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It highlights cardiovascular disease as a leading cause of morbidity and mortality in Taiwan and frames screening and intervention uncertainties. The piece summarizes findings from a Journal of the Chinese Medical Association community-based study and interprets odds ratios suggesting hypertension as a critical driver and worse outcomes with combined comorbidities, emphasizing need for further discussion of clinical significance and screening implications.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/is-the-weight-of-hypertension-heavier-than-dyslipidemia-and-diabetes-mellitus-on-carotid-atherosclerosis-editorial/436764/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/is-the-weight-of-hypertension-heavier-than-dyslipidemia-and-diabetes-mellitus-on-carotid-atherosclerosis-editorial/436764.png","ImageObject",300,407,{"name":92,"@type":93},"Fahsai","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the editorial’s main question about carotid atherosclerosis?","Question",{"text":112,"@type":113},"It asks whether the weight of hypertension is greater than dyslipidemia and diabetes mellitus in relation to carotid atherosclerosis.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What does the referenced community-based study report about risk factors?",{"text":117,"@type":113},"It reports that hypertension, diabetes mellitus, and hyperlipidemia—along with known factors such as age and smoking—are associated with the presence and severity of carotid atherosclerosis.",{"name":119,"@type":110,"acceptedAnswer":120},"How does combining hypertension with other comorbidities affect carotid vessel health?",{"text":121,"@type":113},"The editorial describes deterioration in carotid health when hypertension is added to hyperlipidemia and/or diabetes mellitus, with higher odds ratios for moderate or severe atherosclerosis.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},436764,1790812006,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},549768702563,"https://ap-avatar.wpscdn.com/avatar/8000c4aa63b76e948b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786536092046926083",".  \nJ Chin MedAssoc  \nEDITORIAL  \nIs the weight of hypertension heavier thandyslipidemia and diabetes mellitus on carotid atherosclerosis?  \nWen-Ling Leea,b,c, Fa-Kung Leed,e, Peng-Hui Wangb,e,f,g,*  \naDepartment of Medicine, Cheng-Hsin General Hospital, Taipei, Taiwan, ROC; bInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; cDepartment of Nursing, Oriental Institute of Technology, New Taipei City, Taiwan, ROC; dDepartment of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan, ROC; eFemale Cancer Foundation, Taipei, Taiwan, ROC; fDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; gDepartment of Medical Research, China Medical University Hospital, Taichung, Taiwan, ROC  \nCardiovascular disease (CVD) remains one of the most common causes of impairment of human well-being and is also the main cause of death in the world.1 CVD is apparently the biggest health problem in Taiwan since it is secondary to malignant diseases and ranks as the second leading cause of mortality in Taiwan.2 Any strategy to screen and/or identify the risk factors and/or precursors of CVD providing a better chance to prevent or delay adverse health outcomes by early detection and prompt intervention and subsequently to improve global health is always encouraged.1,3,4 CVD is a noncommunicable disease, partly because of the presence of high debates about risk scoring system, part of the uncertainty of the value of using screening for asymptomatic CVD, particularly for asymptomatic carotid atherosclerosis, and partly because of the argument of appropriate time to intervention or management.5–9 We are happy to introduce a manuscript entitled “Combined effects of hypertension, hyperlipidemia, and diabetes mellitus (DM) on the presence and severity of carotid atherosclerosis in community-dwelling elders: A community-based study” published in the February issue of the Journal of the Chinese Medical Association to focus on the topic.10 Lu et al investigate the effect of comorbidities, such as hypertension, DM, and hyperlipidemia on carotid atherosclerosis in community-dwelling elders and found that many well-known risk factors, such as age at enrollment (per 1 year), male gender, cigarette smoking, and number of common CVDcomorbidities are associated with carotid atherosclerosis, and also involved in the severity of carotid atherosclerosis.10  \nAdditionally, the authors attempted to investigate the effects of each comorbidity item or combined comorbidity items of hypertension, DM, and hyperlipidemia on carotid atherosclerosis and found that hypertension was the most critical factor  \n* Address correspondence. Dr. Peng-Hui Wang, Department of Obstetricsand Gynecology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei 112, Taiwan, [ROC. E-mail addresses: phwang@vghtpe.gov.tw](ROC. E-mail addresses: phwang@vghtpe.gov.tw); [pongpongwang@gmail.com](pongpongwang@gmail.com) (P.-H. Wang).  \nConflicts of interest: Dr. Peng-Hui Wang, an editorial board member at Journal of the Chinese Medical Association, had no role in the peer review process of or decision to publish this article. The other authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.  \nJournal of Chinese Medical Association. (2023) 86: 354-355.  \nReceived January 13, 2023; accepted January 14, 2023.  \ndoi: 10. 1097/JCMA.0000000000000888.  \nCopyright © 2023, the Chinese Medical Association. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/))  \nassociated with moderate or severe carotid atherosclerosis with an odds ratio (OR) of 1.56 (95% CI, 1.01-2.41) .10 Furthermore, hypertension also plays an important role for the development of carotid atherosclerosis with an","cbCaimDsGkGVVMcn","https://ap.wps.com/l/cbCaimDsGkGVVMcn","pdf",312439,"English","# Editorial\n## Background: cardiovascular disease and screening uncertainties\n## Summary of the community-based study findings\n## Hypertension as a critical factor and combined comorbidities","[{\"question\":\"What is the editorial’s main question about carotid atherosclerosis?\",\"answer\":\"It asks whether the weight of hypertension is greater than dyslipidemia and diabetes mellitus in relation to carotid atherosclerosis.\"},{\"question\":\"What does the referenced community-based study report about risk factors?\",\"answer\":\"It reports that hypertension, diabetes mellitus, and hyperlipidemia—along with known factors such as age and smoking—are associated with the presence and severity of carotid atherosclerosis.\"},{\"question\":\"How does combining hypertension with other comorbidities affect carotid vessel health?\",\"answer\":\"The editorial describes deterioration in carotid health when hypertension is added to hyperlipidemia and/or diabetes mellitus, with higher odds ratios for moderate or severe atherosclerosis.\"}]","Is the weight of hypertension heavier than dyslipidemia and diabetes mellitus on carotid atherosclerosis - Editorial | PDF",1790678976]