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Relationship between target organ damage and blood pressure, retinal vessel calibre, oxidative stress and polymorphisms in VAV-2 and VAV-3 genes in patients with hypertension: a case-control study protocol (LOD-Hipertension).高血压患者靶器官损害与血压、视网膜血管管径、氧化应激以及VAV-2和VAV-3基因多态性之间的关系:一项病例对照研究方案(LOD-高血压研究)
BMJ Open. 2014 Apr 3;4(4):e005112. doi: 10.1136/bmjopen-2014-005112.
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BMJ Open. 2014 Dec 2;4(12):e006144. doi: 10.1136/bmjopen-2014-006144.
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BMJ Open. 2016 Jun 7;6(6):e011031. doi: 10.1136/bmjopen-2016-011031.
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Association of VAV2 and VAV3 polymorphisms with cardiovascular risk factors.VAV2 和 VAV3 多态性与心血管危险因素的关联。
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Cardio-ankle vascular index is associated with cardiovascular target organ damage and vascular structure and function in patients with diabetes or metabolic syndrome, LOD-DIABETES study: a case series report.心脏-踝部血管指数与糖尿病或代谢综合征患者的心血管靶器官损害及血管结构和功能相关,LOD-DIABETES研究:病例系列报告
Cardiovasc Diabetol. 2015 Jan 16;14:7. doi: 10.1186/s12933-014-0167-y.
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JAMA. 1997 Jun 4;277(21):1689-95.
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Automatic image analyser to assess retinal vessel calibre (ALTAIR). A new tool to evaluate the thickness, area and length of the vessels of the retina.自动图像分析器评估视网膜血管口径(ALTAIR)。一种新的工具,用于评估视网膜血管的厚度、面积和长度。
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Evolution of target organ damage and haemodynamic parameters over 4 years in patients with increased insulin resistance: the LOD-DIABETES prospective observational study.胰岛素抵抗增加患者4年期间靶器官损害及血流动力学参数的演变:LOD-DIABETES前瞻性观察研究
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Peripheral and central arterial pressure and its relationship to vascular target organ damage in carotid artery, retina and arterial stiffness. Development and validation of a tool. The Vaso risk study.外周动脉压和中心动脉压及其与颈动脉、视网膜和动脉僵硬度等血管靶器官损害的关系。工具的开发和验证。Vaso 风险研究。
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Hypertension is associated with narrower retinal arteriolar calibre in persons with and without coronary artery disease.高血压与患有和未患有冠状动脉疾病的人群视网膜小动脉管径变窄有关。
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Comparisons between protocols and publications of case-control studies: analysis of potential causes of non-reproducibility and recommendations for enhancing the quality of personalization in healthcare.病例对照研究的方案与出版物之间的比较:分析不可重复性的潜在原因及提高医疗个性化质量的建议。
EPMA J. 2019 Mar 19;10(2):101-108. doi: 10.1007/s13167-019-00165-2. eCollection 2019 Jun.
4
Association of VAV2 and VAV3 polymorphisms with cardiovascular risk factors.VAV2 和 VAV3 多态性与心血管危险因素的关联。
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本文引用的文献

1
World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.《世界医学协会赫尔辛基宣言:涉及人类受试者的医学研究伦理原则》
JAMA. 2013 Nov 27;310(20):2191-4. doi: 10.1001/jama.2013.281053.
2
2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC).2013年欧洲高血压学会(ESH)和欧洲心脏病学会(ESC)动脉高血压管理指南:欧洲高血压学会(ESH)和欧洲心脏病学会(ESC)动脉高血压管理特别工作组
J Hypertens. 2013 Jul;31(7):1281-357. doi: 10.1097/01.hjh.0000431740.32696.cc.
3
Short- and long-term blood pressure variability: present and future.短期和长期血压变异性:现状与未来。
Hypertension. 2012 Aug;60(2):512-7. doi: 10.1161/HYPERTENSIONAHA.112.194340. Epub 2012 Jun 25.
4
Protocol for measuring carotid intima-media thickness that best correlates with cardiovascular risk and target organ damage.测量颈动脉内膜中层厚度的方案,该方案与心血管风险和靶器官损害的相关性最佳。
Am J Hypertens. 2012 Sep;25(9):955-61. doi: 10.1038/ajh.2012.72. Epub 2012 Jun 21.
5
Day-night dip and early-morning surge in blood pressure in hypertension: prognostic implications.高血压患者的血压昼夜波动和清晨血压升高:预后意义。
Hypertension. 2012 Jul;60(1):34-42. doi: 10.1161/HYPERTENSIONAHA.112.191858. Epub 2012 May 14.
6
Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension: a systematic review and meta-analysis.家庭血压与动态血压和诊室血压在预测高血压靶器官损害中的比较:系统评价和荟萃分析。
J Hypertens. 2012 Jul;30(7):1289-99. doi: 10.1097/HJH.0b013e3283531eaf.
7
A new tool to assess retinal vessel caliber. Reliability and validity of measures and their relationship with cardiovascular risk.一种新的评估视网膜血管口径的工具。其测量的可靠性和有效性及其与心血管风险的关系。
J Hypertens. 2012 Apr;30(4):770-7. doi: 10.1097/HJH.0b013e3283506628.
8
Expert consensus document on the measurement of aortic stiffness in daily practice using carotid-femoral pulse wave velocity.使用颈股脉搏波速度在日常实践中测量主动脉僵硬度的专家共识文件。
J Hypertens. 2012 Mar;30(3):445-8. doi: 10.1097/HJH.0b013e32834fa8b0.
9
Home measurement of blood pressure and cardiovascular disease: systematic review and meta-analysis of prospective studies.家庭血压测量与心血管疾病:前瞻性研究的系统评价和荟萃分析。
J Hypertens. 2012 Mar;30(3):449-56. doi: 10.1097/HJH.0b013e32834e4aed.
10
Improvements in risk stratification for the occurrence of cardiovascular disease by imaging subclinical atherosclerosis: a systematic review.通过影像学检查亚临床动脉粥样硬化改善心血管疾病发生的风险分层:系统评价。
Heart. 2012 Feb;98(3):177-84. doi: 10.1136/heartjnl-2011-300747. Epub 2011 Nov 17.

