黑人和白人患者之间的斑块负担和组成以及长期影响的差异
Rebecca Torguson1, Gary S Mintz2, Carlo Di Mario3
1The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
概括
黑人患者表现出更大的斑块负担和脂质含量,增加心脏事件的风险. 高脂负担和黑人种族都独立地预测两年内发生主要的不良心脏事件.
科学领域:
- 心血管医学 心血管医学
- 医疗成像医学成像
- 健康差异 在健康上的差异
背景情况:
- 接受心脏导管治疗的黑人患者具有更高的风险因素和较差的长期结果.
- 脂质丰富斑块 (LRP) 研究调查了黑人和白人患者之间的斑块负担和组成差异.
研究的目的:
- 量化和比较黑人与白人患者的斑块负担和组成.
- 评估斑块特征,种族和不良心脏事件之间的关联.
主要方法:
- 包括1346名患者 (182名黑人) 在内的LRP研究的子分析.
- 近红外光谱/血管内超声波 (NIRS-IVUS) 用于量化非罪祸首病变中的脂质含量 (maxLCBI4mm).
- 在2年内追踪的非罪祸首主要不良心脏事件 (NC-MACE).
主要成果:
- 黑人患者更有可能是女性,具有更高的风险因素,并呈现出更严重的症状.
- 黑人患者的最大LCBI4mm (46.7%与30.6%) 显著更高,斑块负担更大.
- 高最大LCBI4mm (HR: 2.37) 和黑人种族 (HR: 2.8) 独立预测了2年后的NC-MACE.
结论:
- 黑人患者呈现出更多的脂质丰富的斑块和更高的斑块负担.
- 升高的脂质负担和黑人种族都是2年NC-MACE的独立预测因素.
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