脂质变化和发生外围动脉疾病的风险
Ying-Chang Tung1,2, Tsung-Han Tsai1, Yu-Jui Hsieh1
1Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine.
概括
高密度脂蛋白胆固醇 (HDL-C) 水平的高变化与外周动脉疾病 (PAD) 风险的增加有关. 这一发现突显了HDL-C的变化,作为PAD发展的潜在预测因素.
科学领域:
- 心血管医学 心血管医学
- 脂质代谢 脂质代谢是什么
- 动脉样硬化研究 动脉样硬化研究
背景情况:
- 脂质变异性越来越多地被认为对心血管疾病结果的作用.
- 周围动脉疾病 (PAD) 是动脉样硬化的显著表现.
研究的目的:
- 调查脂质变化和发生外围动脉疾病 (PAD) 的风险之间的关联.
主要方法:
- 来自台湾长光研究数据库的大量队列 (93,948 名患者) 的分析. 患有高脂血症.
- 评估每年的脂质测量 (总胆固醇,LDL-C,HDL-C,甘油三) 和它们在4年的访问到访问的变化.
- 对PAD事件发展的随访至2019年12月31日,平均随访时间为5.9年.
主要成果:
- 在随访期间,共有2,735名患者 (2.5%) 患有PAD.
- 平均脂质水平与发生的PAD有显著的关联.
- 高密度脂蛋白胆固醇 (HDL-C) 的更高的平均真实变异性 (ARV) 独立地与PAD风险增加有关 (aHR 1.13,P=0.002).
结论:
- 在HDL-C中访问到访问的变化与事件PAD风险有显著的关联.
- 这种关联独立于传统的动脉样硬化风险因素,平均脂质水平和降脂疗法.
- 高密度胆固醇-C的变化作为一个潜在的PAD新风险指标.
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