生物衰老,左心室功能障碍和心力衰竭患者的死亡率与保存的喷射分数
Xinghao Xu1,2, Zihao Huang3, Xingfeng Xu1,2
1Department of Cardiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
npj aging
|December 17, 2025
概括
加快的生物衰老 (BA) 显著增加了心力衰竭的死亡风险与保存的喷射分数 (HFpEF) 患者. 这种衰老标记与心脏结构变化有关,可以预测结果.
科学领域:
- 心脏病学 心脏病学
- 老年学是一门学科.
- 生物标志物 生物标志物
背景情况:
- 加快的生物衰老 (BA) 与心血管疾病有关.
- 在心力衰竭中,BA的预后意义与保存的喷射分数 (HFpEF) 尚不清楚.
研究的目的:
- 为了研究BA加速和HFpEF患者的死亡率之间的关联.
- 探索BA加速与心脏结构和功能参数之间的关系.
主要方法:
- 从红地毯研究中对1,727名HFpEF患者的分析.
- 使用Klemera-Doubal (KDMAge) 和PhenoAge方法进行BA的评估.
- 随访时间中位数为4.9年,评估了所有原因和心血管死亡率.
主要成果:
- 增加BA加速与所有原因和心血管死亡率显著增加的风险相关.
- BA加速与左心室质量指数 (LVMI),相对壁壁厚度和E/e'比率的增加有关.
- LVMI和E/e'比率部分调解了BA加速和死亡率之间的关联.
结论:
- 加快的生物衰老是HFpEF的一个显著的预后因素.
- BA加速可以作为预测HFpEF患者不良结果的关键生物标志物.
- 心脏结构变化部分解释了HFpEF中加速衰老和死亡率之间的联系.
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