在慢性心力衰竭中,碳水化合物抗原125的度跨射出分数光谱:EMPEROR计划
João Pedro Ferreira1,2,3, Milton Packer4,5, Naveed Sattar6
1Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Cardiovascular Research and Development Center (UnIC@RISE), Porto, Portugal.
European journal of heart failure
|March 5, 2024
概括
碳水化合物抗原125 (CA-125) 不是慢性心力衰竭 (HF) 中拥堵的可靠生物标志物. 然而,CA-125水平升高可能会预测心力衰竭患者的不良结果,减少排气分数 (HFrEF).
科学领域:
- 心脏病学 心脏病学
- 生物标志物 生物标志物
- 这是心脏衰竭.
背景情况:
- 血管拥堵是已知的因素,可以提高碳水化合物抗原125 (CA-125) 水平.
- 慢性心力衰竭 (HF) 中CA-125的预后价值在射出分数 (EF) 谱中尚未得到充分确立.
研究的目的:
- 调查CA-125与慢性心力衰竭 (HF) 患者的拥堵之间的关联.
- 评估CA-125作为心血管结果的预后生物标志物,用于不同喷射分数 (EF) 的HF患者.
主要方法:
- 在1111名来自EMPEROR-Reduced和EMPEROR-Preserved试验的参与者中分析了血清CA-125水平.
- 考克斯回归模型评估了CA-125三位体与HF住院或心血管死亡的复合结果之间的关系.
- 在CA-125三角动物中评估了充血症状和症状.
主要成果:
- 在基线CA-125水平和充血症状之间没有发现显著的关联.
- 较高的CA-125水平与心力衰竭与减少喷射分数 (HFrEF) 主要结局的风险增加有关,但与保存喷射分数 (HFpEF) 心力衰竭没有相关.
- 升高的CA-125水平与估计的膜过率的更快下降相关.
结论:
- 在大多数研究的慢性HF患者中,CA-125不是堵塞的显著生物标志物.
- 在HFrEF患者中,CA-125可作为HF住院或心血管死亡的预后指标,但在HFpEF患者中并非如此.
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