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[有心肌梗死病史的青年男性脂质与激素相互关系的特征(基于新西伯利亚和比什凯克的家庭登记数据)]

[The characteristics of the lipid-hormonal interrelations in young men with a history of myocardial infarct (based on family registry data in Novosibirsk and Bishkek)].

作者信息

Oteva E A, Nikolaeva A A, Maslennikov A B, Pikovskaia N B, Shterental' I Sh, Meĭmanaliev T S, Aĭtbaev A A, Koshaliev E K, Kim N M, Ismailova Ch S

出版信息

Ter Arkh. 1994;66(9):38-41.

PMID:7992210
Abstract

Altogether 226 male probands who suffered large-focal or transmural myocardial infarction (MI) before reaching 50 years were examined in Novosibirsk and Bishkek in one stage according to the unified program. In Novosibirsk all the probands were Russians whereas in Bishkek 75 probands were Kirghizs and 71 were Russians. The probands were examined within a period of 1 to 3 years after MI. The lipid and lipoprotein plasma content was determined by standardized methods on a Tekhnikon AAP autoanalyzer. The content of thyroid hormones, insulin and cortisol was measured by means of RIA-kits and that of apolipoprotein B (ApoB) by radial immunodiffusion. It turned out that the patients from Novosibirsk demonstrated the highest content of cholesterol, low density lipoprotein cholesterol, the highest index of atherogenicity, the highest concentration of ApoB, and hyperinsulinemia. In the probands of both nationalities from Bishkek, the lipid spectrum did not differ substantially from the populational norm, the content of ApoB in the Russian probands was slightly lower than in those from Novosibirsk whereas in Kirghizs, the least content of thyroxin was recorded.

摘要

根据统一方案,在新西伯利亚和比什凯克对226名50岁前发生大面积局灶性或透壁性心肌梗死(MI)的男性先证者进行了一次性检查。在新西伯利亚,所有先证者均为俄罗斯人,而在比什凯克,75名先证者为吉尔吉斯人,71名先证者为俄罗斯人。先证者在心肌梗死后1至3年内接受检查。血浆脂质和脂蛋白含量采用标准化方法在Tekhnikon AAP自动分析仪上测定。甲状腺激素、胰岛素和皮质醇含量采用放射免疫分析试剂盒测定,载脂蛋白B(ApoB)含量采用放射免疫扩散法测定。结果表明,新西伯利亚的患者胆固醇、低密度脂蛋白胆固醇含量最高,动脉粥样硬化指数最高,ApoB浓度最高,且存在高胰岛素血症。在比什凯克两个民族的先证者中,脂质谱与人群正常水平无显著差异,俄罗斯先证者的ApoB含量略低于新西伯利亚的先证者,而吉尔吉斯人甲状腺素含量最低。

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