在使用者和非使用者中的C-反应蛋白和缺血 贝塔抑制剂和他类药物:来自心脏和灵魂研究的数据
Mary S Beattie1, Michael G Shlipak, Haiying Liu
1Department of Medicine, University of California, San Francisco, USA.
升高的C-反应蛋白 (CRP) 表明在稳定的冠状动脉疾病患者中,诱导性缺血的风险更高. 这种关联在那些不服用β抑制剂或他类药物的人群中尤为强烈.
科学领域:
- 心脏病学 心脏病学
- 炎症研究 炎症研究
- 临床医学 临床医学
背景情况:
- 升高的C-反应蛋白 (CRP) 与增加冠状动脉事件风险有关.
- 稳定的冠状动脉疾病中炎症和诱导性缺血之间的关系尚不清楚.
研究的目的:
- 调查稳定冠状动脉疾病患者的C-反应蛋白 (CRP) 水平和运动诱导性缺血之间的关联.
- 为了确定这种关联是否因使用β-阻断剂或他类药物而改变.
主要方法:
- "心灵研究"招募了已知冠心病患者.
- 测量了C-反应蛋白 (CRP) 水平,并与通过压力心声图确定的可诱导性缺血相关联.
- 使用后勤回归分析来评估与CRP升高相关的缺血风险.
主要成果:
- 在最高CRP类别 (>0.38 mg/dL) 的参与者中,可诱导性缺血症的患病率显著更高 (75%对45%).
- 这种关联在不使用β-阻断剂 (93%对42%) 和他类药物 (94%对44%) 的患者中表现明显.
- 在接受β抑制剂或他类药物治疗的患者中,没有观察到显著的CRP-缺血相关性.
结论:
- 升高的C-反应蛋白 (CRP) 水平与稳定的冠状动脉疾病中可诱导性缺血显著相关.
- 这种炎症标志物对缺血的预测价值在不接受β-阻断剂或他类药物治疗的患者中最为明显.
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