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Growth hormone for risk stratification and effects of therapy in acute myocardial infarction

机译:生长激素对急性心肌梗死的危险分层和治疗效果

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摘要

Context: Excess growth hormone (GH) is associated with early mortality.Objectives: We assessed the association of GH with prognosis after acute myocardial infarction (AMI), and the effects of secondary prevention therapies.Methods: GH was measured using a high-sensitivity assay in 953 AMI patients (687 males, mean age 66.112.8 years).Results: During 2 years follow-up, there were 281 major adverse cardiac events (MACE). Patients with MACE had higher GH levels (median [range], 0.91 [0.04-26.28] g/L) compared to event-free survivors (0.59 [0.02-21.6], p<0.0005). In multivariate Cox survival analysis, GH was a significant predictor of MACE (hazard ratios 1.43, p=0.026 and 1.49, p=0.01, respectively) with significant interactions with beta blocker therapy (p=0.047) and angiotensin converting enzyme inhibitor or angiotensin receptor blocker (ACE/ARB) therapy (p=0.016).Conclusions: GH levels post-AMI are prognostic for MACE and may indicate those patients who benefit from beta blocker and ACE/ARB therapy.
机译:背景:过量的生长激素(GH)与早期死亡相关。目的:我们评估了GH与急性心肌梗塞(AMI)后预后的关系以及二级预防疗法的效果。结果953例AMI患者(男687例,平均年龄66.112.8岁)。结果:在2年的随访中,发生了281例严重的不良心脏事件(MACE)。与无事件幸存者相比,MACE患者的GH水平更高(中位[范围],0.91 [0.04-26.28] g / L)(0.59 [0.02-21.6],p <0.0005)。在多变量Cox生存分析中,GH是MACE的重要预测指标(危险比分别为1.43,p = 0.026和1.49,p = 0.01),并且与β受体阻滞剂治疗(p = 0.047)和血管紧张素转化酶抑制剂或血管紧张素受体有显着相互作用结论:AMI后GH水平可预示MACE,可能预示着那些受益于β受体阻滞剂和ACE / ARB治疗的患者。

著录项

  • 来源
    《Biomarkers》 |2015年第8期|371-375|共5页
  • 作者单位

    Univ Leicester, NIHR Leicester Cardiovasc Biomed Res Unit, Glenfield Hosp, Dept Cardiovasc Sci, Leicester, Leics, England;

    Univ Leicester, NIHR Leicester Cardiovasc Biomed Res Unit, Glenfield Hosp, Dept Cardiovasc Sci, Leicester, Leics, England;

    Univ Leicester, NIHR Leicester Cardiovasc Biomed Res Unit, Glenfield Hosp, Dept Cardiovasc Sci, Leicester, Leics, England;

    Univ Leicester, NIHR Leicester Cardiovasc Biomed Res Unit, Glenfield Hosp, Dept Cardiovasc Sci, Leicester, Leics, England;

    Univ Leicester, NIHR Leicester Cardiovasc Biomed Res Unit, Glenfield Hosp, Dept Cardiovasc Sci, Leicester, Leics, England;

    Univ Leicester, NIHR Leicester Cardiovasc Biomed Res Unit, Glenfield Hosp, Dept Cardiovasc Sci, Leicester, Leics, England;

    Sphingotec GmbH, Hennigsdorf, Germany;

    Sphingotec GmbH, Hennigsdorf, Germany;

    Univ Leicester, Leicester Royal Infirm, Dept Canc Studies & Mol Med, Leicester, Leics, England;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    ACE inhibitors; beta blockers; growth hormone; myocardial infarction;

    机译:ACE抑制剂;β受体阻滞剂;生长激素;心肌梗塞;

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