肺高血压的预后潜力在患有血液恶性病的患者
Miaojing Li1, Manyun Tang2,3, Changying Zhao4
1Department of Hematology, The First Affiliated Hospital of Xi'an Jiaotong University, 277 Yanta West Road, Xi'an, 710061, Shaanxi, China.
Advances in therapy
|August 23, 2023
概括
肺高血压 (PH) 显著恶化了血液恶性瘤 (HM) 幸存者的结果. 这项研究发现PH是低生存率的独立预测因素,严重的PH与HM患者的最差预后有关.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 心血管疾病对血性恶性瘤 (HM) 幸存者构成重大挑战.
- 肺高血压 (PH) 对HM患者结局的影响尚不清楚.
研究的目的:
- 评估PH在HM患者的预后价值.
- 在这个人群中确定与PH相关的临床因素.
主要方法:
- 一个回顾性病例对照研究,比较了220名PH的HM患者和220名没有PH的对照.
- 病例匹配是基于年龄,性别,诊断年和疾病类型.
- 使用卡普兰-梅尔曲线,日志等级测试和多变量考克斯比例危险模型分析了整体存活率 (OS).
主要成果:
- 在11.98%的HM患者中,PH存在.
- PH组表现出明显的实验室发现,包括较低的血红蛋白和血小板计数,以及较高水平的炎症标志物和N-终端亲B型尿素.
- 患有PH的患者的整体存活率明显较低 (16.9个月与37.6个月,p=0.002),严重的PH预后最差.
结论:
- 肺高血压与血液恶性瘤幸存者的临床结果较差有关.
- PH是HM患者不良结果的独立预测因素.
- 这些发现可能有助于对HM患者的风险分层.
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