Cover Page The handle http://hdl.handle.net/1887/28524 holds various files of this Leiden University dissertation Author: Djaberi, Roxana Title: Cardiovascular risk assessment in diabetes Issue Date: 2014-09-04 Cardiovascular Risk Assessment in Diabetes Roxana Djaberi Djaberi.indd 1 5-8-2014 15:28:33 The studies described in this thesis were performed at the Department of Cardiology of the Leiden University Medical Center, Leiden, the Netherlands. Cover design: Katherine Kudo, Kudo Design, New Zealand Layout: Gildeprint, Enschede, The Netherlands Printed by: Gildeprint, Enschede, The Netherlands ISBN: 978-94-6108-731-7 Copyright © 2014 Roxana Djaberi, Leiden, the Netherlands. All rights reserved. No parts of this book may be reproduced or transmitted in any form or by any means, without prior written permission of the copyright author. Djaberi.indd 2 5-8-2014 15:28:33 Cardiovascular Risk Assessment in Diabetes PROEFSCHRIFT ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus prof. mr. C.J.J.M. Stolker, volgens besluit van het College voor Promoties ter verdedigen op donderdag 4 september 2014, klokke 15.00 uur door Roxana Djaberi geboren te Teheran, Iran in 1979 Djaberi.indd 3 5-8-2014 15:28:33 Promotiecommissie Promotores: prof. dr. J.W. Jukema prof. dr. J.J. Bax Co-promotor: dr. J.H.A. Scholte Overige leden: dr. P.R.M. van Dijkman (Bronovo ziekenhuis) prof. dr. A.M. Pereira prof. dr. A.J. Rabelink prof. dr. C.J. Tack (Radboud Universitair Medisch Centrum) Financial support by the Netherlands Heart Foundation and the Interuniversity Cardiology Institute of the Netherlands for the publication of this thesis is gratefully acknowledged. Djaberi.indd 4 5-8-2014 15:28:33 For my parents To Philip and little Mira Djaberi.indd 5 5-8-2014 15:28:33 Djaberi.indd 6 5-8-2014 15:28:33 Table of contents Chapter 1 General introduction Part I Coronary artery disease in adiposity and in diabetes Chapter 2 Relation of epicardial adipose tissue to coronary atherosclerosis Am J Cardiol 2008; 102:1602-1607 Chapter 3Reduced plasma adiponectin is associated with extent, degree and morphology of coronary artery disease in asymptomatic patients with type 2 diabetes 11 25 39 Submitted Chapter 4 ifferences in atherosclerotic plaque burden and morphology D between type 1 and 2 diabetes as assessed by multislice computed tomography 63 Diabetes Care 2009; 32:1507-1512 Chapter 5 ndothelial dysfunction in diabetic patients with abnormal E myocardial perfusion in the absence of epicardial obstructive coronary artery disease 79 J Nucl Med 2009; 50:1980-1986 Part II Cardiovascular risk assessment in diabetes Chapter 6Non-invasive cardiac imaging techniques and vascular tools for the assessment of cardiovascular disease in type 2 diabetes mellitus101 Diabetologia 2008; 51:1581-1593 Chapter 7 sefulness of carotid intima-media thickness in patients with U diabetes mellitus as a predictor of coronary artery disease 129 Am J Cardiol 2009; 104:1041-1046 7 Djaberi.indd 7 5-8-2014 15:28:33 Table of contents Chapter 8 I ncreased carotid intima-media thickness as a predictor of the presence and extent of abnormal myocardial perfusion in type 2 diabetes 145 Diabetes Care 2010; 33:372-374 Chapter 9 elationship between vascular stiffness and stress myocardial R perfusion imaging in asymptomatic patients with diabetes 155 Eur J Nucl Med Mol Imaging 2011; 38:2050-2057 Chapter 10 I ncremental value of coronary artery calcium score over microalbuminuria to predict myocardial ischemia in asymptomatic patients with type 1 diabetes 173 Submitted Chapter 11 omparative performance of risk stratification tools for C predicting functionally relevant coronary artery disease in asymptomatic type 2 diabetes 191 Submitted Part IIIMicrovascular disease Chapter 12 on-invasive assessment of microcirculation by sidestream N dark field imaging as a marker of coronary artery disease in diabetes209 Diab Vasc Dis Res 2013; 10:123-134 Summary and Conclusions 231 Samenvattingen en Conclusies 239 Publications247 Acknowledgements251 Curriculum Vitae 253 8 Djaberi.indd 8 5-8-2014 15:28:33 Djaberi.indd 9 5-8-2014 15:28:33 Djaberi.indd 10 5-8-2014 15:28:33