增加白细胞计数和长期临床结果的患者血管性心痛
Dong-Yeon Kim1, Sung Eun Kim2, Taek Kyu Park1
1Division of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul.
Coronary artery disease
|March 28, 2024
概括
血管动性心痛 (VA) 患者白细胞 (WBC) 数量升高预测心脏病死亡和心肌梗塞 (MI) 的风险更高. 这一发现凸显了WBC作为VA中不良心血管事件的关键指标.
科学领域:
- 心脏病学 心脏病学
- 炎症研究 炎症研究
- 临床结果 临床结果
背景情况:
- 炎症是冠状动脉疾病发病的一个关键因素.
- 血管性心痛 (VA) 涉及冠状动脉,其与炎症的联系需要进一步调查.
研究的目的:
- 为了检查白细胞 (WBC) 计数和长期临床结果之间的关系,在被诊断为血管性心脏病 (VA) 的患者.
主要方法:
- 分析了823名VA患者,根据诊断时的WBC数目分类.
- 主要结局是主要的不良心血管事件 (MACE),包括死亡,心肌梗塞 (MI) 和再血管.
- 随访时间平均为4.3年.
主要成果:
- 虽然整体MACE没有显著差异,但患有较高白血细胞计数的患者心脏死亡率和心脏病发作率增加.
- 在多变量分析中,增加的白细胞计数独立预测了心肌梗塞 (MI).
- 白血球计数≥7490/毫升与更高的风险有关.
结论:
- 诊断时较高的白细胞 (WBC) 计数与患有血管缩性心痛 (VA) 的患者心脏死亡和心肌梗塞 (MI) 风险增加有关.
- 白细胞计数作为一个有价值的预后标志物,用于VA的长期不良心血管事件.
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