Du Hanzhi, Yang Lihong, Yan Bin, Zhao Juan, Wang Mengchang
Department of Haematology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Department of Clinical Research Centre, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Open Med (Wars). 2022 Jul 12;17(1):1252-1258. doi: 10.1515/med-2022-0517. eCollection 2022.
Research has suggested a significant prognostic value of ST-T changes in various cardiovascular diseases and malignant tumors. However, their role in predicting prognosis in patients with peripheral T-cell lymphomas (PTCLs) remains unknown. Here, we investigated the prognostic potential of ST-T changes in all-cause mortality of PTCLs patients. In total, 131 patients with PTCLs between January 2015 and April 2020 were enrolled. Univariable and multivariable COX proportional hazards regression models were used to find the relationship between ST-T changes and all-cause mortality in these patients. A significant difference in all-cause mortality was found between patients with ST-T abnormalities and those without definite abnormalities in the ST-T segments ( = 0.027). Multivariable Cox risk regression analysis indicated that patients with ST-T changes had greater all-cause mortality than patients with normal ST-T segments in the intermediate-high/high-risk groups ( < 0.001). In addition, ST-T changes were markedly distinction in patients with hypoproteinemia than in those with no definite abnormalities in the ST-T segments ( = 0.021). ST-T changes may serve as potential, simple, and effective prognostic factors for all-cause mortality in PTCLs patients, especially in the intermediate-high/high-risk and hypoproteinemia groups. Therefore, regular ECG monitoring is recommended to guide the clinical treatment of patients with PTCLs.
研究表明,ST-T改变在各种心血管疾病和恶性肿瘤中具有显著的预后价值。然而,它们在预测外周T细胞淋巴瘤(PTCL)患者预后中的作用仍不清楚。在此,我们研究了ST-T改变对PTCL患者全因死亡率的预后潜力。2015年1月至2020年4月期间,共纳入131例PTCL患者。采用单变量和多变量COX比例风险回归模型来寻找这些患者中ST-T改变与全因死亡率之间的关系。ST-T段异常的患者与ST-T段无明确异常的患者在全因死亡率上存在显著差异(P = 0.027)。多变量Cox风险回归分析表明,在中高/高危组中,ST-T改变的患者比ST-T段正常的患者全因死亡率更高(P < 0.001)。此外,低蛋白血症患者的ST-T改变比ST-T段无明确异常的患者更为明显(P = 0.021)。ST-T改变可能是PTCL患者全因死亡率的潜在、简单且有效的预后因素,尤其是在中高/高危组和低蛋白血症组中。因此,建议定期进行心电图监测以指导PTCL患者的临床治疗。