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首页> 外文期刊>Circulation journal >Prognostic Significance of Neuroadrenergic Dysfunction for Cardiovascular Events in Patients With Acute Myocardial Infarction
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Prognostic Significance of Neuroadrenergic Dysfunction for Cardiovascular Events in Patients With Acute Myocardial Infarction

机译:神经肾上腺素功能异常对急性心肌梗死患者心血管事件的预后意义

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Background: The dysregulation of systemic blood pressure (BP) variation or cardiac neuroadrenergic dysfunction is associated with adverse cardiovascular events. We aimed to clarify the prognostic significance of neuroadrenergic dysfunction for cardiovascular events in patients with acute myocardial infarction (AMI). Methods?and?Results: We enrolled 63 AMI patients (mean age, 67±12 years) underwent ambulatory BP monitoring (ABPM) and cardiac iodine-123metaiodobenzylguanidine (MIBG) imaging within 4 weeks after AMI onset. We analyzed the circadian BP pattern and heart-to-mediastinum (H/M) MIBG uptake ratio. All the patients were followed for 2 years. The study endpoint was a composite of major adverse cardiovascular events, including all-cause death, MI, coronary revascularization except for the MI culprit lesion, and stroke. Patients with a non-dipper pattern (n=29) or an H/M ratio
机译:背景:全身血压(BP)变异或心脏神经肾上腺素功能失调与不良心血管事件有关。我们旨在阐明急性肾梗死(AMI)患者中神经肾上腺素功能异常对心血管事件的预后意义。方法和结果:我们纳入了63例AMI患者(平均年龄67±12岁),他们在AMI发作后的4周内接受了动态血压监测(ABPM)和心脏碘- 123 甲氧苄苄基胍(MIBG)成像。我们分析了昼夜节律的BP模式和心脏-纵隔(H / M)MIBG摄取率。所有患者均随访2年。研究终点是主要心血管不良事件的综合,包括全因死亡,心肌梗死,除心肌梗死病灶和中风外的冠状动脉血运重建。具有非北斗星型(n = 29)或H / M比的患者

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