Eur Heart J:亚临床心肌损伤与增痴呆风险

2014-04-04 高晓方 译 医学论坛网

美国一项研究表明,基线高敏心肌肌钙蛋白T(hs-cTnT)升高与认知测验评分降低以及后期痴呆住院风险升高具有相关性。研究结果提示亚临床心肌梗死与痴呆和认知具有相关性。论文于3月30日在线发表于《欧洲心脏杂志》(Eur Heart J)。此项研究共纳入9472例受试者,并进行了基线时认知横断面分析和前瞻性痴呆随访。利用新型高敏方法测定hs-cTnT,并利用DWRT、DSST和WFT评估认知功能。通过

美国一项研究表明,基线高敏心肌肌钙蛋白T(hs-cTnT)升高与认知测验评分降低以及后期痴呆住院风险升高具有相关性。研究结果提示亚临床心肌梗死与痴呆和认知具有相关性。论文于3月30日在线发表于《欧洲心脏杂志》(Eur Heart J)。

此项研究共纳入9472例受试者,并进行了基线时认知横断面分析和前瞻性痴呆随访。利用新型高敏方法测定hs-cTnT,并利用DWRT、DSST和WFT评估认知功能。通过ICD-9确定痴呆。利用线性回归和Cox模型校正传统心血管危险因素。

结果显示,受试者平均年龄年龄为63岁,hs-cTnT ≥3 ng/L的患者为66%。在横断面分析中,hs-cTnT较高与DSST和WFT评分较低具有相关性,但与DWRT无关。中位随访13年后共出现455例痴呆住院。在前瞻性分析中,hs-cTnT基线浓度较高与痴呆住院和血管性痴呆风险升高具有相关性,但与阿尔茨海默病痴呆无关。

原始出处:


Schneider AL1, Rawlings AM, Sharrett AR, Alonso A, Mosley TH, Hoogeveen RC, Ballantyne CM, Gottesman RF, Selvin E.High-sensitivity cardiac troponin T and cognitive function and dementia risk: the atherosclerosis risk in communities study.Eur Heart J. 2014 Mar 30. 


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    2014-04-06 zhaojie88
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