The Relationship between Opium Addiction and the Severity of Atherosclerosis, Lipid Profile, Inflammatory Cytokines, and Renal Function in Non-diabetic Patients Subjected to Angiography

Background: Despite traditional beliefs about the beneficial effects of opium use, current evidence suggests an adverse effect of this substance on cardiovascular disease (CVD) risk factors. The present study aimed to investigate the association between opium-addiction status and lipid profile, the...

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Main Authors: Parinaz Onikzeh, Aida Kazemi, Fatemeh Rahmani, Mohamad Masoomi, Mina Moridi
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2022-07-01
Series:Journal of Kerman University of Medical Sciences
Subjects:
Online Access:https://jkmu.kmu.ac.ir/article_92010_d8adb8b353cc7ec72ad6767f45e54643.pdf
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author Parinaz Onikzeh
Aida Kazemi
Fatemeh Rahmani
Mohamad Masoomi
Mina Moridi
author_facet Parinaz Onikzeh
Aida Kazemi
Fatemeh Rahmani
Mohamad Masoomi
Mina Moridi
author_sort Parinaz Onikzeh
collection DOAJ
description Background: Despite traditional beliefs about the beneficial effects of opium use, current evidence suggests an adverse effect of this substance on cardiovascular disease (CVD) risk factors. The present study aimed to investigate the association between opium-addiction status and lipid profile, the severity of atherosclerosis (measured by Gensini score), inflammatory cytokines, and renal function among non-diabetic patients subjected to angiography.Methods: This cross-sectional study was conducted on 95 post-angiography patients. Routine tests including lipid profile, blood urea, creatinine, and hematocrit were collected at the time of admission. Also, serum levels of IL-6 and IL-8 were measured using ELISA. Independent sample t-test, Mann-Whitney U test, and chi-square were used to compare variables according to opium addiction. Multivariate regression was conducted to adjust the effect of potential confounding variables.Results: Opium-addict subjects had a higher IL-6 (P=0.049) level and PLT number (P=0.005). In contrast, there was a lower level of TG (P=0.015) and GFR (P=0.039) in the opium-addict group. There was no association between opium addiction and other variables (P>0.05).Conclusion: Although no significant association was observed between addiction and atherosclerosis and even there was a lower level of TG in addict subjects, there was a direct association between the serum IL-6 levels (an important inflammatory cytokine with adverse effects on coronary artery disease) and opium addiction. It has been revealed that confounding variables affect the relationship between opium use and CVD outcomes. Therefore, well-designed prospective studies controlling a vast range of general variables seem to be necessary.
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spelling doaj.art-26dff32a0cb84d7fb478da5e85342f772023-07-01T05:05:00ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28432022-07-0129434835710.22062/jkmu.2022.9201092010The Relationship between Opium Addiction and the Severity of Atherosclerosis, Lipid Profile, Inflammatory Cytokines, and Renal Function in Non-diabetic Patients Subjected to AngiographyParinaz Onikzeh0Aida Kazemi1Fatemeh Rahmani2Mohamad Masoomi3Mina Moridi4Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranClinical Research Development Unit, Shafa Hospital, kerman University of Medical Sciences, Kerman, IranDepartment of Cardiology, School of Medicine, Bam University of Medical Sciences, Bam, IranCardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, IranCardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, IranBackground: Despite traditional beliefs about the beneficial effects of opium use, current evidence suggests an adverse effect of this substance on cardiovascular disease (CVD) risk factors. The present study aimed to investigate the association between opium-addiction status and lipid profile, the severity of atherosclerosis (measured by Gensini score), inflammatory cytokines, and renal function among non-diabetic patients subjected to angiography.Methods: This cross-sectional study was conducted on 95 post-angiography patients. Routine tests including lipid profile, blood urea, creatinine, and hematocrit were collected at the time of admission. Also, serum levels of IL-6 and IL-8 were measured using ELISA. Independent sample t-test, Mann-Whitney U test, and chi-square were used to compare variables according to opium addiction. Multivariate regression was conducted to adjust the effect of potential confounding variables.Results: Opium-addict subjects had a higher IL-6 (P=0.049) level and PLT number (P=0.005). In contrast, there was a lower level of TG (P=0.015) and GFR (P=0.039) in the opium-addict group. There was no association between opium addiction and other variables (P>0.05).Conclusion: Although no significant association was observed between addiction and atherosclerosis and even there was a lower level of TG in addict subjects, there was a direct association between the serum IL-6 levels (an important inflammatory cytokine with adverse effects on coronary artery disease) and opium addiction. It has been revealed that confounding variables affect the relationship between opium use and CVD outcomes. Therefore, well-designed prospective studies controlling a vast range of general variables seem to be necessary.https://jkmu.kmu.ac.ir/article_92010_d8adb8b353cc7ec72ad6767f45e54643.pdfopiumatherosclerosiscardiovascular diseasesinflammationlipoproteins
spellingShingle Parinaz Onikzeh
Aida Kazemi
Fatemeh Rahmani
Mohamad Masoomi
Mina Moridi
The Relationship between Opium Addiction and the Severity of Atherosclerosis, Lipid Profile, Inflammatory Cytokines, and Renal Function in Non-diabetic Patients Subjected to Angiography
Journal of Kerman University of Medical Sciences
opium
atherosclerosis
cardiovascular diseases
inflammation
lipoproteins
title The Relationship between Opium Addiction and the Severity of Atherosclerosis, Lipid Profile, Inflammatory Cytokines, and Renal Function in Non-diabetic Patients Subjected to Angiography
title_full The Relationship between Opium Addiction and the Severity of Atherosclerosis, Lipid Profile, Inflammatory Cytokines, and Renal Function in Non-diabetic Patients Subjected to Angiography
title_fullStr The Relationship between Opium Addiction and the Severity of Atherosclerosis, Lipid Profile, Inflammatory Cytokines, and Renal Function in Non-diabetic Patients Subjected to Angiography
title_full_unstemmed The Relationship between Opium Addiction and the Severity of Atherosclerosis, Lipid Profile, Inflammatory Cytokines, and Renal Function in Non-diabetic Patients Subjected to Angiography
title_short The Relationship between Opium Addiction and the Severity of Atherosclerosis, Lipid Profile, Inflammatory Cytokines, and Renal Function in Non-diabetic Patients Subjected to Angiography
title_sort relationship between opium addiction and the severity of atherosclerosis lipid profile inflammatory cytokines and renal function in non diabetic patients subjected to angiography
topic opium
atherosclerosis
cardiovascular diseases
inflammation
lipoproteins
url https://jkmu.kmu.ac.ir/article_92010_d8adb8b353cc7ec72ad6767f45e54643.pdf
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