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在中国老年男性中,肾功能与冠状动脉钙化存在独立关系。

Renal function had an independent relationship with coronary artery calcification in Chinese elderly men.

作者信息

Fu Shihui, Zhang Zhao, Luo Leiming, Ye Ping

机构信息

Department of Geriatric Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.

Department of Cardiology and Hainan Branch, Chinese People's Liberation Army General Hospital, Beijing, China.

出版信息

BMC Geriatr. 2017 Apr 7;17(1):80. doi: 10.1186/s12877-017-0470-z.

Abstract

BACKGROUND

Although previous studies have analyzed the relationship between renal function and coronary artery calcification (CAC) in pre-dialysis and dialysis patients, limited studies have discussed the relationship between renal function and CAC in Chinese elderly men without obvious damage of renal function. The present study was designed to explore the relationship between renal function and CAC in Chinese elderly men without obvious damage of renal function.

METHODS

This cross-sectional study was carried out in 105 male participants older than 60 years with glomerular filtration rate (GFR) ≥ 45 ml/min/1.73 m. CAC was detected by high-definition computerized tomography (HDCT), which is a highly sensitive technique for detecting the CAC and provides the most accurate CAC scores up to date.

RESULTS

Age was 72 ± 8.4 years on average and ranged from 60 to 89 years. Simple correlation analysis indicated that all kinds of CAC scores including the Agatston, volume and mass scores inversely correlated with GFR values (p < 0.05 for all). In multivariate linear regression analysis, GFR values were independently associated with all these CAC scores (p < 0.05 for all).

CONCLUSION

Renal function had an independent relationship with CAC detected by HDCT in Chinese elderly men, demonstrating that the relationship between renal function and CAC started at the early stage of renal function decline.

摘要

背景

尽管先前的研究分析了透析前和透析患者肾功能与冠状动脉钙化(CAC)之间的关系,但针对肾功能无明显损害的中国老年男性,探讨肾功能与CAC之间关系的研究较少。本研究旨在探讨肾功能无明显损害的中国老年男性肾功能与CAC之间的关系。

方法

本横断面研究纳入了105名年龄大于60岁、肾小球滤过率(GFR)≥45 ml/min/1.73 m²的男性参与者。采用高分辨率计算机断层扫描(HDCT)检测CAC,HDCT是一种检测CAC的高敏感技术,能提供目前最准确的CAC评分。

结果

平均年龄为72±8.4岁,范围在60至89岁之间。简单相关分析表明,包括阿加斯顿、体积和质量评分在内的各种CAC评分均与GFR值呈负相关(均p<0.05)。多因素线性回归分析显示,GFR值与所有这些CAC评分均独立相关(均p<0.05)。

结论

在中国老年男性中,肾功能与HDCT检测的CAC存在独立关系,表明肾功能与CAC之间的关系在肾功能下降的早期阶段就已存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d21/5383987/28bfda8592c6/12877_2017_470_Fig1_HTML.jpg

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