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首页> 外文期刊>Journal of International Medical Research >Association of serum cystatin C levels with acute coronary syndrome in patients of advanced age
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Association of serum cystatin C levels with acute coronary syndrome in patients of advanced age

机译:高龄患者血清胱抑素C水平与急性冠脉综合征的关系

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Objective This study was performed to investigate the relationship between the serum cystatin C (Cys C) level and acute coronary syndrome (ACS) in patients of advanced age. Methods The study included 184 patients with ACS and 46 healthy control subjects. Statistical analysis was performed using SPSS version 14.0 (SPSS Inc., Chicago, IL, USA). Results The serum Cys C level was significantly higher in patients with than without ACS (1.24?±?0.30 vs. 1.42?±?0.46?mg/L, respectively). Patients with more stenotic coronary arteries were significantly more likely to have higher median serum Cys C and creatinine levels and a lower estimated glomerular filtration rate. The multivariate logistic regression analysis demonstrated that the serum Cys C level was independently associated with the presence of ACS and the quantity of stenotic coronary arteries after adjustment for confounding factors. Additionally, the serum Cys C level was positively correlated with age, the creatinine level, and the N-terminal pro-B-type natriuretic peptide level in all patients but was negatively correlated with the estimated glomerular filtration rate. Conclusion A high serum Cys C level was independently associated with ACS and the quantity of stenotic coronary arteries in patients of advanced age regardless of renal function.
机译:目的研究老年患者血清胱抑素C(Cys C)水平与急性冠脉综合征(ACS)的关系。方法该研究纳入了184例ACS患者和46例健康对照者。使用SPSS 14.0版(美国伊利诺伊州芝加哥的SPSS Inc.)进行统计分析。结果有ACS的患者血清Cys C水平显着高于无ACS的患者(分别为1.24±±0.30 vs. 1.42±0.46mg / L)。冠状动脉狭窄的患者更有可能具有更高的中位血清Cys C和肌酐水平,以及更低的估计肾小球滤过率。多元logistic回归分析表明,调整混杂因素后,血清Cys C水平与ACS的存在和冠状动脉狭窄的数量独立相关。另外,在所有患者中,血清Cys C水平与年龄,肌酐水平和N端pro-B型利钠肽水平呈正相关,但与估计的肾小球滤过率呈负相关。结论高血清Cys C水平与老年患者的ACS和狭窄的冠状动脉数量无关,与肾功能无关。

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