H型高血压是慢性冠状动脉全封闭的一个危险因素:来自中国西南部的横截面研究
Kaiyong Xiao1, Zhe Xv2, Yuling Xv3
1Department of Cardiology, Guangyuan Central Hospital, 16 Jingxiangzi, Lizhou District, Guangyuan, 628017, Sichuan, China. keyea1@126.com.
BMC cardiovascular disorders
|June 16, 2023
概括
H型高血压,一种结合高血压和高水平homocysteine的疾病,显著增加慢性冠状动脉全封闭 (CTO) 的风险. 这一发现突显了这些心血管风险因素之间的关键联系.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
- 血管医学 血管医学
背景情况:
- 慢性冠状动脉全封闭 (CTO) 是穿皮冠状动脉干预的复杂挑战.
- 高血压和高血血 (HHCY) 是已知的心血管事件的协同作用的危险因素.
- H型高血压和CTO之间的特定关联尚未明确确确立.
研究的目的:
- 调查H型高血压与CTO发生之间的潜在关联.
- 评估中国人口中CTO对H型高血压的预测准确度.
主要方法:
- 一项涉及1446名来自中国西南地区的个体的横截面研究.
- CTO定义为3个月以上的冠状动脉完全封闭;H型高血压定义为高血压,同类氨酸≥15μmol/L.
- 使用多变量逻辑回归和ROC曲线分析.
主要成果:
- 397人患有CTO,545人患有H型高血压.
- H型高血压独立地与CTO的概率增加2.3倍 (OR2.3,95%CI1.01-5.26) 相关.
- 通过H型高血压预测CTO的ROC曲线下的面积为0.685.5.
结论:
- H型高血压与中国西南部CTO的发展有显著的关联.
- 与单独的HHCY或高血压相比,患有H型高血压的人面临CTO的风险更高.
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