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The role of postprandial very-low-density lipoprotein in the development of atrial remodeling in metabolic syndrome.


ABSTRACT: BACKGROUND:Negatively charged very-low-density lipoprotein (VLDL-?) in metabolic syndrome (MetS) patients exerts cytotoxic effects on endothelial cells and atrial myocytes. Atrial cardiomyopathy, manifested by atrial remodeling with a dilated diameter, contributes to atrial fibrillation pathogenesis and predicts atrial fibrillation development. The correlation of VLDL-? with atrial remodeling is unknown. This study investigated the association between VLDL-? and remodeling of left atrium. METHODS:Consecutively, 87 MetS and 80 non-MetS individuals between 23 and 74?years old (50.6% men) without overt cardiovascular diseases were included in the prospective cohort study. Blood samples were collected while fasting and postprandially (at 0.5, 1, 2, and 4?h after a unified meal). VLDL was isolated by ultracentrifugation; the percentile concentration of VLDL-? (%) was determined by ultra-performance liquid chromatography. The correlations of left atrium diameter (LAD) with variables including VLDL-?, LDL-C, HDL-C, triglycerides, glucose, and blood pressure, were analyzed by multiple linear regression models. A hierarchical linear model was conducted to test the independencies of each variable's correlation with LAD. RESULTS:The mean LAD was 3.4?±?0.5?cm in non-MetS subjects and 3.9?±?0.5?cm in MetS patients (P?

SUBMITTER: Lee HC 

PROVIDER: S-EPMC7507670 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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The role of postprandial very-low-density lipoprotein in the development of atrial remodeling in metabolic syndrome.

Lee Hsiang-Chun HC   Shin Shyi-Jang SJ   Huang Jih-Kai JK   Lin Ming-Yen MY   Lin Yu-Hsun YH   Ke Liang-Yin LY   Jiang He-Jiun HJ   Tsai Wei-Chung WC   Chao Min-Fang MF   Lin Yi-Hsiung YH  

Lipids in health and disease 20200922 1


<h4>Background</h4>Negatively charged very-low-density lipoprotein (VLDL-χ) in metabolic syndrome (MetS) patients exerts cytotoxic effects on endothelial cells and atrial myocytes. Atrial cardiomyopathy, manifested by atrial remodeling with a dilated diameter, contributes to atrial fibrillation pathogenesis and predicts atrial fibrillation development. The correlation of VLDL-χ with atrial remodeling is unknown. This study investigated the association between VLDL-χ and remodeling of left atrium  ...[more]

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