与四种不同尺度上的抗胆荷载变化相关的心血管风险:老年门诊患者的基于注册表的队列研究
Johannes Riis1,2, Kristian Kragholm2,3, Marc Meller Søndergaard3
1Department of Geriatric Medicine, Aalborg University Hospital, 9000 Aalborg, Denmark.
Age and ageing
|July 16, 2024
概括
在老年人中,高抗胆固醇药物的使用与心血管事件有关. 然而,减少这种药物负载并没有降低主要心血管不良事件 (MACE) 的风险,这表明这种关联可能不是因果关系.
科学领域:
- 老年医学 老年医学
- 心血管药理学心血管药理学
- 药学流行病学 药学流行病学
背景情况:
- 抗胆固醇药物越来越多地被认为与心血管疾病有关.
- 停止服用抗胆固醇药物对这种关联的影响在很大程度上仍未被探索.
- 这项研究调查了抗胆固醇负担和主要不良心血管事件 (MACE) 之间的关系.
研究的目的:
- 检查基线抗胆荷载和老年门诊患者中MACE的风险之间的关联.
- 为了确定180天后抗胆固醇负荷 (中止) 的变化是否会影响MACE的风险.
- 用四种不同的抗胆固醇负担量表来分析这些关联.
主要方法:
- 丹麦 (2011-2018) 的老年门诊患者 (≥65岁) 队列从国家登记册中确定.
- 抗胆固醇暴露在基线和接触后180天被量化,使用四个经过验证的尺度.
- 多变量分析评估了MACE与抗胆固醇负载及其变化相关的1年和5年风险.
主要成果:
- 总共有64,378名患者被纳入基线分析,剩下54,010人用于变化分析.
- 较高的基线抗胆固醇负荷,无论使用的尺度如何,与剂量依赖的MACE风险增加有关.
- 在降低抗胆固醇荷载和MACE的风险之间没有发现显著的关联.
结论:
- 基线抗胆荷载与老年人患主要心血管不良事件的风险增加显著相关.
- 减少抗胆固醇药物负载似乎没有降低这一队列中MACE的风险.
- 这些发现表明,抗胆荷载和MACE之间观察到的关联可能与药物使用无因果关系.
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