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吸烟与不吸烟成年男性受试者血浆脂联素水平与校正QT间期的关系

Relationship between Plasma Adiponectin Level and Corrected QT Interval in Smoker and Non-smoker Adult Male Subjects.

作者信息

Theint Yin Thu, Khin Ei Ei, Thein Ohnmar Myint, Sein Mya Thanda

机构信息

Department of Physiology, University of Medicine 2, Yangon, Republic of the Union of Myanmar.

出版信息

J ASEAN Fed Endocr Soc. 2020;35(2):190-195. doi: 10.15605/jafes.035.02.09. Epub 2020 Jul 6.

Abstract

OBJECTIVE

This study determined the relationship between plasma adiponectin level and corrected QT interval (QTc) in smokers and non-smokers.

METHODOLOGY

This cross-sectional analytical study was undertaken in 30 smokers and 30 non-smokers. Plasma adiponectin level was determined by enzyme-linked immunosorbent assay (ELISA). The QT interval was measured by routine 12-lead ECG with Lead II rhythm and QTc was calculated.

RESULTS

Mean plasma adiponectin level was significantly lower in smokers (27.89±15 μg/ml) than that of non-smokers (52.13±21.57pg/ml) (<0.001). Mean QTc interval was significantly longer in smokers than that of non-smokers (415.37±29.9 versus 395.63±26.13 ms, <0.01). Higher risk of low adiponectin level (odds ratio [OR],8.1; 95% confidence interval [CI],1.61-40.77) and QTc interval prolongation (OR,6; 95%CI,1.17-30.73) were observed in smokers. There was weak significant negative correlation between plasma adiponectin level and QTc interval in the study population (n=60, r=-0.407, =0.001). Moreover, low plasma adiponectin level was significantly associated with prolonged QTc interval in the study population (n=60, Fisher's exact <0.05). Risk of QTc interval prolongation was 4.3 times higher in subjects with low plasma adiponectin level (OR,4.27; 95% CI,1.05-17.46).

CONCLUSION

Smokers have greater risk for low plasma adiponectin level and prolonged QTc interval. There is a relationship between plasma adiponectin level and QTc interval.

摘要

目的

本研究确定吸烟者和非吸烟者血浆脂联素水平与校正QT间期(QTc)之间的关系。

方法

本横断面分析研究纳入了30名吸烟者和30名非吸烟者。采用酶联免疫吸附测定(ELISA)法测定血浆脂联素水平。通过常规12导联心电图以II导联心律测量QT间期并计算QTc。

结果

吸烟者的平均血浆脂联素水平(27.89±15μg/ml)显著低于非吸烟者(52.13±21.57pg/ml)(<0.001)。吸烟者的平均QTc间期显著长于非吸烟者(415.37±29.9对395.63±26.13毫秒,<0.01)。在吸烟者中观察到低血浆脂联素水平(比值比[OR],8.1;95%置信区间[CI],1.61 - 40.77)和QTc间期延长(OR,6;95%CI,1.17 - 30.73)的风险更高。在研究人群(n = 60,r = -0.407,P = 0.001)中,血浆脂联素水平与QTc间期之间存在弱显著负相关。此外,在研究人群(n = 60,Fisher确切概率法<0.05)中,低血浆脂联素水平与QTc间期延长显著相关。血浆脂联素水平低的受试者QTc间期延长的风险高4.3倍(OR,4.27;95%CI,1.05 - 17.46)。

结论

吸烟者血浆脂联素水平低和QTc间期延长的风险更高。血浆脂联素水平与QTc间期之间存在关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4435/7784200/811ccce81b4f/JAFES-35-2-190-g001.jpg

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