt
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Nashwa Tharwat
Nashwa Tharwat
National Nutrition Institute, Cairo, Egypt
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Alaa Abdelhamid
Alaa Abdelhamid
Internal Medicine Department, Cairo University, Cairo, Egypt
Vascular Laboratory, Cairo University, Cairo, Egypt
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Vascular Laboratory, Cairo University, Cairo, Egypt
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, through vascular imaging, has been suggested as a means to enhance cardiovascular risk assessment ( 9 ). Carotid artery intima-media thickness (CIMT) measurement has increasingly been used as a marker of atherosclerosis in many studies ( 10 ). The aim of
Yueyuan Yang
Yueyuan Yang
Department of Endocrinology, Renmin Hospital of Wuhan University, Wuhan, China
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Tingting Yu
Tingting Yu
Department of Radiology, Renmin Hospital of Wuhan University, Wuhan, China
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Zhili Niu
Zhili Niu
Department of Clinical Laboratory, Institute of translational medicine, Renmin Hospital of Wuhan University, Wuhan, China
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Ling Gao
Ling Gao
Department of Endocrinology, Renmin Hospital of Wuhan University, Wuhan, China
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pathologically from those in non-diabetic individuals ( 3 , 4 ). Arterial plaque formation can be influenced by a high glucose environment, putting diabetics with concurrent carotid atherosclerosis (CA) at greater risk of cardiovascular events compared to the
Karoline Winckler
Karoline Winckler
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Lise Tarnow
Lise Tarnow
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Louise Lundby-Christensen
Louise Lundby-Christensen
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Thomas P Almdal
Thomas P Almdal
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Niels Wiinberg
Niels Wiinberg
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Pia Eiken
Pia Eiken
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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Trine W Boesgaard
Trine W Boesgaard
Department of Cardiology, Department of Research, Institute of Clinical Studies, Clinical Research Unit, Department of Paediatrics, Department of Medicine, Department of Physiology and Nuclear Medicine, Institute of Clinical Medicine, Nephrology and Endocrinology
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the CIMT trial group
the CIMT trial group
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LE Folsom AR Clegg LX Sharrett AR Shahar E Nieto FJ Rosamond WD Evans G . Carotid wall thickness is predictive of incident clinical stroke: the Atherosclerosis Risk in Communities (ARIC) study . American Journal of Epidemiology 2000
Leyre Lorente-Poch
Leyre Lorente-Poch
Endocrine Surgery Unit, Hospital del Mar, Barcelona, Spain
Departament de Cirurgia, Universitat Autònoma de Barcelona, Barcelona, Spain
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Departament de Cirurgia, Universitat Autònoma de Barcelona, Barcelona, Spain
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Sílvia Rifà-Terricabras
Sílvia Rifà-Terricabras
Departament de Cirurgia, Universitat Autònoma de Barcelona, Barcelona, Spain
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Juan José Sancho
Juan José Sancho
Endocrine Surgery Unit, Hospital del Mar, Barcelona, Spain
Departament de Cirurgia, Universitat Autònoma de Barcelona, Barcelona, Spain
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Departament de Cirurgia, Universitat Autònoma de Barcelona, Barcelona, Spain
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Danilo Torselli-Valladares
Danilo Torselli-Valladares
Endocrine Surgery Unit, Hospital del Mar, Barcelona, Spain
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Sofia González-Ortiz
Sofia González-Ortiz
Department of Radiology, Hospital del Mar, Barcelona, Spain
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Antonio Sitges-Serra
Antonio Sitges-Serra
Endocrine Surgery Unit, Hospital del Mar, Barcelona, Spain
Departament de Cirurgia, Universitat Autònoma de Barcelona, Barcelona, Spain
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Departament de Cirurgia, Universitat Autònoma de Barcelona, Barcelona, Spain
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. Presence of calcified carotid plaque predicts vascular events: the Northern Manhattan Study . Atherosclerosis 2007 195 e197 – e201 . ( https://doi.org/10.1016/j.atherosclerosis.2007.03.044 ) 31 Kwee RM . Systematic review on the association
E N Dudinskaya
E N Dudinskaya
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O N Tkacheva
O N Tkacheva
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M V Shestakova
M V Shestakova
National Research Center for Preventive Medicine, Endocrinology Research Centre, Building 10, Petroverigskiy Lane, Moscow 101990, Russian Federation
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N V Brailova
N V Brailova
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I D Strazhesko
I D Strazhesko
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D U Akasheva
D U Akasheva
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O Y Isaykina
O Y Isaykina
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N V Sharashkina
N V Sharashkina
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D A Kashtanova
D A Kashtanova
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S A Boytsov
S A Boytsov
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-6736(01)05633-1 ). 9 Benetos A Gardner JP Zureik M Labat C Xiaobin L Adamopoulos C Temmar M Bean KE Thomas F Aviv A . Short telomeres are associated with increased carotid atherosclerosis in hypertensive subjects . Hypertension 2003 43 182
Ursula M M Costa
Ursula M M Costa
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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Carla R P Oliveira
