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Non-HDL cholesterol is an independent risk factor for aspirin resistance in obese patients with type 2 diabetes

  • Jong Dai Kim
  • , Cheol Young Park
  • , Kue Jeong Ahn
  • , Jae Hyoung Cho
  • , Kyung Mook Choi
  • , Jun Goo Kang
  • , Jae Hyeon Kim
  • , Ki Young Lee
  • , Byung Wan Lee
  • , Ji Oh Mok
  • , Min Kyong Moon
  • , Joong Yeol Park
  • , Sung Woo Park
  • Kangbuk Samsung Hospital
  • Kyung Hee University
  • The Catholic University of Korea
  • Korea University
  • Hallym University
  • Sungkyunkwan University
  • Gachon University
  • Yonsei University
  • Soonchunhyang University
  • Seoul National University
  • University of Ulsan

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: We evaluated the prevalence of aspirin resistance and predictive factors for aspirin resistance in Korean type 2 diabetes patients. Approach and results: A total of 1045 type 2 diabetes patients from 11 hospitals who were taking aspirin (100mg/day for ≥2 weeks) and no other antiplatelet agents were studied to evaluate aspirin resistance. Aspirin resistance was measured in aspirin reaction units using VerifyNow®. Aspirin resistance was defined as ≥550 aspirin reaction units.Aspirin resistance was detected in 102 of the 1045 subjects (prevalence 9.8%). Aspirin resistance was associated with total cholesterol (P=0.013), LDL-cholesterol (P=0.028), and non-HDL cholesterol (P=0.008) concentrations in univariate analysis. In multivariate logistic regression analysis, only non-HDL cholesterol was associated with aspirin resistance in obese (BMI >25kg/m2) type 2 diabetes patients (adjusted odds ratio 3.55, 95% CI: 1.25-10.05, P=0.017). Conclusions: The prevalence of aspirin resistance in Korean type 2 diabetes patients is 9.8%. Non-HDL cholesterol is an independent risk factor for aspirin resistance, especially in obese type 2 diabetes patients.

Original languageEnglish
Pages (from-to)146-151
Number of pages6
JournalAtherosclerosis
Volume234
Issue number1
DOIs
StatePublished - May 2014
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Aspirin resistance
  • Atherogenic dyslipidemia
  • Diabetes
  • Non-HDL cholesterol

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