BMJ Open:血纤维蛋白原水平与心血管事件有关

2017-06-14 朱柳媛 中国循环杂志

阜外医院李建军教授等开展的一项前瞻性观察性研究显示,在我国合并2型糖尿病的稳定性冠心病患者中,血纤维蛋白原水平升高与心血管事件风险增加独立相关。 在单因素回归分析中,血纤维蛋白原水平每升高1个标准差,心血管事件风险增加25%。

阜外医院李建军教授等开展的一项前瞻性观察性研究显示,在我国合并2型糖尿病的稳定性冠心病患者中,血纤维蛋白原水平升高与心血管事件风险增加独立相关。在单因素回归分析中,血纤维蛋白原水平每升高1个标准差,心血管事件风险增加25%。校正多个已知的心血管病危险因素后,两者仍独立相关(HR=1.30, 95%CI:1.02~1.66, P=0.037)。校正已知的心血管病危险因素后,与血纤维蛋白原水平较低(≥2.91g/L)者相比,血纤维蛋白原水平处于中等水平(2.91~3.51g/L)和较高水平(≥3.51g/L)的患者发生心血管事件的风险分别增加23%和120%。该研究首次在合并2型糖尿病的稳定性冠心病患者中发现,血纤维蛋白原水平与心血管事件独立相关。研究者认为,尽管该研究随访期相对较短,但目前的数据表明,基线纤维蛋白原水平或许可以作为2型糖尿病合并冠心病患者临床结局的预测标志物。这项研究共纳入1466例合并2型糖尿病的稳定性冠心病患者。平均随访20.2个月,96例患者发生心血管事件。原始出处:Yang SH, Du Y, Zhang Y, et al. Serum fibrinogen an

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    2017-07-01 gaoxiaoe
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    2017-11-30 feather89
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    2017-06-14 1ddf0692m34(暂无匿称)

    学习了,涨知识

    0