脂质度与心力衰竭发病率的关系:弗雷明汉心脏研究
Raghava S Velagaleti1, Joseph Massaro, Ramachandran S Vasan
1Framingham Heart Study, Center for Population Studies, National Heart, Lung, and Blood Institute, 73 Mt Wayte Avenue, Framingham, MA 01702, USA.
Circulation
|November 26, 2009
概括
高非高密度脂蛋白胆固醇 (HDL-C) 和低HDL-C增加心力衰竭 (HF) 风险,独立于心肌梗塞. 脂质修饰可能会减少HF发病率.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 脂质代谢 脂质代谢是什么
背景情况:
- 脂质水平与心力衰竭 (HF) 风险之间的关系需要全面阐明.
- 了解这些关联对于制定有效的预防策略至关重要.
研究的目的:
- 研究高密度脂蛋白胆固醇 (HDL-C) 和非高密度脂蛋白胆固醇 (非HDL-C) 与心力衰竭 (HF) 发生的独立关联.
- 评估对HF造成的血脂失调的可归因于人口的风险.
主要方法:
- 分析了来自弗雷明汉心脏研究的6860名参与者,在基线时没有冠状动脉心脏病.
- 长期跟踪评估HF发病率,定期更新脂质度.
- 用多变量回归模型调整临床共变量和心肌梗塞.
主要成果:
- 较高的非HDL-C和较低的HDL-C水平显着与心肌梗塞风险增加有关,独立于心肌梗塞.
- 非HDL-C的1-SD增加增加了19-23%的HF危险,而HDL-C的1-SD降低则增加了18-23%的HF危险.
- 高非HDL-C和低HDL-C分别占人口中HF病例的7.5%和15%.
结论:
- 失脂症有助于HF风险独立于心肌梗塞.
- 准脂质修饰可能是减少心力衰竭发病率的可行策略.
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