骨矿物质密度与冠状动脉疾病患者冠状动脉斑负担之间的关联:使用定量计算断层扫描的横截面研究
Guang Geng1, Zhen Li2, Shuai Wang3
1Department of Medical Imaging, the Second Hospital of Hebei Medical University.
Coronary artery disease
|January 2, 2024
概括
在患有冠状动脉疾病 (CAD) 的男性中,骨矿物质密度 (BMD) 与冠状动脉化 (CAC) 相反相关,但与斑块负担无关. 在绝经后的女性中,BMD与CAC呈反向关联,但斑块负担并非如此.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 骨质疏松症研究研究
背景情况:
- 冠状动脉疾病 (CAD) 和骨质疏松症是普遍存在的慢性疾病.
- 了解骨矿物质密度 (BMD) 和冠状动脉化之间的关系对于全面的患者风险评估至关重要.
研究的目的:
- 调查腰椎骨矿物质密度 (BMD) 与冠状动脉化 (CAC) 和冠状动脉斑块负担之间的关联.
- 评估这些协会在已确诊动脉样硬化或CAD的患者.
主要方法:
- 一组290名男性和177名绝经后妇女确诊患有CAD,接受了计算机断层扫描 (CT) 来测量BMD (L1-L2).
- 冠状动脉分数 (CACS) 和修改的根西尼分数 (斑块负担) 被量化.
- 采用多变量回归和拉索回归分析来评估BMD,CACS和斑块负担之间的关联.
主要成果:
- 在男性中,BMD与CACS和CAC的存在相反相关,即使经过对混因子进行调整.
- 在绝经后的女性中, BMD 与未调整模型中的 CACS 和 CAC 存在相反相关,但这些关联在调整模型中没有持续存在.
- BMD与修改后的根西尼分数 (斑块负担) 或两性中CAD总体患病率没有相关性.
结论:
- 腰椎骨髓骨质损伤与CAD男性的冠状动脉化 (CAC) 相反相关.
- 经过对共变量进行调整后,在绝经后的妇女中没有一致观察到BMD和CAC之间的这种反向关联.
- 在患有CAD的男性或绝经后妇女中,没有发现BMD和冠状动脉斑块负担 (修改的根西尼得分) 之间的显著相关性.
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