在接受常规治疗的X相关低酸血症成年人中,有关心血管风险的数据令人放心
Alexandre Bouzemane1, Emmanuelle Vignot2, Laurence Derain Dubourg1
1Hospices Civils de Lyon, Nephrology, hypertension renal and functional exploration, Hôpital Edouard Herriot, 69003, Lyon, France.
The Journal of clinical endocrinology and metabolism
|October 16, 2023
概括
这项研究没有发现X链接低血症 (XLH) 患者心血管风险增加,例如高血压或左心室缩 (LVH). 这些发现表明,XLH可能不会显著影响心脏健康.
科学领域:
- 心血管医学 心血管医学
- 遗传学 是一个遗传学.
- 内分泌学 在内分泌学.
背景情况:
- 链接到X的低酸血症 (XLH) 是一种罕见的遗传疾病,其特征是纤维细胞生长因子23 (FGF23) 水平升高.
- 虽然FGF23与慢性病中的心血管死亡率有关,但其对XLH患者的心血管影响尚不清楚,数据相互矛盾.
研究的目的:
- 调查与X链接低度血症 (XLH) 相关的心血管风险.
- 确定XLH患者是否表现出高血压和左心室缩 (LVH) 的患病率增加.
主要方法:
- 成年XLH患者的回顾性观察研究.
- 主要终点:左心室缩 (LVH) 或高血压的复合.
- 二级终点:心声回声,脉冲波速度和中央血压测量.
主要成果:
- 分析了22名XLH患者;FGF23的中位数为94 pg/L.
- 9%的患者有高血压;69%没有LVH.
- 所有参与者的脉冲波速度都正常.
结论:
- 该研究没有发现XLH队列中高血压或LVH风险增加的证据.
- 这些发现表明,XLH可能与LVH或高血压等心血管风险标志物增加无关.
相关概念视频
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
164
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
164
Chronic Kidney Disease II: Clinical Manifestations
12
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...
12
Chronic Kidney Disease III: Interprofessional Care
21
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
21
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
177
Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
177
Heart Failure VI: Adjunct Therapies
15
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
15
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
236
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
236


