LDL-C/HDL-C比率与冠心病的关联:一个元分析
Siqi Hu1, Hua Fan2, Shenghui Zhang1
1Department of Cardiology, Affiliated Hospital of Hangzhou Normal University, Hangzhou Institute of Cardiovascular Diseases, Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments, Hangzhou Normal University, Hangzhou, 310015, China; Hangzhou Lin'an Fourth People's Hospital, Hangzhou, 311321, China.
Indian heart journal
|February 11, 2024
概括
在患有冠心病 (CHD) 的个体中,LDL-C与HDL-C比率 (LHR) 较高. 这一发现表明,LHR可能是检测心脏病风险的有用指标.
科学领域:
- 心脏病学 心脏病学
- 生物化学 生物化学
- 公共卫生 公共卫生
背景情况:
- 冠心病 (CHD) 是全球主要的死亡原因.
- 失脂症,以异常的血脂水平为特征,是冠状动脉样硬化进展的关键因素.
- 虽然像LDL-C和HDL-C这样的单个脂质测量与心脏病有关,但它们的比率 (LHR) 的意义仍在调查中.
研究的目的:
- 综合调查LDL-C与HDL-C比率 (LHR) 和冠心病 (CHD) 之间的关联.
主要方法:
- 进行了系统的元分析,搜索主要数据库 (PubMed,Embase,Web of Science,CNKI) 到2023年6月15日.
- 包括12项相关研究,涉及5544名参与者 (3009名患有心血管疾病).
- 数据使用随机效应模型汇总,以计算平均差异 (MD) 和95%置信区间 (CI).
主要成果:
- 分析显示,与没有心脏病患者相比,心脏病患者的LHR显著更高.
- 心血管疾病和对照组之间的LHR平均差异为0.65 (95%CI:0.50-0.80).
结论:
- LDL-C与HDL-C比率 (LHR) 与冠状动脉心脏病 (CHD) 有正相关.
- LHR可以作为一种有价值和潜在的生物标志物,用于识别患有心血管疾病风险的个体.
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