血XI因子升高预测2型糖尿病患者心血管事件:长期观察性研究
Elżbieta Paszek1,2, Maciej Polak3, Agata Hanna Bryk-Wiązania4
1Clinical Department of Interventional Cardiology, John Paul II Hospital, Krakow, 31-202, Poland. elzbieta.m.paszek@gmail.com.
Cardiovascular diabetology
|July 17, 2023
概括
在2型糖尿病患者中XI因子 (FXI) 水平升高预测心血管事件和死亡率. 这表明FXI抑制剂可能是预防心脏病发作和中风的新疗法,在这个高危人群中.
科学领域:
- 心血管医学 心血管医学
- 内分泌学 在内分泌学.
- 血液学 血液学 血液学
背景情况:
- 2型糖尿病 (T2DM) 患者面临心血管 (CV) 事件风险升高.
- 因素XI (FXI) 涉及动脉血栓栓塞,但其在T2DM中的作用尚不清楚.
研究的目的:
- 调查T2DM患者的血FXI水平和CV事件之间的关联.
- 确定FXI是否是该人群中CV结果的独立预测因素.
主要方法:
- 在133名T2DM患者中评估了血FXI水平,纤维素凝块特性,血栓生成和纤维素解蛋白.
- 在中位数为72个月的时间内监测了心肌梗塞 (MI),中风或心血管死亡的复合终点.
主要成果:
- 在18.8%的患者中发现FXI升高 (≥120%的正常上限),与LDL胆固醇相关.
- 患有高FXI的患者的复合心血管终点和心血管死亡率显著更高.
- 无论冠状动脉疾病如何,FXI仍然是心血管事件和死亡率的独立预测因素.
结论:
- 这项研究首次证明,高的FXI预测T2DM患者的主要心血管事件和死亡率.
- 用新型抗血栓剂向FXI可能为T2DM中心血管风险降低提供新的治疗策略.
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