在前性观察研究中,冠状动脉斑块表征揭示了治疗后改善的高风险特征
Joseph B Lerman1, Aditya A Joshi1, Abhishek Chaturvedi1
1From National Institutes of Health, National Heart, Lung, and Blood Institute, Bethesda, MD (J.B.L., A.A.J., A.C., T.M.A., A.K.D., J.A.R., T.S., J.H.C., A.R., H.L.T., M.P.P., M.Y.C., V.S., D.A.B., N.N.M.); Department of Dermatology, Kaiser Permanente Los Angeles Medical Center, CA (J.J.W.); and DermAssociates, Silver Spring, MD (B.A.L.).
Circulation
|May 10, 2017
概括
与健康患者相比,牛皮患者的冠状动脉斑块负担和高风险斑块患病率增加. 控制皮肤炎症可以降低冠状动脉疾病的风险.
科学领域:
- 心血管研究
- 炎症性疾病
- 医学成像
背景情况:
- 牛皮是一种慢性炎症疾病,与心肌梗塞风险增加有关.
- 牛皮可以作为研究炎症性动脉生成的模型.
- 牛皮的心血管风险可能来自非化的冠状动脉疾病 (CAD).
研究的目的:
- 在牛皮患者和高脂血症患者和健康志愿者中比较冠状动脉斑块负担.
- 评估这些群体中非化斑块 (NCB) 和高风险斑块 (HRP) 的患病率.
- 调查牛皮严重程度与CAD进展之间的联系.
主要方法:
- 冠状动脉计算机断层扫描用于斑块量化和HRP识别.
- 通过低衰减,积极重塑和斑点化来定义HRP.
- 皮肤患者在1年后进行了重复扫描以评估治疗效果.
主要成果:
- 牛皮患者的NCB比超脂血患者高,尽管年龄较小.
- 与健康志愿者相比,牛皮患者的总斑块负担,NCB和HRP患病率增加.
- 改善了牛皮的严重程度与减少了整体斑块负担和NCB.
结论:
- 牛皮患者的非化冠状动脉斑块和高风险斑块的负担比健康人群更大.
- 牛皮患者的NCB增加和HRP患病率与老年高脂血症患者相似.
- 控制牛皮的皮肤炎症可能会改善冠状动脉疾病的风险.
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