Carla R P Oliveira
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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Roberto Salvatori
Roberto Salvatori
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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José A S Barreto-Filho
José A S Barreto-Filho
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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Viviane C Campos
Viviane C Campos
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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Francielle T Oliveira
Francielle T Oliveira
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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Ivina E S Rocha
Ivina E S Rocha
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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Joselina L M Oliveira
Joselina L M Oliveira
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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Wersley A Silva
Wersley A Silva
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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Manuel H Aguiar-Oliveira
Manuel H Aguiar-Oliveira
Division of Cardiology, Division of Endocrinology, Division of Endocrinology, Federal University of Sergipe, Aracaju, SE 49060-100, Brazil
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) and increased insulin sensitivity (14) . The adult IGHD individuals do not present premature clinical carotid (15) or aortic atherosclerosis (16) nor coronary ischemia assessed by stress echocardiography (15, 17) , and have similar longevity as
Xiaoli Liu
Xiaoli Liu
Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, China
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Lanxiang Liu
Lanxiang Liu
Department of Medical Imaging, The First Hospital of Qinhuangdao, Qinhuangdao, China
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Rui Wang
Rui Wang
Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, China
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Xiaojiao Jia
Xiaojiao Jia
Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, China
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Binbin Liu
Binbin Liu
Department of Functional Examination, The First Hospital of Qinhuangdao, Qinhuangdao, China
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Ning Ma
Ning Ma
Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, China
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Qiang Lu
Qiang Lu
Department of Endocrinology, The First Hospital of Qinhuangdao, Qinhuangdao, China
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correlated with carotid atherosclerosis. In animal and in vitro studies, FGF21 has been shown to improve lipid distribution and inhibit key processes of the pathogenesis of atherosclerosis. It acts on the cardiovascular system through adiponectin
Ahmet Uçar
Ahmet Uçar
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Nurçin Saka
Nurçin Saka
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Firdevs Baş
Firdevs Baş
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Nihal Hatipoğlu
Nihal Hatipoğlu
Pediatric Endocrine Unit, Pediatric Endocrine Unit, Istanbul Medical Faculty, Istanbul University, 34093 Fatih, Istanbul, Turkey
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Rüveyde Bundak
Rüveyde Bundak
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Feyza Darendeliler
Feyza Darendeliler
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) . In human male MDMs, DHEA-induced lipid accumulations resulting in foam cell formation, which is a critical step in atherosclerosis, were shown. However, this was not shown in females owing to scant androgen receptors on human female MDMs (11) . Both
T L C Wolters
T L C Wolters
Division of Endocrinology, Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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C D C C van der Heijden
C D C C van der Heijden
Division of Experimental Internal Medicine, Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
Division of Vascular Medicine, Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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Division of Vascular Medicine, Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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N van Leeuwen
N van Leeuwen
Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
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B T P Hijmans-Kersten
B T P Hijmans-Kersten
Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
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M G Netea
M G Netea
Division of Experimental Internal Medicine, Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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J W A Smit
J W A Smit
Division of Endocrinology, Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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D H J Thijssen
D H J Thijssen
Department of Physiology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
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Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
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A R M M Hermus
A R M M Hermus
Division of Endocrinology, Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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N P Riksen
N P Riksen
Division of Vascular Medicine, Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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R T Netea-Maier
R T Netea-Maier
Division of Endocrinology, Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands
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.1186/1476-7120-12-34 ) 48 Kobayashi K Akishita M Yu W Hashimoto M Ohni M Toba K . Interrelationship between non-invasive measurements of atherosclerosis: flow-mediated dilation of brachial artery, carotid intima-media thickness and pulse wave velocity
