在中国一级Sjögren综合征患者群体中预测心血管风险:开发和评估预测性名ogram
Jincheng Pu1, Jiamin Song1, Shengnan Pan1
1Department of Rheumatology and Immunology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Therapeutic advances in chronic disease
|July 24, 2023
概括
患有原发性Sjögren综合征 (pSS) 的患者面临更高的心血管风险. 一个新的名图识别关键风险因素,如关节疼痛,口腔干燥和提升的TSH,有助于早期心血管事件预测和治疗指导.
科学领域:
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
背景情况:
- 与一般人群相比,原发性Sjögren综合征 (pSS) 患者的心血管发病率增加.
- 识别pSS中心血管事件的特定风险因素对于主动管理至关重要.
研究的目的:
- 确定中国患者心血管事件的潜在风险因素.
- 为PSS患者开发和验证预测性心血管风险名谱.
主要方法:
- 在2010年至2022年期间诊断出349名pSS患者的回顾性观察研究.
- 使用最小绝对收缩和选择操作员 (LASSO) 进行特征选择.
- 开发了一个多变量后勤回归模型,使用C指数,ROC曲线,校准图和决策曲线分析进行验证.
主要成果:
- 开发了一个名图,包括性别,关节疼痛,口腔干燥,口腔,牙,雷诺现象,疲劳,糖尿病,提升的TSH和静脉血压.
- 该模型表现出良好的区分 (C指数:0.824) 和校准 (内部验证C指数:0.8).
- 决策曲线分析证实了3%的心血管疾病概率值的干预措施的临床实用性.
结论:
- 一个经过验证的心血管风险名图可以预测PSS患者的心血管风险.
- 纳米图,包括确定的临床和实验室因素,可以指导PSS患者的进一步治疗策略.
相关概念视频
Nephrotic Syndrome II : Assessment and Medical Management
8
IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
8
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
Chronic Kidney Disease II: Clinical Manifestations
34
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
34
Rheumatic Heart Disease I: Introduction
17
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
17
Nephrotic Syndrome I : Introduction
9
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
9
Rheumatic Heart Disease III: Medical Management
20
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
20


