Hypertension:臂踝脉搏波传导速度可预测急性卒中患者死亡

2014-05-16 cath 编译 医学论坛网

韩国一项研究表明,臂踝脉搏波传导速度(baPWV)是急性卒中患者死亡的强预测因素。相关论文5月12日在线发表于《高血压》(HYPERTENSION)杂志。 baPWV是评估动脉僵硬度的简单和无创方法,虽然高水平的baPWV是一般人群心血管死亡和并发症的预测因素,但其对急性卒中患者的死亡预测价值尚不明确。该研究对1765例因急性缺血性卒中入院的患者评估了baPWV的预测价值。主要转归为卒中后全因死

韩国一项研究表明,臂踝脉搏波传导速度(baPWV)是急性卒中患者死亡的强预测因素。相关论文5月12日在线发表于《高血压》(HYPERTENSION)杂志。

baPWV是评估动脉僵硬度的简单和无创方法,虽然高水平的baPWV是一般人群心血管死亡和并发症的预测因素,但其对急性卒中患者的死亡预测价值尚不明确。该研究对1765例因急性缺血性卒中入院的患者评估了baPWV的预测价值。主要转归为卒中后全因死亡率和心血管死亡率。

结果显示,在平均随访的3.33±1.57年间,228例患者发生全因死亡,这其中包括143例血管性死亡。多变量Cox危险回归分析显示,与baPWV最低三分位(<17.79 m/s)的患者相比,baPWV最高三分位(>22.63 m/s)的患者全因死亡和血管性死亡风险增加,校正危险比分别为1.97和2.39。研究提示了在急性卒中阶段测量baPWV可能有助于鉴别死亡较高危患者。

原始出处:


Kim J1, Song TJ, Song D, Lee KJ, Kim EH, Lee HS, Nam CM, Nam HS, Kim YD, Heo JH.Brachial-Ankle Pulse Wave Velocity Is a Strong Predictor for Mortality in Patients With Acute Stroke.Hypertension. 2014 May 12. [Epub ahead of print]

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    2014-09-07 feather89
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