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Moderate Hypertriglyceridemia Revealed by Acute Chest Syndrome, a Milky Appearance Serum and Prior History of Recurrent Acute Pancreatitis in a Type 2 Diabetes Black Patient: A Case Report

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World Journal of Cardiovascular Diseases 2016年第11期6卷 425-432页

作者： François Bompeka Lepira Vita Eulethère kintoki Jean-Robert Risassi Makulo fabien mbala kintoki Division of Nephrology-Hypertension University of Kinshasa Hospital Kinshasa Democratic Republic of the Congo Division of Cardiology University of Kinshasa Hospital Kinshasa Democratic Republic of the Congo

Although the “triglyceride paradox” states that hypertriglyceridemia is less frequent in Blacks and the risk of pancreatitis increases with severe hypertriglyceridemia, we herein report on a case of moderate hypertriglyceridemia revealed by an acute chest syndrome and a milky appearance serum in a 47-year-old type 2 diabetes black patient with prior history of recurrent acute pancreatitis. In addition to insulin therapy and coronary angioplasty, the combination of a statin and a fibrate resulted two months later in a substantial improvement in triglyceride levels and a normal serum appearance.

关键词： Moderate Hypertriglyceridemia Acute Chest Syndrome Pancreatitis Fibrates Black African

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Determinants of Regional Obesity (Visceral and Subcutaneous Obesity) within Cardiovascular Risk Factors in the Cardiology Department of the University Clinics of Kinshasa

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World Journal of Cardiovascular Diseases 2022年第9期12卷 444-456页

作者： fabien kintoki mbala Junior Mabidi Mbangi Aliocha Natuhoyila Nkodila Jean-Robert Makulo Risassi Pascal Bayauli Eleuther kintoki Vita Benjamin Longo-Mbenza Raoul Gombet Christian Kisoka Lusunsi Faculty of Medicine University of Kinshasa Kinshasa DR Congo Cardiology Unit Department of Internal Medicine University Clinics of Kinshasa Kinshasa DR Congo Department of Family Medicine and Primary Health Care Protestant University in Congo Kinshasa DR Congo Nephrology Unit Department of Internal Medicine University Clinics of Kinshasa University of Kinshasa Kinshasa DR Congo Cardiometabolic Unit Department of Internal Medicine University Clinics of Kinshasa University of Kinshasa Kinshasa DR Congo Walter Sisulu University Mthatha South Africa Marien Ngouabi University Brazzaville Republic of Congo Department of Public Health Lomo University of Research Kinshasa DR Congo

Objective: This study aimed to determine searching for the determinants of regional obesity (visceral and subcutaneous obesity) within the cardiovascular risk factors (CVRF) in patients followed in cardiology at the University Clinics of Kinshasa (UCK) in the Democratic Republic of Congo (DRC). Material and Methods: Cross-sectional and analytical study had sought the determinants of regional obesity (visceral and subcutaneous obesity) by bio-impedance inside the CVRF during the period from July 1 to September 31, 2014. The multivariate analysis (logistic regression) has established the levels of association between regional obesity and CVRF. The statistical significance threshold was set at p Results: A total of 642 patients participated in the present study. The frequencies of visceral and subcutaneous obesity were respectively 45.5% (without significant distinction between the two sexes: Men 48% n = 92/188 vs. Women 44.1 n = 200/454;p = 0.148) and 60.7% with a predominance in women (36.2 n = 68/188 vs. 70.9% n = 322/454;p that alongside regional obesity was: advanced age, tobacco use, alcohol use, physical inactivity, high blood pressure (HBP), diabetes mellitus (DM) and Chronic renal failure (CRF) in the respective proportions of 50.8%, 13.4%, 44.2%, 86.3%, 10.7%, 13.4% and 0.3%. The determinants of regional obesity were advanced age, smoking and obesity on body mass index (BMI) for visceral obesity;advanced age, female gender, alcohol intake and obesity on BMI and waist circumference (WC) as well as hypertriglyceridemia for subcutaneous obesity. Conclusion: This study showed a significant frequency of regional obesity with the following determinants: advanced age, female gender, smoking, alcohol, BMI/WC obesity and hypertriglyceridemia.

关键词： Regional Visceral Subcutaneous Adipose Tissue Bio-Impedance Determinant CVRF DRC

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