中心环状化预测心血管疾病和死亡率:弗雷明汉心脏研究
Caroline S Fox1, Ramachandran S Vasan, Helen Parise
1National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, Mass 01702-5827, USA.
中心环状化 (MAC) 是心血管疾病 (CVD) 风险增加的重要指标. 这项研究发现,MAC独立预测心血管疾病事件和死亡的更高风险,突出其在风险评估中的重要性.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 公共卫生 公共卫生
背景情况:
- 在先前的研究中,中枢环状化 (MAC) 与中风和心血管疾病 (CVD) 有关.
- 有限的前性数据存在于MAC与心血管疾病发病率和死亡率的关联.
研究的目的:
- 为了前性地研究MAC和CVD结果之间的关联.
- 为了评估MAC与心血管疾病发病率,心血管疾病死亡和16年来所有原因死亡的关系.
主要方法:
- 利用M模式回声心脏学来评估弗雷明汉心脏研究参与者的MAC.
- 用Cox的比例危险模型来估计风险.
- 在16年内跟踪了1197名受试者,分析了307例心血管疾病事件和621例死亡.
主要成果:
- 14%的受试者患有MAC.
- MAC独立地与发生心血管疾病 (HR 1.5),心血管疾病死亡 (HR 1.6) 和全因死亡 (HR 1.3) 的风险增加有关.
- 每增加1毫米的MAC与心血管疾病和全因死亡风险上升10%左右相关.
结论:
- 心脏化,特别是MAC,作为心血管疾病风险升高的独立标志物.
- 这些发现强调了MAC在预测不良心血管结果方面的临床意义.
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