升高的B型尿素作为预测后急性中风患者不良结果的预测剂
Genki Kai1,2, Ken Ogura1, Kensuke Ueno3
1Department of Rehabilitation Sciences, Graduate School of Medical Sciences, Kitasato University Sagamihara Japan.
在中风后的患者中,B型尿素 (BNP) 水平预示着不良结果. 严重升高的BNP显著增加不良事件的风险,使其成为一个有价值的预后标记.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 生物标志物 生物标志物
背景情况:
- B型尿素 (BNP) 是一个重要的心力衰竭 (HF) 生物标志物.
- 在急性中风中BNP升高与不良结果相关.
- 在急性中风后阶段BNP的预后意义尚未得到充分确立.
研究的目的:
- 研究中风后急性阶段患者BNP的预后价值.
- 为了确定BNP水平是否可以预测脑梗塞或出血后的不良结果.
主要方法:
- 对876名急性脑梗塞/出血后患者进行了回顾性研究.
- 根据B型尿素 (BNP) 或N端前激素的BNP水平分组的患者.
- 主要结局:全因不良事件 (由于病情恶化而在医院死亡或转移).
主要成果:
- 严重升高的BNP组显示不良事件的风险明显更高 (HR:2.34).
- 与HF诊断相比,BNP显示出更高的预测价值 (AUC为0.712与0.691).
- 较高的BNP与较低的BMI,降低的eGFR,从中风开始的时间更长,AFib和心血管栓塞性中风有关.
结论:
- 急性中风后的BNP水平与不良结果有显著的关联.
- 在急性中风后阶段,BNP作为一个有用的预后标志物.
- BNP的预测能力超过了仅仅是心力衰竭诊断的能力.
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