ATVB:Lp(a)浓度可预测稳定性冠心病患者转归

2013-10-28 高晓方 译 医学论坛网

澳大利亚一项研究表明,在稳定性冠心病患者中,基线脂蛋白a[Lp(a)]浓度与未来心血管疾病和冠心病事件具有相关性。论文于10月3日在线发表于《动脉粥样硬化、血栓形成和血管生物学》(ATVB)。   此项研究共纳入7863例既往伴冠脉事件的稳定性冠心病患者,并测定其血浆Lp(a)浓度。对基线心血管疾病和其他危险因素进行校正之后,利用Cox比例风险模型评估Lp(a)对转归的预测价值。中位随访

澳大利亚一项研究表明,在稳定性冠心病患者中,基线脂蛋白a[Lp(a)]浓度与未来心血管疾病和冠心病事件具有相关性。论文于10月3日在线发表于《动脉粥样硬化、血栓形成和血管生物学》(ATVB)。
   

此项研究共纳入7863例既往伴冠脉事件的稳定性冠心病患者,并测定其血浆Lp(a)浓度。对基线心血管疾病和其他危险因素进行校正之后,利用Cox比例风险模型评估Lp(a)对转归的预测价值。中位随访时间为6年。
   
结果显示,基线Lp(a)浓度与总冠心病事件(P<0.001)、总心血管疾病事件(P=0.002)和冠脉事件(P=0.03)具有相关性。Lp(a)浓度>73 mg/dL时风险最高。对于1年后相关事件而言,1年时 Lp(a)浓度升高与总冠心病事件和总心血管疾病事件的不良转归具有相关性(P=0.002)。

原文出处:

Nestel PJ, Barnes EH, Tonkin AM, Simes J, Fournier M, White HD, Colquhoun DM, Blankenberg S, Sullivan DR.Plasma Lipoprotein(a) Concentration Predicts Future Coronary and Cardiovascular Events in Patients With Stable Coronary Heart Disease.Arterioscler Thromb Vasc Biol. 2013 Oct 3. 

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    2014-05-17 gongliu
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