Metabolic Syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Males; 2. Age: males>=50 years; 3. Visceral obesity as determined by Wcr: males: >94cm; 4. Two other metabolic syndrome criteria (According to IDF criteria 2005) and/or a positive family history for cardiovascular disease (CHD and/or PAD in first degree family member: male 1.8 mg/L; 6. Subject who is willing and is able to provide a signed and dated written informed consent.
Exclusion criteria
Exclusion criteria: 1. Severe obesity (BMI>35 kg/m2); 2. Diabetes type 2 defined as fasting venous plasma glucose >7.0 mmol/L, or HbA1c >6.5%; 3. Primary dyslipidemia; 4. A previous cardiovascular event, including Q-wave infarction on electrocardiography (ECG); 5. QTc time interval on baseline ECG > 450ms; 6. Heart failure NYSE class I or higher; 7. Hypoglycaemia; 8. Presence of clinically significant hepatic disease (i.e. subjects with ALT, total bilirubin, or alkaline phosphatase > 2.5 times the upper limit of the normal laboratory range); 9. Subjects with creatinine clearance < 40 mL/min calculated using the Cockcroft-Gault equation adjusted for ideal body weight; 10. Contraindication for MRI-assessments; 11. Risk of non-compliance.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Magnetic resonance (MR) assessment of the carotid artery wall, MR-measured hepatic, intra-abdominal and peripheral subcutaneous fat stores. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Assessment of the changes in selected inflammatory and metabolic parameters amongst which changes in insulin resistance & iNOS; 2. Cross sectional assessment of the relation between the characteristics of the Magnetic Resonance image of the carotid arterial wall and Circulating Endothelial Progenitor cells; 3. The effect of Rosiglitazone on CEPs after one year of treatment in subjects with high cardiovascular risk without diabetes mellitus; 4. Optimalisation of MR assessment of (complex) atherosclerotic plaques & other cardiovascular risk markers. | — |
Contacts
Leiden University Medical Center (LUMC), P.O. Box 9600