在肥胖患者中,甘油三指数与亚临床左心室缩功能障碍之间的关联
Guang-An Li1, Jun Huang2, Jing Wang3
1Department of Echocardiography, The Affiliated Changzhou Second People's Hospital with Nanjing Medical University, 213003, Changzhou, China.
Cardiovascular diabetology
|May 7, 2024
概括
甘油三糖 (TyG) 指数与肥胖个体的亚临床左心室 (LV) 缩功能障碍有关. 较高的TyG指数值表明LV全球纵向应变 (GLS) 损伤的风险更大.
科学领域:
- 心脏病学 心脏病学
- 代谢综合征是代谢综合征的一种.
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 在肥胖患者中,甘油三糖指数 (TyG) 和亚临床左心室 (LV) 缩功能障碍之间的关系尚未得到充分证实.
- 肥胖是心血管疾病的重要危险因素,包括心脏功能受损.
- TyG指数是胰岛素抵抗的标志物,可能在心脏异常的发展中发挥作用.
研究的目的:
- 在一组肥胖患者中调查TyG指数和LV全球纵向菌株 (GLS) 之间的关联.
- 确定TyG指数是否是该人群中亚临床LV缩功能障碍的独立预测指标.
主要方法:
- 总共分析了1028名肥胖患者.
- 收集了临床,生化和心声回声数据.
- 使用心声学评估LV全球纵向应变 (GLS),并计算TyG指数.
主要成果:
- 患有高TyG指数的肥胖患者表现出高血压,糖尿病和高脂血症的更高发病率.
- 在高TyG指数组中,LV GLS明显低于低TyG指数组 (P = 0.01).
- 在多变量调整 (OR: 1.520, P = 0.031) 后,TyG指数仍然是减少LV GLS (<20%) 的独立风险指标.
结论:
- 提升的TyG指数与肥胖患者的亚临床左心室缩功能障碍独立相关.
- TyG指数可以作为一种有价值的生物标志物,用于识别患有心脏功能障碍风险的肥胖个体.
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