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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EThis poster highlight discusses altered lipid profile and serum uric acid with the risk of myocardial infarction among diabetic and nondiabetic hypertensive patients.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiology Clinical Trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EMyocardial Infarction\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003ELipid Disorders\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EDiabetes Mellitus\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EIn 2004\u20132005, Trinidad and Tobago had the highest percentage of deaths from cardiovascular disease (CVD) and diabetes in the Caribbean [Chinnock P. \u003Cem\u003ECaribbean Health\u003C\/em\u003E 2001]. Patients with diabetes or hypertension are at higher risk of CVD with worse outcomes than nondiabetic individuals [Falko JM et al. \u003Cem\u003ECurr Diabetes Rev\u003C\/em\u003E 2005]. High uric acid levels are also a risk factor for insulin resistance syndrome [Bonora E et al. \u003Cem\u003EEur J Clin Invest\u003C\/em\u003E 1997].\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003ENalini Maharaj and colleagues from the University of the West Indies, Trinidad and Tobago, presented a poster on altered lipid profile and serum uric acid with the risk of myocardial infarction (MI) among diabetic and nondiabetic hypertensive patients. The primary objective was to improve understanding of the associations among altered lipid profile, serum uric acid, and the risk of MI.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EThe study included 672 adults who were treated for hypertension in public health clinics between 2005 and 2009. Health records were used to obtain each patient\u0027s history, lipid levels, blood pressure, and serum uric acid values.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EThe prevalence of MI was 25.45%, with males accounting for 52.6% and females accounting for 47.4%. The modal age group for MI was 61 to 70 years. MI rate was higher in hypertensive type 2 diabetics with altered lipid profiles (23.9%) than in nondiabetic hypertensive patients (7.7%). Diabetes (OR, 3.741), altered lipid profile (OR, 13.096), and age group (OR, 1.444) were all associated with an increased odds of MI. Increasing serum uric acid quartile (p=0.029) was also associated with MI.\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EThe data suggest that altered lipid profile and elevated serum uric acid are associated with MI in hypertensive patients with diabetes. While dyslipidemia is an established risk factor for MI and a current therapeutic target, further studies that adjust for other clinical and laboratory covariates are needed to understand if serum uric acid is an independent predictor of MI and whether this measurement is a useful clinically in directing therapeutic decision-making.\u003C\/p\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2011 MD Conference Express\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/11\/9\/23.2.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzmzxe\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}