AIM To investigate the association between hepatic steatosis and change in left ventricular mass index(LVMI) over five years, and examine whether systolic and diastolic blood pressures are mediators of the association...AIM To investigate the association between hepatic steatosis and change in left ventricular mass index(LVMI) over five years, and examine whether systolic and diastolic blood pressures are mediators of the association between hepatic steatosis and LVMI using a general population sample.METHODS We analyzed data from the Study of Health in Pomerania. The study population comprised 1298individuals aged 45 to 81 years. Hepatic steatosis was defined as the presence of a hyperechogenic pattern of the liver together with elevated serum alanine transferase levels. Left ventricular mass was determined echocardiographically and indexed to height2.7. Path analyses were conducted to differentiate direct and indirect paths from hepatic steatosis to LVMI encompassing systolic and diastolic blood pressure as potential mediating variables.RESULTS Hepatic steatosis was a significant predictor for all measured echocardiographic characteristics at baseline. Path analyses revealed that the association of hepatic steatosis with LVMI change after five years was negligibly small(β =-0.12, s.e. = 0.21, P = 0.55). Systolic blood pressure at baseline was inversely associated with LVMI change(β =-0.09, s.e. = 0.03, P < 0.01), while no association between diastolic blood pressure at baseline and LVMI change was evident(β = 0.03, s.e. = 0.05, P = 0.56). The effect of the indirect path from hepatic steatosis to LVMI via systolic baseline blood pressure was small(β =-0.20, s.e. = 0.10, P = 0.07). No indirect effect was observed for the path via diastolic baseline blood pressure(β = 0.03, s.e. = 0.06, P = 0.60). Similar associations were observed in the subgroup of individuals not receiving beta-blockers, calcium channel blockers, or drugs acting on the reninangiotensin system.CONCLUSION Baseline associations between hepatic steatosis and LVMI do not extend to associations with LVMI change after five years. More studies are needed to study the longitudinal effects of hepatic steatosis on LVMI.展开更多
AIM: To assess the correlation between the serum hepcidin-25 level and left ventricular mass index.METHODS: This study was a cross-sectional study conducted between March 2009 and April 2010. Demo-graphic and biochemi...AIM: To assess the correlation between the serum hepcidin-25 level and left ventricular mass index.METHODS: This study was a cross-sectional study conducted between March 2009 and April 2010. Demo-graphic and biochemical data, including the serum hepcidin-25 level, were collected for chronic kidney disease(CKD) patients. Two-dimensional echocardiography was performed to determine the left ventricle mass(LVM), left ventricular mass index(LVMI), interventricular septum thickness(IVSd), left ventricle posterior wall thickness(LVPW), right ventricular dimension(RVD), left atrium(LA) and ejection fraction(EF).RESULTS: A total of 146 patients with stage 1 to 5 CKD were enrolled. Serum hepcidin-25 levels were 16.51 ± 5.2, 17.59 ± 5.32, 17.38 ± 6.47, 19.98 ± 4.98 and 22.03 ± 4.8 ng/mL for stage 1 to 5 CKD patients, respectively. Hepcidin-25 level was independently predicted by the serum ferritin level(β = 0.6, P = 0.002) and the estimated glomerular filtration rate(β =-0.48, P = 0.04). There were negative correlations between the serum hepcidin level and the LVM and LVMI(P = 0.04 and P = 0.005, respectively). Systolic blood pressure(BP) was positively correlated with the LVMI(P = 0.005). In the multivariate analysis, a decreased serum hepcidin-25 level was independently associated with a higher LVMI(β =-0.28, 95%CI:-0.48--0.02, P = 0.006) after adjusting for body mass index, age and systolic BP. CONCLUSION: A lower serum hepcidin level is associated with a higher LVMI in CKD patients. Low hepcidin levels may be independently correlated with unfavorable cardiovascular outcomes in this population.展开更多
