三糖-葡萄糖指数与耐性高血压的关联以及Nomogram模型的构建
Hai-Tao Yang1,2, Jing-Kun Liu3, Bang-Quan Liu4
1State Key Laboratory of Cardiovascular Disease Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China.
Journal of the American Heart Association
|September 18, 2024
概括
甘油三糖 (TyG) 指数是高血压患者耐性高血压 (RH) 的强有力的预测指标. 这一指数和其他指数一起,可以在名ogram中用于预测RH发展.
科学领域:
- 心脏病学 心脏病学
- 代谢综合征研究 代谢综合征研究
- 高血压研究 高血压研究
背景情况:
- 抗性高血压 (RH) 是心血管疾病的重要危险因素.
- 确定RH的预测因子对于患者管理和心血管风险降低至关重要.
研究的目的:
- 调查甘油三糖指数 (TyG) 与高血压患者的RH发病率之间的关联.
- 使用TyG指数和其他风险因素开发RH发生的预测名录.
主要方法:
- 一项回顾性队列研究包括1635名高血压患者,平均持续31个月.
- 统计分析,包括LASSO和多变量考克斯回归,确定了RH的预测因素.
- 构建了一个名图,其中包含了重要的风险因素.
主要成果:
- 甘油三糖 (TyG) 指数被确定为RH最强的预测指标 (HR,5.472;P<0.001).
- 其他独立的RH风险因素包括尿酸,年龄和呼吸暂停-呼吸暂停指数.
- 包括TyG指数在内的开发的名录图表显示,对预测RH的诊断效率有所提高.
结论:
- 泰格指数是高血压患者中RH的潜在预测指标.
- 根据TyG指数显示的胰岛素耐药性可能在RH的发展和进展中发挥关键作用.
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