...
首页> 外文期刊>Journal of cardiac failure >Association of low serum levels of apolipoprotein A-I with adverse outcomes in patients with nonischemic heart failure.
【24h】

Association of low serum levels of apolipoprotein A-I with adverse outcomes in patients with nonischemic heart failure.

机译:非缺血性心力衰竭患者低血清载脂蛋白A-1水平与不良结局的关系。

获取原文
获取原文并翻译 | 示例
           

摘要

BACKGROUND: There is extensive evidence that low serum levels of high-density lipoprotein (HDL) cholesterol and apolipoprotein A-I (apoA-I) predict a worse prognosis in patients with ischemic heart disease. This study examined whether apoA-I levels may also provide prognostic information in patients with nonischemic heart failure. METHODS AND RESULTS: A prospective follow-up study was performed in 117 consecutive patients with nonischemic heart failure for a period of < or = 36 months until the first occurrence of 1 of the following clinical events: all-cause death, cardiac death, and hospitalization with worsening heart failure. Serum levels of apoA-I were measured by immunoturbidimetry. A clinical event occurred during follow-up in 28 (24%) patients. A multivariate Cox proportional hazards analysis showed that lower apoA-I levels (< 103 mg/dL: determined by a receiver-operating characteristic analysis) were significantly associated with an adverse outcome that was independent of creatinine clearance,HDL cholesterol levels, and brain natriuretic peptide levels. ApoA-I was inversely correlated with levels of C-reactive protein and fibrinogen, known inflammatory predictors of poor prognosis in heart failure. CONCLUSIONS: Low levels of apoA-I are independently associated with an adverse prognosis in patients with nonischemic heart failure. ApoA-I may play a beneficial role in nonischemic heart failure partly through an anti-inflammatory action.
机译:背景:有大量证据表明,低密度的高密度脂蛋白(HDL)胆固醇和载脂蛋白A-I(apoA-I)可以预示缺血性心脏病患者的预后更差。这项研究检查了apoA-I水平是否还可以为非缺血性心力衰竭患者提供预后信息。方法和结果:对117例非缺血性心力衰竭的连续患者进行了一项前瞻性随访研究,时间为<或= 36个月,直到下列任何一种临床事件首次发生:全因死亡,心源性死亡和因心力衰竭而住院。通过免疫比浊法测量血清apoA-1水平。在随访期间有28名(24%)患者发生了临床事件。多元Cox比例风险分析表明,较低的apoA-I水平(<103 mg / dL:由接受者操作特征分析确定)与不良结果显着相关,该不良结果与肌酐清除率,HDL胆固醇水平和脑钠尿素无关肽水平。 ApoA-I与C反应蛋白和纤维蛋白原的水平呈负相关,C反应蛋白和纤维蛋白原是已知的心衰预后不良的炎症指标。结论:低水平的apoA-I独立地与非缺血性心力衰竭患者的不良预后相关。 ApoA-I可能部分通过抗炎作用在非缺血性心力衰竭中发挥有益作用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号