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心血管钙化与血液透析患者的炎症相关。

Cardiovascular Calcifications Are Correlated with Inflammation in Hemodialysis Patients.

机构信息

Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Dionisie Lupu nr 37, Sect 2, 020021 Bucharest, Romania.

1st Internal Medicine Clinic, University Emergency Hospital Bucharest, Splaiul Independentei nr 169, Sect 5, 050098 Bucharest, Romania.

出版信息

Medicina (Kaunas). 2023 Oct 10;59(10):1801. doi: 10.3390/medicina59101801.

Abstract

: The main cause of morbidity and mortality in hemodialysis patients is cardiovascular disease, which is quite common. The main objective of our study was to investigate the relationship between oxidative stress, inflammation, and vascular and valvular calcifications in hemodialysis patients. : This observational study had 54 hemodialysis patients, with an average age of 60.46 ± 13.18 years. Cardiovascular ultrasound was used to detect and/or measure aortic and mitral valve calcifications, carotid and femoral atheroma plaques, and common carotid intima-media thickness. The aortic calcification score was determined using a lateral abdomen plain radiograph. The inflammatory, oxidative, metabolic, and dietary statuses, as well as demographic characteristics, were identified. : There were significant correlations between the levels of IL-6 and carotid plaque number ( = 0.003), fibrinogen level and aortic valve calcifications ( = 0.05), intima-media thickness ( = 0.0007), carotid plaque number ( = 0.035), femoral plaque number ( = 0.00014), and aortic calcifications score ( = 0.0079). Aortic annulus calcifications ( = 0.03) and intima-media thickness ( = 0.038) were adversely linked with TNF-α. Nutrition parameters were negatively correlated with atherosclerosis markers: number of carotid plaques with albumin ( = 0.013), body mass index ( = 0.039), and triglycerides ( = 0.021); number of femoral plaques with phosphorus (0.013), aortic calcifications score with albumin ( = 0.051), intima-media thickness with LDL-cholesterol ( = 0.042). Age and the quantity of carotid plaques, femoral plaques, and aortic calcifications were linked with each other ( = 0.0022, 0.00011, and 0.036, respectively). Aortic annulus calcifications ( = 0.011), aortic valve calcifications ( = 0.023), and mitral valve calcifications ( = 0.018) were all associated with an increased risk of death. : Imaging measures of atherosclerosis are adversely connected with dietary status and positively correlated with markers of inflammation and risk of mortality.

摘要

: 血液透析患者的发病率和死亡率的主要原因是心血管疾病,这是相当常见的。我们研究的主要目的是研究氧化应激、炎症与血管和瓣膜钙化之间的关系。 : 本观察性研究共纳入 54 名血液透析患者,平均年龄为 60.46 ± 13.18 岁。采用心血管超声检测和/或测量主动脉瓣和二尖瓣钙化、颈动脉和股动脉粥样斑块以及颈总动脉内膜中层厚度。采用侧位腹部平片确定主动脉钙化评分。确定炎症、氧化应激、代谢和饮食状况以及人口统计学特征。 : 白细胞介素-6(IL-6)水平与颈动脉斑块数量之间存在显著相关性( = 0.003),纤维蛋白原水平与主动脉瓣钙化( = 0.05)、内膜中层厚度( = 0.0007)、颈动脉斑块数量( = 0.035)、股动脉斑块数量( = 0.00014)和主动脉钙化评分( = 0.0079)之间存在显著相关性。主动脉瓣环钙化( = 0.03)和内膜中层厚度( = 0.038)与肿瘤坏死因子-α(TNF-α)呈负相关。营养参数与动脉粥样硬化标志物呈负相关:颈动脉斑块数量与白蛋白( = 0.013)、体重指数( = 0.039)和甘油三酯( = 0.021);股动脉斑块数量与磷(0.013)、主动脉钙化评分与白蛋白( = 0.051)、内膜中层厚度与低密度脂蛋白胆固醇( = 0.042)。年龄与颈动脉斑块、股动脉斑块和主动脉钙化的数量之间存在相关性( = 0.0022、0.00011 和 0.036)。主动脉瓣环钙化( = 0.011)、主动脉瓣钙化( = 0.023)和二尖瓣钙化( = 0.018)均与死亡风险增加相关。 : 动脉粥样硬化的影像学测量与饮食状况呈负相关,与炎症标志物和死亡率呈正相关。

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