Luo Ke-Qin, Feng Xiao-Wei, Xu Bing-Can, Long Hui-Bao
Ke-qin Luo, Department of Emergency, SunYat-Sen memorial Hospital, Sun Yat-Sen University, Guangzhou, 510120, China.
Xiao-wei Feng, Department of Emergency, SunYat-Sen memorial Hospital, Sun Yat-Sen University, Guangzhou, 510120, China.
Pak J Med Sci. 2014 Nov-Dec;30(6):1314-8. doi: 10.12669/pjms.306.5584.
To investigate the role of Brachial ankle Pulse Wave Relocity (baPWV) and cfPWV on the risk of Coronary artery disease and the interaction between baPWV and risk factors of Coronary artery disease (CAD).
A case-control study was conducted at Department of Emergency, SunYat-Sen memorial Hospital, China. We collected 332 cases with coronary artery disease and 328 subjects without CAD between February 2012 and October 2013. A multivariate logistic regression analysis was performed to analyze the risk factors of CAD.
CAD subjects were more likely to be old age, and have higher BMI, waist-hip ratio, hypertension, fasting glucose, TG, carotid-femoral PWV (cfPWV) and baPWV, and CAD subjects had a lower TC, HDL-C and LDL-C. We found that older age, smoking, higher hypertension, TC, TG, HDL-C, LDL-C, carotid-femoral PWV (CfPWV) and baPWV were associated with risk of CAD. baPWV had significant interaction with age, TC, TG, HDL-C and LDL-C, carotid-femoral PWV (cfWV) was correlated with age, HDL-C and LDL-C.
This study showed that baPWV and cfPWV are two independent factors for the risk of Coronary artery disease, and baPWV and cfPWV have interaction with age, TC, TG, HDL-C and LDL-C.
探讨臂踝脉搏波速度(baPWV)和颈股脉搏波速度(cfPWV)在冠状动脉疾病风险中的作用以及baPWV与冠状动脉疾病(CAD)危险因素之间的相互作用。
在中国中山大学附属孙逸仙纪念医院急诊科进行了一项病例对照研究。我们在2012年2月至2013年10月期间收集了332例冠状动脉疾病患者和328例无CAD的受试者。进行多因素逻辑回归分析以分析CAD的危险因素。
CAD患者更可能年龄较大,且具有更高的体重指数、腰臀比、高血压、空腹血糖、甘油三酯、颈股脉搏波速度(cfPWV)和baPWV,CAD患者的总胆固醇、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇较低。我们发现年龄较大、吸烟、高血压、总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、颈股脉搏波速度(CfPWV)和baPWV与CAD风险相关。baPWV与年龄、总胆固醇、甘油三酯、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇有显著相互作用,颈股脉搏波速度(cfWV)与年龄、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇相关。
本研究表明baPWV和cfPWV是冠状动脉疾病风险的两个独立因素,且baPWV和cfPWV与年龄、总胆固醇、甘油三酯、高密度脂蛋白胆固醇和低密度脂蛋白胆固醇存在相互作用。