全免疫-炎症值与与冠状动脉血管学结合的对比诱导病之间的关联
Suleyman Akkaya1, Umit Cakmak2
1Department of Cardiology, Health Sciences University, Gazi Yasargil Research and Training Hospital, 21100 Diyarbakir, Turkey.
Medicina (Kaunas, Lithuania)
|June 27, 2024
概括
全免疫炎症值 (PIV) 可以预测冠状动脉血管造影后的对比诱导性病 (CIN) 风险. 在接受心血管手术的患者中,较高的PIV水平和较高的年龄与增加的CIN风险有关.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 炎症生物标志物 炎症生物标志物
背景情况:
- 对比诱导性病 (CIN) 是心血管手术后的一种严重并发症.
- 炎症在CIN的发展中起着关键作用.
- 基于周围血液的指数提供了作为可访问的CIN生物标志物的潜力.
研究的目的:
- 调查泛免疫炎症值 (PIV) 和CIN风险之间的关联.
- 评估PIV作为冠状动脉血管学后CIN的预测生物标志物.
主要方法:
- 分析了1343名接受冠状动脉血管造影 (CAG) 的患者队列.
- 全免疫-炎症值 (PIV) 计算为 (中性细胞数 × 血小板数 × 单细胞数) / 淋巴细胞数.
- 多变量回归分析确定了CIN的预测因素.
主要成果:
- 在15%的患者中发生了对比诱导性病 (CIN).
- 较高的PIV水平 (OR: 1.016) 和较高的年龄 (OR: 1.015) 与增加的CIN风险显著相关.
- 抗血小板剂的使用与CIN风险降低相关 (OR:0.670).
结论:
- 升高的PIV水平和晚年是CIN在接受CAG的患者中显著的风险因素.
- PIV可以作为预测CIN风险的最小侵入性生物标志物.
- 需要进一步的前性研究来证实PIV的预测效用.
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