JACC:低血糖状态会增加糖尿病患者肌钙蛋白水平

2018-10-06 MedSci MedSci原创

治疗糖尿病的药物可能导致低血糖,从而造成心肌损伤。本研究的目的旨在评估低血糖状态是否会增加高敏心脏肌钙蛋白(hsTnT)的水平。本研究纳入了1984名BARI 2D临床研究中的参与者,并密切随访其1年的低血糖状态和hsTnT水平。结果发现,有48%的患者出现低血糖,中度的有875名(44%),重度的有83名(4%),每周少于一次的有561名(28%),大于等于一次的有397名(20%)。hsTnT

治疗糖尿病的药物可能导致低血糖,从而造成心肌损伤。本研究的目的旨在评估低血糖状态是否会增加高敏心脏肌钙蛋白(hsTnT)的水平。

本研究纳入了1984名BARI 2D临床研究中的参与者,并密切随访其1年的低血糖状态和hsTnT水平。结果发现,有48%的患者出现低血糖,中度的有875名(44%),重度的有83名(4%),每周少于一次的有561名(28%),大于等于一次的有397名(20%)。hsTnT水平与低血糖呈相关性,严重的低血糖与1年后的hsTnT水平增高34%呈相关性(p < 0.0001),每周出现大于等于1次的低血糖与hsTnT水平增高14%呈相关性(p = 0.0003)。

研究结果显示,低血糖与患者的高敏心脏肌钙蛋白水平增高相关,但这种相关性可能与低血糖患者存在更严重的糖尿病有关,而非单纯的低血糖状态。

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    2019-01-18 hbwxf
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    2018-11-16 jyzxjiangqin

    低血糖状态观察。

    0

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    2018-10-15 jyzxjiangqin

    低血糖状态观察。

    0

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    2018-10-06 医者仁心5538

    学习了

    0

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    2018-10-06 misszhang

    谢谢MedSci提供最新的资讯

    0

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1. 多摄入海产品可降低外周动脉疾病风险DOI: 10.1016/j.jacc.2018.07.045http://www.onlinejacc.org/content/72/14/1576动物脂肪组织的海洋n-3多不饱和脂肪酸(PUFAs)含量被认为是机体长期摄入海产品的生物标志物。本研究的目的旨在评估机体脂肪组织中PUFAs的含量与外周动脉疾病(PAD)的关系。本研究纳入了丹麦饮食、癌症和健康

Int J Cardiol:抑郁症、可治疗的心血管危险因素与心脏事件

由此可见,抑郁症与心脏事件之间的关联不太可能通过高血压、糖尿病或血脂异常的影响来解释。

JACC:氯沙坦作为马凡综合征长期治疗药物安全有效

β受体阻滞剂是马凡综合征(MFS)患者的标准疗法,但有研究表明氯沙坦对MFS的有效性存在争议。本研究的目的旨在比较和评估氯沙坦与阿替洛尔在预防MFS主动脉扩张和其他并发症中的有效性。本研究纳入了128例LOAT临床研究中的患者,其中64例接受阿替洛尔治疗,64例接受氯沙坦治疗。经过平均6.7 ± 1.5年时间的随访,共9例不良事件(14.1%)发生在氯沙坦组,12例(18.8%)发生在阿替洛尔组。