C-反应蛋白和发展高血压的风险
Howard D Sesso1, Julie E Buring, Nader Rifai
1Department of Medicine, Center for Cardiovascular Disease Prevention and the Division of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass 02215-1204, USA. hsesso@hsph.harvard.edu
JAMA
|December 11, 2003
概括
炎症标志物C反应蛋白水平升高与女性患高血压的风险更高有关. 这一发现支持了高血压具有炎症起源的观点.
科学领域:
- 心血管健康 心血管健康
- 炎症性疾病 炎症性疾病
- 流行病学 流行病学
背景情况:
- 高血压是一种普遍的心血管疾病.
- 新出现的证据表明,炎症和高血压之间存在潜在的联系.
- 直接将系统性炎症标志物与发生性高血压联系起来的临床数据仍然有限.
研究的目的:
- 调查系统性炎症标志物C反应蛋白 (CRP) 与高血压发生率之间的关联.
- 确定CRP水平升高是否预测未来高血压的发展.
主要方法:
- 对20,525名45岁以上的女性健康专业人员进行前性队列研究,他们的血压在基线正常.
- 事件高血压的中位数随访时间为7.8年.
- 测量了基线血CRP水平和冠状动脉风险因素.
主要成果:
- 在较高的基线CRP水平和患高血压的风险增加之间观察到显著的线性趋势 (P<.001).
- 即使对传统冠状动脉风险因素进行调整后,CRP升高仍然与发生性高血压的风险增加有关.
- 这种关联在各种子组中持续存在,包括那些基线血压低且没有传统风险因素的人.
结论:
- 血C反应蛋白水平与未来高血压的发展有显著的关联.
- 这些发现支持了高血压部分是炎症性疾病的假设.
- CRP可能成为预测高血压风险的有价值生物标志物.
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