在基于社区的队列中,动脉硬的进展与左心室重塑之间的关联
Yuriko Yoshida1,2, Koki Nakanishi1, Zhezhen Jin3
1Department of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
JACC. Advances
|June 28, 2024
概括
通过心脚血管指数 (CAVI) 测量的渐进性动脉硬与左心室全球纵向应变 (LVGLS) 的恶化有关,特别是在女性中. 这突出了早期的血管-心室合变化影响心脏功能.
科学领域:
- 心血管生理学心血管生理学
- 血管生物学 血管生物学
- 心脏成像 - - 心脏成像
背景情况:
- 升高的动脉硬与不良的左心室 (LV) 重塑有关,这表明心力衰竭病理生理学中的作用.
- 有限的数据存在于动脉硬性进展和LV重塑之间的关联.
研究的目的:
- 调查动脉硬度的纵向变化与LV重塑的变化之间的关联.
主要方法:
- 在317名参与者中,使用心脚血管指数 (CAVI) 对动脉硬的连续测量.
- 胸外心声学评估了LV的大小,质量和功能,包括LV全球纵向应变 (LVGLS) 和中环早期透析速度 (e').
主要成果:
- 在长达26.8个月的中位随访期间,CAVI显著增加.
- 纵向CAVI增加与LVGLS受损有关,即使经过对人口统计和基线因素进行调整.
- 当控制共变量的纵向变化时,这种关联仍然显著,并且在女性中尤为明显.
结论:
- 动脉硬度的纵向增加与LVGLS的恶化有关.
- 血管-心室合在心室功能的逐渐下降中起着至关重要的作用,即使是在早期的亚临床阶段.
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