系统性红斑狼预测左心室质量增加
Janice Pieretti1, Mary J Roman, Richard B Devereux
1Division of Cardiology, Weill Medical College of Cornell University and the Hospital for Special Surgery, New York, NY 10021, USA.
Circulation
|July 11, 2007
概括
系统性红斑狼 (SLE) 与左心室 (LV) 质量增加和高有关,即使没有其他心脏病. 这表明与炎症相关的动脉硬化可能会影响SLE患者的心脏健康.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 血管生物学 血管生物学
背景情况:
- 众所周知,全身性红斑狼 (SLE) 会加速动脉样硬化和血管硬.
- SLE对左心室 (LV) 结构和功能的影响,独立于膜或冠状动脉疾病,仍然不清楚.
研究的目的:
- 为了调查SLE是否会改变没有明显心血管疾病的患者的LV结构和功能.
- 探索SLE,动脉硬和LV重塑之间的关系.
主要方法:
- 对SLE患者 (n=173) 和参考组 (n=173) 的年龄和性别匹配比较.
- 用于LV结构和功能评估的心声回声学.
- 带超声波用于动脉样硬化检测和辐射平面化度仪用于动脉硬度测量.
主要成果:
- 与对照组相比,SLE患者表现出明显更高的LV质量 (P<0.001) 和较高的LV缩率 (17.9%对6.4%,P<0.001).
- 在SLE患者中,LV质量与SLE本身 (P<0.001) 和动脉硬 (P<0.001) 独立相关.
- 高血压加剧了SLE患者的LV质量增加.
结论:
- 系统性红斑狼是增加LV质量的预测因素,可能由炎症诱导的动脉硬化介导.
- 在SLE中升高的LV缩可能有助于观察到的心脏发病率和死亡率的增加.
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