冠状动脉干预一年后不良结果的生理和代谢预测因素:双层方法
Yuxiang Chen1, Jiaxin Zhong1, Beilei Li1
1Department of Cardiology, Fujian Medical University Union Hospital, No. 29 Xin Quan Road, Fuzhou, Fujian 350001, PR China; Fujian Cardiovascular Medicine Center, Fuzhou, Fujian 350001, PR China; Fujian Institute of Coronary Artery Disease, Fuzhou, Fujian 350001, PR China; Fujian Cardiovascular Research Center, Fuzhou, Fujian 350001, PR China; Fujian Medical University Heart Center, Fuzhou, Fujian 350001, PR China.
低于2.44的三血管定量流量比率 (3V-QFR) 表示皮肤穿透冠状动脉干预 (PCI) 后的预后不佳. 在流量良好的患者中,高甘油三糖 (TyG) 指数信号增加了代谢风险,改善了二次预防策略.
科学领域:
- 心脏病学 心脏病学
- 代谢综合征是代谢综合征的一种.
- 干预心脏病学 干预心脏病学
背景情况:
- 残留性缺血和代谢失调影响皮肤冠状动脉干预 (PCI) 后的长期预后.
- 评估预后标志物,如三容器定量流量比率 (3V-QFR) 和甘油三糖 (TyG) 指数至关重要.
研究的目的:
- 调查PCI后患者3V-QFR和TyG指数的预后影响.
- 确定3V-QFR和TyG指数的风险值,用于预测主要不良心脏事件 (MACE).
主要方法:
- 在PCI后一年接受重复血管造影的546名患者的队列被跟踪了四年.
- 限制性立方线分析确定了3V-QFR和TyG指数的风险值.
- 主要不良心脏事件 (MACE) 作为主要终点.
主要成果:
- 确定最佳切割值为3V-QFR的2.44和TyG指数的8.75.
- 3V-QFR<2.44的患者表现出明显更高的不良事件发生率.
- 在3V-QFR≥2.44的患者中,TyG指数≥8.75独立地与增加的MACEs (调整后HR1.51) 相关,主要是由于缺血驱动的再血管化.
结论:
- 3V-QFR<2.44表示残留功能性缺血,并预测PCI后的预后不佳.
- 在完全功能重血管化的患者中,高TyG指数表明代谢风险升高.
- 结合生理学 (3V-QFR) 和代谢 (TyG) 评估,可以提高二次预防的长期风险分层.
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