Uric acid and subclinical atherosclerosis: distinct associations across coronary and carotid arteries - Report - MDSpire

Uric acid and subclinical atherosclerosis: distinct associations across coronary and carotid arteries

  • By

  • Mathias Ausserwinkler

  • Christian Jung

  • Bernhard Paulweber

  • Johannes Bauer

  • Ludmilla Kedenko

  • Tobias Kiesslich

  • Barbara Fixl

  • Eugen Trinka

  • Patrick Langthaler

  • Bernhard Iglseder

  • Maria Flamm

  • Elmar Aigner

  • Bernhard Wernly

  • June 29, 2026

  • 0 min

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Clinical Report: Associations of Uric Acid with Subclinical Atherosclerosis

Overview

This study investigates the relationship between serum uric acid levels and subclinical atherosclerosis in coronary and carotid arteries.

Background

Cardiovascular disease remains a leading cause of mortality globally, necessitating the exploration of additional biomarkers beyond traditional risk factors. Serum uric acid has been linked to cardiovascular risk, but its causal relationship with atherosclerosis is still debated.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

  • Serum uric acid is associated with various cardiovascular conditions, including coronary artery disease and heart failure.
  • Hyperuricemia is often linked with cardiometabolic abnormalities.
  • Imaging studies have shown the presence of monosodium urate deposits in vascular tissues.
  • The study utilized data from the Paracelsus 10,000 study to evaluate associations with subclinical atherosclerosis.
  • Sequential adjustments for cardiovascular risk factors were applied to assess the association of uric acid with atherosclerosis.

Clinical Implications

Clinicians should consider the associations of serum uric acid with cardiovascular risk when evaluating patients.

Conclusion

The study contributes to the understanding of the role of serum uric acid in cardiovascular health.

Related Resources & Content

  1. Frontiers in Cardiovascular Medicine, 2026 -- Uric acid–associated mechanisms of coronary artery calcification in diabetic kidney disease: evidence, hypotheses, and translational perspectives
  2. BMC Endocrine Disorders, 2026 -- The association between the triglyceride-glucose index and serum uric acid: a systematic review and meta-analysis
  3. Frontiers in Neurology, 2026 -- Association between uric acid to lymphocyte ratio and poor functional outcomes in acute ischemic stroke patients
  4. New PREVENT Equations for CVD Risk Assessment: Key Takeaways - American College of Cardiology
  5. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease
  6. Frontiers in Neurology — Serum uric acid-to-HDL cholesterol ratio and stroke prevalence: NHANES 1999–2018 with external support from an imaging-confirmed hemorrhagic stroke dataset
  7. ACC/AHA Task Force on Clinical Practice Guidelines
  8. Cardiovascular Safety of Febuxostat or Allopurinol in Patients with Gout | New England Journal of Medicine
  9. New PREVENT Equations for CVD Risk Assessment: Key Takeaways - American College of Cardiology
  10. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease
  11. Higher serum uric acid levels are associated with an increased risk of carotid atherosclerosis in 67,256 adults - PMC

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