Divison of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Heath Care and Management Center, Taipei Veterans General Hospital, Taipei, Taiwan.
Sci Rep. 2019 Feb 28;9(1):3091. doi: 10.1038/s41598-019-39310-2.
There is limited information about the association between oat fiber intake and future cardiovascular events in CAD patients after coronary intervention for secondary prevention. This study enrolled 716 patients after coronary intervention in clinical stable status from the CAD cohort biosignature study. Patients were analyzed according to whether the presence of regular oat fiber intake during the follow-up period, and the association with endpoints including cardiovascular death, non-fatal myocardial infarction, non-fatal stroke and revascularization procedures were analyzed. The average follow-up period is 26.75 ± 8.11 months. Patients taking oat fiber were found to have lower serum levels of LDL, triglycerides, ratio of TC/HDL, as well as lower inflammatory markers values. After adjusting for confounders in the proportional hazard Cox model, oat fiber intake was associated with a lower risk of future revascularization (HR = 0.54, 95% CI 0.35-0.85; p = 0.007), and lower risk of major adverse cardiovascular events (HR = 0.62, 95% CI 0.43-0.88; p = 0.008), suggesting the association of oat fiber use and lower risk of future adverse event in CAD patients after coronary intervention.
关于 oat fiber(燕麦纤维)摄入量与接受冠状动脉介入治疗的 CAD 患者(冠心病患者)二级预防后未来心血管事件之间的关联,信息有限。本研究纳入了 CAD 队列生物标志物研究中临床稳定状态下接受冠状动脉介入治疗的 716 例患者。根据患者在随访期间是否存在定期摄入 oat fiber(燕麦纤维)的情况进行分析,并分析与心血管死亡、非致死性心肌梗死、非致死性卒中和血运重建程序等终点的关联。平均随访时间为 26.75±8.11 个月。发现摄入 oat fiber(燕麦纤维)的患者 LDL(低密度脂蛋白)、甘油三酯、TC/HDL(总胆固醇/高密度脂蛋白)比值更低,炎症标志物值也更低。在校正比例风险 Cox 模型中的混杂因素后, oat fiber(燕麦纤维)的摄入与未来血运重建的风险降低相关(HR=0.54,95%CI 0.35-0.85;p=0.007),以及主要不良心血管事件的风险降低相关(HR=0.62,95%CI 0.43-0.88;p=0.008),表明 oat fiber(燕麦纤维)的使用与冠状动脉介入治疗后的 CAD 患者未来不良事件风险降低相关。