在接受冠状动脉计算机断层扫描血管造影的患者中,高血压和脂肪肝指数之间的关联:一个横截面研究
Tetsuo Hirata1, Yuhei Shiga1, Kohei Tashiro1
1Department of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan.
概括
脂肪肝指数 (FLI) 与冠状动脉计算机断层扫描血管造影 (CCTA) 患者高血压 (HTN) 的更高患病率有关. 较高的FLI分数表明HTN的几率增加,这表明FLI是潜在的诊断指标.
科学领域:
- 心脏病学 心脏病学
- 肝病学 肝病学是一种肝病学.
- 放射学 放射学是一门学科.
背景情况:
- 脂肪肝指数 (FLI) 与高血压 (HTN) 有关.
- 在接受冠状动脉计算机断层扫描血管造影 (CCTA) 的患者中,FLI和HTN之间的关联尚未得到充分证实.
- CCTA是诊断冠状动脉疾病的关键成像方式.
研究的目的:
- 在接受CCTA的患者中调查FLI和HTN患病率之间的关联.
- 为了确定FLI是否可以在这个特定的患者群体中作为HTN的诊断指标.
主要方法:
- 对1173名疑似患有冠状动脉疾病的患者进行了横截面研究.
- 评估FLI值和HTN患病率作为主要结局.
- 统计分析包括组之间的比较和物流回归来评估独立的协会.
主要成果:
- 与没有HTN的患者相比,患有HTN的患者表现出明显更高的FLI值 (39.1±26.0对30.9±24.7,P<0.001).
- 在较高的FLI类别中,HTN的患病率增加了 (59.2%在较低,69.0%在中等,75.6%在较高;P<0.001),显示出线性趋势.
- 较高的FLI独立地与HTN相关,以剂量-反应的方式;每增加10个单位的FLI与HTN几率增加15.6%相关 (OR:1.16,95%CI:1.10-1.22,P <0.001).
结论:
- 在接受CCTA的患者中,FLI与HTN有显著的关联.
- 在这个人群中,FLI可能是HTN的有价值的诊断指标.
- 将FLI评估纳入CCTA协议可以加强心血管风险评估.
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