系统性免疫炎症指数和心力衰竭之间的关联:一个横截面研究
Zhenkun He1, Bizhen Gao2, Yuzhou Deng1
1Department of Cardiology, Suizhou Hospital, Hubei University of Medicine, Suizhou, Hubei, People's Republic of China.
Medicine
|October 21, 2024
概括
系统性免疫炎症指数 (SII) 与美国成年人心力衰竭 (HF) 有积极的关联. 较高的SII水平表明发展HF的可能性增加,这表明SII可能是用于HF识别的有用生物标志物.
科学领域:
- 心血管医学 心血管医学
- 免疫学 免疫学 免疫学
- 生物标志物研究 生物标志物研究
背景情况:
- 已知炎症对心血管的有害影响.
- 心力衰竭 (HF) 和全身免疫炎症指数 (SII) 之间的联系仍然未得到充分研究.
研究的目的:
- 调查美国大量成年人群中SII和HF之间的关联.
- 确定SII是否可以作为识别HF的潜在生物标志物.
主要方法:
- 使用1999-2018年国家健康和营养检查调查数据进行横截面研究.
- SII计算为 (中性细胞数 * 血小板数) / 淋巴细胞数.
- 采用多变量逻辑回归,灵敏度分析和光滑曲线拟合.
主要成果:
- 包括49,471名参与者;1625名 (3.28%) 患有高血压.
- 在SII的100个单位的增加与HF的2%更高的可能性相关 (OR=1.02;P<.0016).
- 观察到L形关联;在吸烟和糖尿病的子组中,SII与HF有显著的关联.
结论:
- 在美国成年人中,SII和HF之间存在积极的关联.
- SII是一种潜在的方便和可访问的标志物,用于HF风险识别.
- 进一步的研究可以探索SII在HF管理中的临床实用性.
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