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血清尿酸水平与冠状动脉疾病程度之间的关系:来自厄瓜多尔的一项前瞻性研究。

Relation between serum uric acid levels with the degree of coronary artery disease: A prospective study from Ecuador.

作者信息

Egas-Izquierdo Maria, Wong-Achi Xavier, Alvarado-Villa Geovanny, Mautong Hans

机构信息

"Dr. Teodoro Maldonado Carbo" Hospital, Guayaquil 090114, Ecuador.

"Dr. Teodoro Maldonado Carbo" Hospital, Guayaquil 090114, Ecuador.

出版信息

Clin Investig Arterioscler. 2019 Jan-Feb;31(1):8-14. doi: 10.1016/j.arteri.2018.09.001. Epub 2018 Oct 31.

Abstract

UNLABELLED

To analyze the relationship between serum levels of uric acid and the severity of coronary disease.

METHODS

This observational, descriptive and cross-sectional study included 77 patients previously selected using inclusion criteria, from September 2014 to May 2015. It was conducted in a third level regional hospital from Guayaquil, Ecuador. Patients enrolled in this study were older than 30 years with coronary disease undergoing coronary angiography, without prior diagnosis of any other condition that could influence in serum uric acid values.

RESULTS

(1) Direct relation between serum uric acid levels and the severity of coronary disease, with a 0.600 Spearman correlation coefficient (p<0.001); (2) other variables such as hypertension and medical history did not have an influence on the study's results; (3) serum uric acid levels didn't show difference among the different groups (p˃0.05).

CONCLUSIONS

Based on the results, it was possible to conclude that there is a relation between serum uric acid level and the severity of coronary artery disease; this relation was independent of clinical diagnosis and hypertension. According to this, serum uric acid levels can be taken as a practical and inexpensive parameter related to the severity of coronary artery disease. As a primary preventive intervention, we recommend maintaining levels within normal parameters in patients with cardiovascular risk.

摘要

未标注

分析血清尿酸水平与冠心病严重程度之间的关系。

方法

这项观察性、描述性横断面研究纳入了2014年9月至2015年5月期间根据纳入标准预先选取的77例患者。研究在厄瓜多尔瓜亚基尔的一家三级地区医院进行。本研究纳入的患者年龄超过30岁,患有冠心病且正在接受冠状动脉造影,之前未被诊断出任何可能影响血清尿酸值的其他疾病。

结果

(1)血清尿酸水平与冠心病严重程度呈直接关系,Spearman相关系数为0.600(p<0.001);(2)高血压和病史等其他变量对研究结果没有影响;(3)不同组之间血清尿酸水平没有差异(p˃0.05)。

结论

根据研究结果,可以得出结论,血清尿酸水平与冠状动脉疾病的严重程度之间存在关联;这种关联独立于临床诊断和高血压。据此,血清尿酸水平可作为与冠状动脉疾病严重程度相关的实用且廉价的参数。作为一级预防干预措施,我们建议心血管风险患者将尿酸水平维持在正常范围内。

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