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高 Gal-3 血清水平与慢性心力衰竭门诊患者肾功能恶化的关系。

Association between high Gal-3 serum levels and worsening of renal function in chronic heart failure outpatients.

机构信息

University Cardiology Unit, Cardiothoracic Department, Policlinic University Hospital, 70124, Bari, Italy.

Clinic Pathology Unit, Policlinic University Hospital, 70124, Bari, Italy.

出版信息

Biomark Med. 2019 Jun;13(9):707-713. doi: 10.2217/bmm-2018-0349. Epub 2019 Jun 3.

DOI:10.2217/bmm-2018-0349
PMID:31157541
Abstract

The aim of the study was to evaluate the association between Gal-3 serum levels and the progression of renal dysfunction in chronic heart failure outpatients. This prospective study of 260 chronic heart failure patients showed that Gal-3 was associated with 1-year worsening of renal function both in univariate (odds ratio: 1.12; 95% CI: 1.06-1.18; p < 0.001) and in forward stepwise multivariate (odds ratio: 1.09; 95% CI: 1.03-1.15; p = 0.004) logistic regression analyses. Moreover, high Gal-3 levels at baseline were associated with a progressive decline in the estimated glomerular filtration rate. Gal-3 is a biomarker associated with the progression of renal function decline thus further supporting its possible usefulness in predicting cardiorenal syndrome progression.

摘要

本研究旨在评估 Gal-3 血清水平与慢性心力衰竭门诊患者肾功能恶化之间的关系。这项对 260 例慢性心力衰竭患者的前瞻性研究表明,Gal-3 与肾功能恶化 1 年相关,无论是在单因素(比值比:1.12;95%可信区间:1.06-1.18;p<0.001)还是向前逐步多因素(比值比:1.09;95%可信区间:1.03-1.15;p=0.004)逻辑回归分析中均如此。此外,基线时高 Gal-3 水平与估计肾小球滤过率的进行性下降相关。Gal-3 是与肾功能下降进展相关的生物标志物,因此进一步支持其在预测心肾综合征进展方面的可能有用性。

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