Objective:To detect the levels of interleukin-33(IL-33)and soluble ST2(sST2)in peripheral blood of patients with essential hypertensive left ventricular hypertrophy,and to discusstheir correlation with patients with e...Objective:To detect the levels of interleukin-33(IL-33)and soluble ST2(sST2)in peripheral blood of patients with essential hypertensive left ventricular hypertrophy,and to discusstheir correlation with patients with essential hypertensive left ventricular hypertrophy was further discussed.Methods:A total of 220 patients with essential hypertension treated in the Department of Cardiovascular Medicine of the First Affiliated Hospital of Bengbu Medical College were enrolled as the experimental group.According to left ventricular mass index(LVMI),patients with essential hypertension were divided into the non-left ventricular hypertrophy group(NLVH,n=108 cases)and the left ventricular hypertrophy group(LVH,n=112 cases).We used ELISA to detect the serum levels of IL-33 and sST2,the expression levels of IL-33 in peripheral blood lymphocytes of the NLVH group and the LVH group(60 cases each)were detected by Western blot,and the relationship between IL-33 and LVMI,a marker of left ventricular hypertrophic condition,was analyzed by Pearson.The relationship between IL-33,sST2 and left ventricular hypertrophy in essential hypertension was studied.Results:Compared with the NLVH group,the expression levels of IL-33 and sST2 in the LVH group were significantly increased.The results of Western blot showed that the expression level of IL-33 in the LVH group(1.07±0.08)was higher than that in the NLVH group(0.63±0.05)(P<0.05).Pearson correlation analysis showed that IL-33 was positively correlated with LVMI,sST2 was positively correlated with LVMI.Conclusion:The levels of IL-33 and sST2 in serum and the expression levels of IL-33 protein in peripheral blood lymphocytes are significantly increased in patients with hypertensive left ventricular hypertrophy,and the occurrence and development of essential hypertensive left ventricular hypertrophy may be related to IL-33 and sST2.展开更多
<div style="text-align:justify;"> <strong>Introduction-Purpose: </strong><span "="">Pulsed pressure is recognized as an important predictor of cardiovascular risk. The ...<div style="text-align:justify;"> <strong>Introduction-Purpose: </strong><span "="">Pulsed pressure is recognized as an important predictor of cardiovascular risk. The purpose of this study was to identify a possible association between high ambulatory pulsed pressure and left ventricular geometry change in African black people. <b>Material and methods:</b> We conducted a bicentric, retrospective descriptive and analytical study that took place from 2010 to 2015 at the Abidjan Heart Institute and the Polyclinic Sainte Anne Marie in Abidjan. The people were selected from MAPA’s archive files. Those aged 18 years and over were included, all of whom had valid echocardiography and MAPA. The analyzed parameters concerned epidemiological data with age, gender and body surface area. The clinical data analyzed included systolic, diastolic, mean and 24-hours pulsed pressures. On the echocardiographic