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探讨急性冠状动脉综合征患者血清尿酸水平与 HEART 风险评分的相关性。

Investigation of the association between serum uric acid levels and HEART risk score in patients with acute coronary syndrome.

机构信息

Department of Cardiovascular Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Clinical Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Physiol Rep. 2022 Nov;10(22):e15513. doi: 10.14814/phy2.15513.

Abstract

The association between uric acid (UA) and cardio-metabolic conditions has been recognized for a long time. However, recently, a body of evidence has highlighted the independent role of UA in a series of conditions, including renal and cardiovascular diseases. In this light, data regarding the prognostic role of UA in acute coronary syndrome (ACS) is scarce. A total number of 100 patients, 59 males and 41 females, diagnosed with ACS were recruited in this study. At the time of admission to the hospital, the serum level of UA was measured. In addition, the HEART score was calculated based on each patients' profile. Participants were on average 61.37 ± 12.08 years old. The most prevalent risk factors were hypertension (48%), a history of coronary artery disease (40%), and diabetes mellitus (33%). The average serum level of UA was 5.81 ± 1.81 mg/dl, and the calculated HEART score had a median of six (minimum of two and maximum of ten). A positive yet statistically insignificant correlation was found between the measured UA level and the calculated HEART score (R = 0.375, p = 0.090). However, further studies with larger sample size are required to assess the direct association of UA level with major adverse cardiac events in patients with cardiovascular disease.

摘要

尿酸(UA)与心脏代谢状况之间的关联早已为人所知。然而,最近,越来越多的证据强调了 UA 在一系列疾病中的独立作用,包括肾脏和心血管疾病。鉴于此,关于 UA 在急性冠状动脉综合征(ACS)中的预后作用的数据仍然有限。本研究共纳入了 100 名确诊为 ACS 的患者,其中男性 59 名,女性 41 名。在患者入院时,检测了他们的血清 UA 水平,并基于每位患者的情况计算了 HEART 评分。患者的平均年龄为 61.37±12.08 岁。最常见的风险因素是高血压(48%)、冠心病病史(40%)和糖尿病(33%)。UA 的平均血清水平为 5.81±1.81mg/dl,计算得出的 HEART 评分为中位数为 6(最小值为 2,最大值为 10)。UA 水平与计算得出的 HEART 评分之间存在正相关,但无统计学意义(R=0.375,p=0.090)。然而,需要更大样本量的进一步研究来评估 UA 水平与心血管疾病患者主要不良心脏事件之间的直接关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de3/9669611/7c7725b48125/PHY2-10-e15513-g003.jpg

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