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Med Sci Monit：阿托伐他汀和叶酸对慢性心力衰竭高同型半胱氨酸血症患者心功能和心室重构的协同作用

2019-08-28 sunshine 译 MedSci原创

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背景目前在慢性心力衰竭（CHF）的病理生理学理解和治疗方面不断取得进展。同时，高同型半胱氨酸血症（HHcy）与CHF患者的左心室功能受损和临床分级有关。阿托伐他汀治疗可以降低晚期CHF患者心源性猝死的发生率。叶酸可以增强血管疾病状态下的内皮功能。本研究旨在探讨阿托伐他汀和叶酸联合对CHF患者HHcy心功能和心室重构的影响。材料与方法伴HHcy的老年CHF患者分为四组：常规，常规+阿托伐他汀，常规+

背景
目前在慢性心力衰竭（CHF）的病理生理学理解和治疗方面不断取得进展。同时，高同型半胱氨酸血症（HHcy）与CHF患者的左心室功能受损和临床分级有关。阿托伐他汀治疗可以降低晚期CHF患者心源性猝死的发生率。叶酸可以增强血管疾病状态下的内皮功能。本研究旨在探讨阿托伐他汀和叶酸联合对CHF患者HHcy心功能和心室重构的影响。

材料与方法
伴HHcy的老年CHF患者分为四组：常规，常规+阿托伐他汀，常规+叶酸和常规+阿托伐他汀+叶酸组。使用酶循环方法检测血清同型半胱氨酸（Hcy）的水平，通过ELISA检测N末端脑钠尿肽（NT-proBNP）的水平。评估心功能指标和左心室舒张早期峰值流速/心房收缩峰值流速（E/A）比值。进行六分钟步行测试以测量六分钟步行距离（6MWD）。

结果
6MWD增加，血清Hcy和NT-proBNP水平下降，心功能较治疗前有所改善，这在常规+阿托伐他汀+叶酸组中最为明显，其次是常规+阿托伐他汀组，然后是常规+叶酸组，最后是常规组。

结论
结果表明，阿托伐他汀和叶酸联合应用可改善伴HHcy的老年CHF患者的心功能，抑制心室重构。

原始出处：

Peng Y, Ou BQ, et al., Synergistic Effect of Atorvastatin and Folic Acid on Cardiac Function and Ventricular Remodeling in Chronic Heart Failure Patients with Hyperhomocysteinemia. Med Sci Monit. 2018 Jun 4;24:3744-3751. doi: 10.12659/MSM.906893.

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    2019-08-30 bioon1

    #慢性心力衰竭#

    0

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    2019-08-30 fanweitanzhen

    #心室重构#

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    2019-08-30 caobinglei8081

    #心功能#

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    2019-08-30 ms3994565386320060

    #Med#

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