高血压患者靶器官损害与血压、视网膜血管管径、氧化应激以及VAV-2和VAV-3基因多态性之间的关系:一项病例对照研究方案(LOD-高血压研究)

Relationship between target organ damage and blood pressure, retinal vessel calibre, oxidative stress and polymorphisms in VAV-2 and VAV-3 genes in patients with hypertension: a case-control study protocol (LOD-Hipertension).

作者信息

Gomez-Marcos Manuel A, Gonzalez-Sarmiento Rogelio, Recio-Rodríguez José I, Agudo-Conde Cristina, Gamella-Pozuelo Luis, Perretta-Tejedor Nuria, Martínez-Salgado Carlos, García-Ortiz Luis

机构信息

Instituto de Investigación Biomédica de Salamanca (IBSAL). Primary Care Research Unit, La Alamedilla Health Center, Castilla and León Health Service-SACYL, Salamanca, Spain.

出版信息

BMJ Open. 2014 Apr 3;4(4):e005112. doi: 10.1136/bmjopen-2014-005112.

DOI:10.1136/bmjopen-2014-005112
PMID:24699462
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3987709/
Abstract

INTRODUCTION

Target organ damage (TOD) is associated with increased cardiovascular risk. The study objectives were to analyse the relationship of TOD to blood pressure, size of retinal arteries and veins, oxidative stress and different polymorphisms in the VAV-2 and VAV-3 genes in participants with hypertension.

METHODS AND ANALYSIS

A case-control study to analyse the relationship between clinical, biochemical and genetic parameters and presence of cardiac, vascular and renal TOD in 486 patients with hypertension. Participants with TOD will be considered as cases, and those without TOD will be enrolled as controls. This will be a collaborative study conducted by the groups of Primary Care, Cardiovascular and Metabolic and Degenerative Diseases of the Instituto de Investigación Biomédica of Salamanca (IBSAL). Assessment of cardiac, renal and vascular TOD. Measurement of peripheral and central blood pressure, size of eye fundus arteries and veins, and oxidative stress, and polymorphisms in the VAV-2 and VAV-3 genes.

ETHICS AND DISSEMINATION

The study will be conducted after approval is obtained from the Ethics Committee of Hospital Clínico Universitario of Salamanca. All study participants will sign an informed consent to agree to participate in the study, and another consent to agree on the genetic study, in compliance with the Declaration of Helsinki and the WHO standards for observational studies. The results of this study will allow for an understanding of the relationship of the different TODs with blood pressure, retinal artery and vein diameters, oxidative stress and polymorphisms in VAV-2 and VAV-3 genes.

TRIAL REGISTRATION NUMBER

Clinical Trials. gov Identifier: NCT02022618.

摘要

引言

靶器官损害(TOD)与心血管风险增加相关。本研究的目的是分析高血压患者中TOD与血压、视网膜动静脉大小、氧化应激以及VAV - 2和VAV - 3基因不同多态性之间的关系。

方法与分析

一项病例对照研究,分析486例高血压患者的临床、生化和遗传参数与心脏、血管和肾脏TOD存在情况之间的关系。有TOD的参与者将被视为病例,无TOD的参与者将被纳入对照组。这将是由萨拉曼卡生物医学研究所(IBSAL)的初级保健、心血管与代谢及退行性疾病研究小组进行的一项合作研究。评估心脏、肾脏和血管TOD。测量外周和中心血压、眼底动静脉大小、氧化应激以及VAV - 2和VAV - 3基因的多态性。

伦理与传播

本研究将在获得萨拉曼卡大学临床医院伦理委员会批准后进行。所有研究参与者将签署知情同意书,同意参与研究,并签署另一项同意书,同意进行基因研究,符合《赫尔辛基宣言》和世界卫生组织观察性研究标准。本研究结果将有助于了解不同TOD与血压、视网膜动静脉直径、氧化应激以及VAV - 2和VAV - 3基因多态性之间的关系。

试验注册号

ClinicalTrials.gov标识符:NCT02022618。