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通过网络分析对原发性高血压患者进行评估。

Evaluation of patients diagnosed with essential arterial hypertension through network analysis.

作者信息

Suciu L, Cristescu C, Topîrceanu A, Udrescu L, Udrescu M, Buda V, Tomescu M C

机构信息

Pharmacology-Clinical Pharmacy Department, "Victor Babes" University of Medicine and Pharmacy, 2, Eftimie Murgu Square, 300041, Timisoara, Romania.

Computer and Software Engineering Department, University Politehnica Timisoara, 2, Vasile Parvan Boulevard, 300223, Timisoara, Romania.

出版信息

Ir J Med Sci. 2016 May;185(2):443-51. doi: 10.1007/s11845-015-1342-1. Epub 2015 Aug 29.

Abstract

BACKGROUND

Essential hypertension is a chronic pathology that causes long-term complications due to late diagnosis of patients, the inability to control the disease through medication, or due to the complexity of associated risk factors.

AIMS

Our study sets out to identify specific patterns of response to arterial hypertension treatment, by taking into consideration the multiple connections between risk factors in a relevant population of hypertensive patients.

METHODS

Network science is an emerging paradigm, branching over multiple aspects of physical, biological and social phenomena. One such branch, which has brought significant contributions to medical science, is the field of network medicine. To apply this methodology, we create a complex network of hypertensive patients based on their common medical conditions. Consequently, we obtain a community-based representation which pinpoints specific-and previously uncharted-patterns of hypertension development. This approach creates incentives for evaluating patient's treatment efficacy, by considering its network topological position.

RESULTS

Distinct clusters of patients with common properties have emerged for each study group (group A-treated with nebivolol, group B-treated with perindopril and group C-treated with candesartan cilexetil). Therefore, our network-based clustering allows for a better treatment assessment.

摘要

背景

原发性高血压是一种慢性疾病,由于患者诊断延迟、无法通过药物控制病情或相关危险因素复杂,会导致长期并发症。

目的

我们的研究旨在通过考虑高血压患者相关人群中危险因素之间的多重联系,确定动脉高血压治疗的特定反应模式。

方法

网络科学是一种新兴范式,涵盖物理、生物和社会现象的多个方面。网络医学领域就是其中一个为医学做出重大贡献的分支。为应用此方法,我们基于高血压患者的常见病症创建了一个复杂网络。因此,我们获得了一种基于社区的表示方法,该方法能确定高血压发展的特定且此前未知的模式。这种方法通过考虑患者治疗效果的网络拓扑位置,为评估患者的治疗效果提供了动力。

结果

每个研究组(A组 - 接受奈必洛尔治疗、B组 - 接受培哚普利治疗、C组 - 接受坎地沙坦酯治疗)都出现了具有共同特征的不同患者集群。因此,我们基于网络的聚类方法能够进行更好的治疗评估。

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