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Angiology
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Article

Serum Leptin Levels in Patients Undergoing Carotid Endarterectomy: A Pilot Study

Ioannis Bountouris, Kosmas I. Paraskevas, MD, FASA*, Michael Koutouzis, Vassiliki Tzavara, Nikolaos Nikolaou, Alexandros Nomikos, Calypso Barbatis, Vassilios Andrikopoulos, Dimitri P. Mikhailidis, MD FASA FACB FFPM FRCP FRCPath, Maria Andrikopoulou1, Zenon S. Kyriakides, Sotirios Georgopoulos, Panagiotis O. Michail, and Elias Bastounis, MD2

1 Athens University Medical School
2 University of Athens Medical School

* To whom correspondence should be addressed. E-mail: paraskevask{at}hotmail.com.


   Abstract
Introduction: Elevated serum leptin levels are associated with cardiovascular events. We investigated the role of serum leptin in patients undergoing carotid endarterectomy (CEA). Methods: A total of 74 patients (55 men; 38 symptomatic and 36 asymptomatic; mean age 66.9 ± 8.2 years) undergoing CEA for >70% carotid artery stenosis were enrolled. Results: Serum leptin levels were lower in symptomatic compared with asymptomatic patients (7.1 ± 1.3 vs 14.4 ± 4.7 ng/dL; P < .001). Interleukin-6 (IL-6) levels were higher in symptomatic compared with asymptomatic patients (4.3 ± 1.7 vs 3.3 ± 1.1 pg/dL; P = .017). Symptomatic patients had more intense macrophage accumulation (0.7% ± 0.1% vs 0.3% ± 0.1%; P < .001). Serum leptin and serum IL-6 levels were independently associated with the presence of symptoms in multivariate analysis. Conclusion: Serum leptin levels were decreased in symptomatic carotid artery disease. This finding requires further investigation in larger studies.

First published on October 13, 2009
Angiology 2009, doi:10.1177/0003319709350133


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