系统性炎症的综合指数 (AISI):一种新的高血压预测指标
Jiaming Xiu1,2, Xueqin Lin1,2, Qiansheng Chen1
1Department of Cardiology, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, China.
Frontiers in cardiovascular medicine
|June 2, 2023
概括
通过综合系统性炎症指数 (AISI) 测量系统性炎症的升高与高血压患者心血管死亡风险更高有关. 这种标志物可能表明预后不佳.
科学领域:
- 心血管医学 心血管医学
- 炎症研究 炎症研究
- 公共卫生 公共卫生
背景情况:
- 高血压 (HTN) 病理生理学涉及炎症.
- 系统性炎症综合指数 (AISI) 是一种新的炎症和预后标志物.
研究的目的:
- 为了调查高血压和AISI之间的关联.
- 为了确定AISI是否预测高血压成年人的心血管死亡率.
主要方法:
- 分析国家健康和营养检查调查 (NHANES) 数据 (1999-2018).
- 包括23765名患有高血压的参与者.
- 评估心血管死亡风险使用生存曲线和考克斯回归,以AISI四分位数分层.
主要成果:
- 高AISI水平与高血压患者心血管死亡率的增加显著相关.
- 最高的AISI四分位数 (Q4) 与最低的四分位数 (Q1) 相比,显示心血管死亡风险明显更高 (HR: 1.91).
- 关联在年龄,性别和肥胖的各个子组中保持一致.
结论:
- 升高的AISI与患有高血压的成年人心血管死亡率的增加显著相关.
- 在高血压患者中,AISI可以作为不利心血管结果的早期预警指标.
相关概念视频
Hypertension III: Clinical Manifestations and Diagnostic Studies
35
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
35
Hypertension II: Pathophysiology
23
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
23
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
127
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
127
Hypertension I: Introduction
27
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
27
Psychoneuroimmunology: Cardiovascular Disease
57
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
57
Coronary Artery Disease I: Introduction
34
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
34