parameters, it was the evaluation of the ventricular mass indexed to the body surface. <b>Results: </b>A total of 177</span> patients records were selected. The mean age of the patients was 56.32 ± 10.51 years. There was a male predominance with a sex ratio of 1.15. The main cardiovascular risk factors found outside high blood pressure were dyslipidemia (06.87%) and obesity (13.7%). In clinical terms, hypertension was found in 75% of cases (n = 133) versus 25% (n = 44) of normotensive patients. These blood pressure profiles allowed us to classify our study population into two groups:<span "=""> hypertensives people and normotensives people. The hypertensives people had significantly higher mean pulsed pressure levels than the normotensives people. All normotensive patients had normal pulsed pressure. In the hypertensive population, the prevalence of high pulsed pressure was 31% (n = 41) versus 69% (n = 92) normal pulsed pressure. Concerning the relationship between 24 hour ambulatory pulsed pressure and left ventricular mass, hypertensives patients with a high ambulatory pulsed pressure had a significantly higher average indexed ventricular mass than the opposite groups (p = 0.039). Their ejection fraction was significantly lower than those of the opposite populations (p = 0.000). On the analysis of the correlation between the left ventricular mass and the tension profile, we noted in our series, a strong and significant correlation (r = 0.6342;p = 0.0000) between pulsed pressure and the ventricular geometry change. <b>Conclusion: </b>High ambulatory pulsed pressure remains an independent factor of change in left ventricular geometry in black people.</span> </div>展开更多
目的探究达格列净对2型糖尿病(T2DM)合并高血压病患者血压变异性(BPV)和左心室质量指数(LVMI)的作用。方法选择2021年8月至2022年8月丽水市中心医院收治的T2DM合并高血压病患者为研究对象,分别给予常规治疗(对照组)和达格列净治疗(试验...目的探究达格列净对2型糖尿病(T2DM)合并高血压病患者血压变异性(BPV)和左心室质量指数(LVMI)的作用。方法选择2021年8月至2022年8月丽水市中心医院收治的T2DM合并高血压病患者为研究对象,分别给予常规治疗(对照组)和达格列净治疗(试验组)。比较两组患者的BPV指标、LVMI、血糖水平的变化及不良反应发生率。结果研究共纳入94例T2DM合并高血压病患者,试验组和对照组各47例。两组T2DM合并高血压病患者的24 h舒张压均数(DBP)、24 h收缩压均数(SBP)、24 h收缩压标准差(SSD)、24 h舒张压标准差(DSD)、空腹血糖(FBG)、2 h血糖(PG)、糖化血红蛋白(HbA1c)、体重指数(BMI)及LVMI显著降低(P<0.05),且试验组的24 h SBP、24 h DBP、24 h SSD、24 h DSD、FPG、2 h PG、HbA1c、BMI及LVMI均低于对照组(P<0.05)。试验组与对照组的不良反应总发生率分别为10.64%和4.26%,差异无统计学意义(P>0.05)。结论达格列净可降低T2DM合并高血压病患者LVMI,改善患者BPV及血糖水平,且安全性较好。展开更多
目的本研究旨在采用二维斑点示踪技术(2D-STE)评估2型糖尿病(T2DM)患者左心室应变功能,比较体重控制良好和体重控制不佳的糖尿病患者的左室功能差异以及与健康对照组的差异。方法选择2022年8月—2023年3月在本院内分泌科住院的98例2型...目的本研究旨在采用二维斑点示踪技术(2D-STE)评估2型糖尿病(T2DM)患者左心室应变功能,比较体重控制良好和体重控制不佳的糖尿病患者的左室功能差异以及与健康对照组的差异。方法选择2022年8月—2023年3月在本院内分泌科住院的98例2型糖尿病患者及39名体检正常的健康人作为研究对象,将98例T2DM患者按体重指数(BMI)分为A组(BMI≥24 kg m^(-2),50例)和B组(BMI<24 kg m^(-2),48例)两组,同时将39名健康正常人作为健康对照组记为C组(其左室射血分数LVEF≥55%)。采用常规超声心动图测量常规心脏数据同时采用二维斑点示踪技术(2D-STE)获得左室心尖四腔、三腔、两腔二维动态图像,统计出左室基底段、中间段、心尖段各节段纵向应变值及左室整体纵向应变值和左室前间壁、前壁、前侧壁、下侧壁、下壁、下间壁各侧壁纵向应变值,并比较这些数据在三组之间的差异性。分析左室整体纵向应变值与BMI之间的相关性。任意选取16例患者重新检查检验观察者内与观察者间的可重复性。结果三组患者的LAd、LVd、LVPW S'、E/e'值比较,差异无统计学意义(P>0.05);A组和B组患者的LVEF、IVS S'值比C组明显降低,且A组患者的LVEF、IVS S'值低于B组,差异具有统计学意义(P<0.05);A组和B组患者的左室基底段、中间段、心尖段及整体纵向应变值比C组明显降低,且A组患者的左室基底段、中间段、心尖段及整体纵向应变值低于B组,差异具有统计学意义(P<0.05);A组和B组患者的左室前间壁、前壁、前侧壁、下侧壁、下壁、下间壁纵向应变值比C组明显降低,且A组患者的左室前间壁、前壁、前侧壁、下侧壁、下壁、下间壁纵向应变值低于B组,差异具有统计学意义(P<0.05)。Pearson相关性分析表明,左室整体纵向应变值与BMI呈显著负相关,差异具有统计学意义。Bland-Altman分析显示,随机选取的16例患者左室基底段、中间段、心尖段纵向应变值测量散点值绝大多数处于95%一致性界限范围内,提示在观察者内与观察者间表现出较好的重复性。结论本研究表明体重控制不佳糖尿病组左室整体纵向应变值较体重控制良好糖尿病组及健康对照组改变明显,提示临床医生有必要对2型糖尿病患者的体重进行监管,特别是那些体重控制不良的患者,应加强心脏功能的监测和管理,防止病程发展演变到糖尿病心脏病,并为临床治疗提供参考依据。展开更多
基金Supported by Bundesministerium für Bildung und Forschung(BMBF),No.01 ZZ 0103
