日本患有缺血性心脏病患者的生长差异化因子-15和临床结果
Yuta Kobayashi1, Yoichiro Otaki1, Tetsu Watanabe1
1Department of Cardiology, Pulmonology, and Nephrology, Yamagata University School of Medicine, Yamagata, Japan.
JACC. Asia
|July 3, 2023
概括
增长差异化因子 (GDF) -15是日本缺血性心脏病 (IHD) 患者不良结果的预测因子. 高GDF-15水平与增加的死亡率,主要不良心血管事件和出血风险相关.
科学领域:
- 心脏病学 心脏病学
- 生物标志物 生物标志物
- 临床结果 临床结果
背景情况:
- 缺血性心脏病 (IHD) 在亚洲人群中具有显著的死亡率和出血风险.
- 增长差异化因子 (GDF) -15是一种压力细胞因子,与西方IHD患者的不良结果有关.
- 亚洲IHD患者中GDF-15的作用尚不清楚.
研究的目的:
- 调查血清GDF-15水平与日本IHD患者的临床结果之间的关联.
主要方法:
- 在632名IHD患者中测量了血清GDF-15水平.
- 患者的随访时间平均为2.8年.
- 主要终点:全因死亡率;次要终点:MACE,HF再住院,出血和血栓事件.
主要成果:
- 在急性冠状动脉综合征,严重的CAD和高出血风险中观察到高GDF-15.
- GDF-15独立预测死亡率,MACE,HF再住院和出血,但没有血栓事件.
- GDF-15改善了对死亡率,MACE,HF和出血的风险预测.
结论:
- 血清GDF-15是日本IHD患者严重出血和不良临床结果的潜在标志物.
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