动脉硬和心血管事件:弗雷明汉心脏研究
Gary F Mitchell1, Shih-Jen Hwang, Ramachandran S Vasan
1Cardiovascular Engineering, Inc, 1 Edgewater Dr, Suite 201A, Norwood, MA 02062, USA. GaryFMitchell@mindspring.com
Circulation
|January 20, 2010
概括
通过脉冲波速度 (PWV) 测量的较高的大动脉硬度显著增加了心血管疾病的风险. 这种动脉硬度测量提高了心血管事件的预测,当与传统的风险因素相结合.
科学领域:
- 心血管医学 心血管医学
- 生物标志物 生物标志物
- 流行病学 流行病学
背景情况:
- 动脉硬度和波浪反射被认为是心血管风险标志物.
- 之前的研究缺乏全面的社区基预后评估度措施.
研究的目的:
- 在社区环境中评估各种动脉刚性和波反射测量和心血管疾病预后之间的关系.
主要方法:
- 比例危险模型分析了2232名弗雷明汉心脏研究参与者的主要心血管疾病事件.
- 评估的脉冲波速度 (PWV),增强指数,中心脉冲压力和压力放大.
- 根据传统的心血管风险因素进行调整.
主要成果:
- 高大动脉PWV与第一个心血管事件的风险增加48%相关 (P=0.002).
- 当PWV被添加到标准风险因子 (综合歧视改善0.7%,P<0.05) 时,PWV改善了风险预测.
- 增强指数,中心脉压和压力放大没有显著的结果关联.
结论:
- 由PWV指出的大动脉硬度增加与较高的第一心血管事件风险有关.
- 大动脉PWV作为一个有价值的生物标志物,用于预测社区内心血管疾病的风险.
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