周围内皮功能障碍与事件重大抑郁症相关.
Jaskanwal D S Sara1, Nazanin Rajai1, Scott Breitinger2
1Department of Cardiovascular Medicine Mayo College of Medicine Rochester MN.
Journal of the American Heart Association
|November 4, 2024
概括
周围内皮功能障碍 (PED) 与患重度抑郁症 (MDD) 的风险更高有关. 这种血管疾病可能有助于识别那些可以从早期抑郁症管理策略中受益的人.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 血管医学 血管医学
背景情况:
- 重度抑郁症 (MDD) 与心血管风险因素和大脑小血管疾病有关.
- 内皮功能障碍与MDD有关,但对外周内皮功能障碍 (PED) 和事件MDD缺乏前性数据.
研究的目的:
- 调查外围内皮功能障碍 (PED) 与重大抑郁症 (MDD) 发生率之间的潜在关联.
主要方法:
- 评估了1614名PED患者使用反应性高血压-周围动脉度计.
- 审查了医疗记录以确定484名患者,随后进行了MDD评估 (0-15年后PED评估).
- 使用后勤回归来分析基线PED和事件MDD之间的关联.
主要成果:
- 30.1%的患者患有PED; 31.0%被诊断为MDD.
- 患有MDD的个体显示PED的频率更高 (40.2%与30.2%,P=0.034).
- PED与发生的MDD有显著的关联 (OR,2.3;95% CI,1.4-3.8;P<0.001).
结论:
- 周围内皮功能障碍与发生重大抑郁症严重相关.
- PED可以作为一种有价值的生物标志物来识别患有抑郁症风险较高的个体.
- 早期和频繁的管理策略可能有利于被确定为PED的个人.
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