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年轻人的残留胆固醇与中年人的左心室重塑和功能障碍有关:心脏研究
Xinghao Xu1,2, Zhaoyan Wang3, Rihua Huang1,2
1Department of Cardiology, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China (X.X., R.H., Y.G., Z.X., X.Z., X.L.).
Circulation. Cardiovascular imaging
|November 21, 2023
概括
年轻成人高残留胆固醇 (RC) 与中年心脏结构和功能的不良变化有关. 随着时间的推移,追踪RC水平可以识别患心脏重塑和功能障碍的风险较高的人.
科学领域:
- 心脏病学 心脏病学
- 脂质代谢 脂质代谢是什么
- 心血管成像 - 心血管成像
背景情况:
- 剩余胆固醇 (RC) 越来越被认为是心力衰竭的危险因素.
- 随着时间的推移,RC对左心室 (LV) 结构和功能的特定影响仍然不完全理解.
研究的目的:
- 研究年轻成年期残留胆固醇水平与中年后的左心室结构和功能之间的关联.
- 检查RC的长期轨迹及其与心脏重塑的关系.
主要方法:
- 利用了3321名参与者在年轻成年人冠状动脉风险发展 (CARDIA) 研究中的数据.
- 使用隐性类增长混合模型计算RC和确定RC轨迹.
- 在研究25年通过心声学评估LV结构和功能,使用多变量线性回归分析.
主要成果:
- 较高的基线RC与LV质量指数增加,全球纵向和周围应变受损,隔膜和侧面e'减少以及中年E/e'升高显著相关.
- 确定了三种不同的RC轨迹:低增长,中等增长和高增长.
- 高增长的RC轨迹组与低增长组相比,表现出明显较差的LV结构和功能.
结论:
- 在年轻成年期,残留胆固醇的升高与中年时 LV 结构和功能的有害变化有关.
- 长期的RC轨迹对于识别易受不良LV重塑和功能障碍的个体是有价值的.
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