[Cerebrovascular diseases and metabolic syndrome].
OBJECTIVE
To study various aspects of cerebrovascular diseases (CVD) in the presence of metabolic syndrome (MS).


METHODS
A comprehensive clinical, laboratory, ultrasound, and neuroimaging study was conducted in 514 patients with symptomatic and asymptomatic atherosclerotic lesion of the internal carotid artery and MS.


RESULTS
MS was found and proven to affect the following factors: a) the course and progression of carotid artery (CA) atherosclerotic lesion with transformation of its asymptomatic to symptomatic state; b) the structure and instability of an atherosclerotic plaque; c) the magnitude of blood theological changes; d) endothelial dysfunction; e) white matter changes; f) the clinical features of both acute and chronic CVD and the development of cognitive impairments.


CONCLUSIONS
The association of the atherogenic activity of major components of MS, such as hyperinsulinemia, hypertension, dyslipidemia, and obesity, in the presence of dysregulated hemostasis and blood rheology substantially increases the risk of a progressive CA atherosclerotic process even in its asymptomatic course and accordingly favors the development and progression of different manifestations of CVD.
M M
MM
Tanashian
O V
OV
Lagoda
S V
SV
Orlov
N G
NG
Telenkova
L N
LN
Maksiutkina
S Iu
SIu
Petrukhina
D000328:Adult; D000368:Aged; D001706:Biopsy; D002339:Carotid Arteries / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology; D002561:Cerebrovascular Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008279:Magnetic Resonance Imaging; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged; D012307:Risk Factors; D012426:Russia / Q000453:epidemiology; D018616:Ultrasonography, Doppler, Duplex