精神分裂症和中风类型:孟德尔的随机化研究
Shinya Nakada1, Frederick K Ho1, Carlos Celis-Morales1,2,3
1School of Health and Wellbeing University of Glasgow Glasgow United Kingdom.
精神分裂症可能会导致心血管栓塞性中风的风险增加,这是一种来自心脏的中风. 对于精神分裂症患者,建议对心脏进行评估.
科学领域:
- 神经科学是一个神经科学.
- 心血管医学 心血管医学
- 精神病学是一个精神病学.
背景情况:
- 现有的研究表明,精神分裂症和中风之间存在联系.
- 之前没有研究探讨过精神分裂症和特定中风亚型之间的关联.
研究的目的:
- 研究精神分裂症和各种中风亚型 (包括动脉样硬化,栓塞和出血) 之间的潜在因果关系.
- 与精神分裂症风险相关的中风亚型的区分.
主要方法:
- 两个样本的门德尔随机化分析使用来自欧洲祖先种群的总结级遗传数据进行.
- 分析了精神分裂症和中风的结果 (缺血,大动脉,小血管,心血管和脑内出血).
- 使用逆方差权重,门德尔随机化埃格尔,加权中位数和加权模式方法,并进行类型测试.
主要成果:
- 在精神分裂症和心血管栓塞性中风之间观察到统计学意义上的关联 (OR, 1.070).
- 此外,还发现了脑内出血 (OR,1.089) 与反向差异加权的相关性.
- 门德尔的随机化方法证实了心血管栓塞性中风的相关性,但未证实脑内出血.
结论:
- 有证据表明,精神分裂症和心血管栓塞性中风之间存在潜在的因果关系.
- 这些发现强调了考虑心脏评估对于被诊断为精神分裂症的人的重要性.
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