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年轻亚洲急性心肌梗死患者(≤45岁)代谢综合征与高敏C反应蛋白、脂蛋白(a)及血清铁蛋白水平的相关性

Association of metabolic syndrome and level of hs-CRP, Lp(a), and serum ferritin in young Asian patients (≤45 years) with acute myocardial infarction.

作者信息

Ramesh Gadepalli, Sai Nyayapathi Venkata Balakrishna, Gururaj Pramod, Bhupal Reddy, Patel Nilesh

机构信息

Department of Cardiology, Yashoda Hospital, Secunderabad, Telangana, India.

出版信息

Interv Med Appl Sci. 2018 Jun;10(2):65-69. doi: 10.1556/1646.10.2018.14.

Abstract

AIMS

This study was aimed to determine the levels of hs-CRP, serum ferritin, and Lp(a) and to study the prevalence of metabolic syndrome (MetS) in young patients (≤45 years) with and without acute myocardial infarction (AMI).

METHODS

This was a cross-sectional, case-control study conducted at a tertiary care center in India. Equal number of patients with matched age and sex ( = 51) were included in case group (with AMI) and in control group (without AMI). Subjects were assessed for the presence of MetS as per modified ATP III criteria. The hs-CRP, Lp(a), and serum ferritin were also measured.

RESULTS

The prevalence of MetS was found to be 62.74% in case group, whereas 33.33% in control group with decreased HDL level as the most prevalent parameter. The hs-CRP level was found to be 15.35 ± 8.27 mg/dl in case group and 1.85 ± 1.05 mg/dl in control group and Lp(a) was 33.84 ± 23.69 mg/dl in case group and 19.68 ± 10.39 mg/dl in control group. No significant difference was observed in the serum ferritin level in case (264.2 ± 40.6 ng/dl) and control (225.51 ± 45.35 ng/dl) groups.

CONCLUSION

From this study, we can conclude that the assessment of these novel risk factors [hs-CRP, Lp(a), and MetS] may be used for the risk estimation and can help to prevent future mortality and morbidity due to CVD.

摘要

目的

本研究旨在测定超敏C反应蛋白(hs-CRP)、血清铁蛋白和脂蛋白(a) [Lp(a)]水平,并研究急性心肌梗死(AMI)患者与非AMI患者(年龄≤45岁)中代谢综合征(MetS)的患病率。

方法

这是一项在印度一家三级医疗中心进行的横断面病例对照研究。病例组(患有AMI)和对照组(未患AMI)纳入了年龄和性别匹配的同等数量患者(各51例)。根据修改后的ATP III标准评估受试者是否存在MetS。同时还测定了hs-CRP、Lp(a)和血清铁蛋白。

结果

病例组中MetS的患病率为62.74%,而对照组为33.33%,其中高密度脂蛋白(HDL)水平降低是最常见的参数。病例组hs-CRP水平为15.35±8.27mg/dl,对照组为1.85±1.05mg/dl;病例组Lp(a)为33.84±23.69mg/dl,对照组为19.68±10.39mg/dl。病例组(264.2±40.6ng/dl)和对照组(225.51±45.35ng/dl)的血清铁蛋白水平未观察到显著差异。

结论

从本研究中,我们可以得出结论,对这些新的危险因素[hs-CRP、Lp(a)和MetS]进行评估可用于风险估计,并有助于预防未来因心血管疾病(CVD)导致的死亡和发病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b58/6167620/1a6c5be836f9/imas-10-02-14_f001.jpg

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