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稳定型心绞痛与炎症因子及血脂的相关性:一项病例对照研究。

The correlation between stable angina and inflammatory factors and blood lipids: a case-control study.

作者信息

Xiang Lei

机构信息

Department of Cardiovascular Medicine, Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.

出版信息

Front Cardiovasc Med. 2024 Oct 23;11:1443450. doi: 10.3389/fcvm.2024.1443450. eCollection 2024.

Abstract

OBJECTIVE

In this study, we aimed to compare the levels of inflammatory markers (C-reactive protein, CRP; procalcitonin, PCT) and blood lipids (total cholesterol, TC; triglyceride, TG; high-density lipoprotein cholesterol, HDL-C; low-density lipoprotein cholesterol, LDL-C) between patients with stable angina and control group, and to explore the correlation between these parameters and the severity and prognosis of stable angina.

METHODS

We retrospectively selected 113 patients with stable angina and 128 control group from the medical record system, and compared their inflammatory factors and blood lipids. We also assessed the severity of angina using the Canadian Cardiovascular Society (CCS) classification and followed up the patients for 1 year to record any cardiovascular events.

RESULTS

We found that patients with stable angina had significantly higher levels of CRP, TC, TG, and LDL-C, and lower levels of HDL-C than control group. Moreover, CRP, TC, TG, and LDL-C were positively correlated with the severity of angina, while HDL-C was negatively correlated. During the follow-up period, 37 patients with stable angina experienced cardiovascular events, and they had higher levels of CRP, TC, TG, and LDL-C, and lower levels of HDL-C than those who did not.

CONCLUSION

Our study suggests that inflammation and dyslipidemia are closely related to stable angina, and that inflammatory factors and blood lipids can be used as indicators of the severity and prognosis of stable angina.

摘要

目的

在本研究中,我们旨在比较稳定型心绞痛患者与对照组之间的炎症标志物(C反应蛋白,CRP;降钙素原,PCT)和血脂(总胆固醇,TC;甘油三酯,TG;高密度脂蛋白胆固醇,HDL-C;低密度脂蛋白胆固醇,LDL-C)水平,并探讨这些参数与稳定型心绞痛的严重程度和预后之间的相关性。

方法

我们从病历系统中回顾性选取了113例稳定型心绞痛患者和128例对照组,并比较了他们的炎症因子和血脂。我们还使用加拿大心血管学会(CCS)分类评估了心绞痛的严重程度,并对患者进行了1年的随访以记录任何心血管事件。

结果

我们发现,稳定型心绞痛患者的CRP、TC、TG和LDL-C水平显著高于对照组,而HDL-C水平低于对照组。此外,CRP、TC、TG和LDL-C与心绞痛的严重程度呈正相关,而HDL-C与心绞痛的严重程度呈负相关。在随访期间,37例稳定型心绞痛患者发生了心血管事件,他们的CRP、TC、TG和LDL-C水平高于未发生心血管事件的患者,而HDL-C水平低于未发生心血管事件的患者。

结论

我们的研究表明,炎症和血脂异常与稳定型心绞痛密切相关,炎症因子和血脂可作为稳定型心绞痛严重程度和预后的指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf3f/11538078/4cf206f17892/fcvm-11-1443450-g001.jpg

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