晚年肺动脉压力变化:社区动脉样硬化风险研究 (ARIC)
Rani Zierath1, Brian Claggett1, Victoria Arthur1
1Brigham and Women's Hospital, Boston, Massachusetts, USA.
Journal of the American College of Cardiology
|November 29, 2023
概括
肺动脉静脉压 (PASP) 随着年龄的增长而增加,与心脏和肺功能障碍有关. 肺压的上升预示着老年人新发性呼吸障碍.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 老年医学 老年医学
背景情况:
- 肺动脉静脉压 (PASP) 是一个已知的预后指标.
- 对老年人PASP变化的纵向数据有限.
研究的目的:
- 在75岁以上的个体中,量化六年来PASP的变化.
- 确定心脏和肺功能障碍对PASP变化的贡献.
- 评估PASP变化与呼吸障碍发展之间的关联.
主要方法:
- 分析了ARIC研究中1,420名参与者的心声波PASP测量 (第5和第7次访问).
- 在大约6.5年的时间内量化纵向PASP变化.
- 多变量回归以确定PASP变化的预测因素及其与呼吸障碍的联系.
主要成果:
- 平均PASP在6.5年内增加了5mmHg (从28mmHg增加到33mmHg),老年人的增加更大.
- 左心室 (LV) 缩和腹功能,肺功能和功能恶化预测了更大的PASP增加.
- 每增加5mmHg的PASP与患呼吸障碍的几率增加16%有关.
结论:
- 肺压在生命晚期上升,与增加的LV填充压力相关.
- 增加的PASP是老年人新发性呼吸障碍的预测因素.
- 针对 LV 扩张功能的干预措施可能有助于减轻与年龄相关的 PASP 增加.
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