文摘AIM To investigate the association between hepatic steatosis and change in left ventricular mass index(LVMI) over five years, and examine whether systolic and diastolic blood pressures are mediators of the association between hepatic steatosis and LVMI using a general population sample.METHODS We analyzed data from the Study of Health in Pomerania. The study population comprised 1298individuals aged 45 to 81 years. Hepatic steatosis was defined as the presence of a hyperechogenic pattern of the liver together with elevated serum alanine transferase levels. Left ventricular mass was determined echocardiographically and indexed to height2.7. Path analyses were conducted to differentiate direct and indirect paths from hepatic steatosis to LVMI encompassing systolic and diastolic blood pressure as potential mediating variables.RESULTS Hepatic steatosis was a significant predictor for all measured echocardiographic characteristics at baseline. Path analyses revealed that the association of hepatic steatosis with LVMI change after five years was negligibly small(β =-0.12, s.e. = 0.21, P = 0.55). Systolic blood pressure at baseline was inversely associated with LVMI change(β =-0.09, s.e. = 0.03, P < 0.01), while no association between diastolic blood pressure at baseline and LVMI change was evident(β = 0.03, s.e. = 0.05, P = 0.56). The effect of the indirect path from hepatic steatosis to LVMI via systolic baseline blood pressure was small(β =-0.20, s.e. = 0.10, P = 0.07). No indirect effect was observed for the path via diastolic baseline blood pressure(β = 0.03, s.e. = 0.06, P = 0.60). Similar associations were observed in the subgroup of individuals not receiving beta-blockers, calcium channel blockers, or drugs acting on the reninangiotensin system.CONCLUSION Baseline associations between hepatic steatosis and LVMI do not extend to associations with LVMI change after five years. More studies are needed to study the longitudinal effects of hepatic steatosis on LVMI.
基金Grants from the Department of Health(DOH 97-HP-1103)
文摘AIM: To assess the correlation between the serum hepcidin-25 level and left ventricular mass index.METHODS: This study was a cross-sectional study conducted between March 2009 and April 2010. Demo-graphic and biochemical data, including the serum hepcidin-25 level, were collected for chronic kidney disease(CKD) patients. Two-dimensional echocardiography was performed to determine the left ventricle mass(LVM), left ventricular mass index(LVMI), interventricular septum thickness(IVSd), left ventricle posterior wall thickness(LVPW), right ventricular dimension(RVD), left atrium(LA) and ejection fraction(EF).RESULTS: A total of 146 patients with stage 1 to 5 CKD were enrolled. Serum hepcidin-25 levels were 16.51 ± 5.2, 17.59 ± 5.32, 17.38 ± 6.47, 19.98 ± 4.98 and 22.03 ± 4.8 ng/mL for stage 1 to 5 CKD patients, respectively. Hepcidin-25 level was independently predicted by the serum ferritin level(β = 0.6, P = 0.002) and the estimated glomerular filtration rate(β =-0.48, P = 0.04). There were negative correlations between the serum hepcidin level and the LVM and LVMI(P = 0.04 and P = 0.005, respectively). Systolic blood pressure(BP) was positively correlated with the LVMI(P = 0.005). In the multivariate analysis, a decreased serum hepcidin-25 level was independently associated with a higher LVMI(β =-0.28, 95%CI:-0.48--0.02, P = 0.006) after adjusting for body mass index, age and systolic BP. CONCLUSION: A lower serum hepcidin level is associated with a higher LVMI in CKD patients. Low hepcidin levels may be independently correlated with unfavorable cardiovascular outcomes in this population.
基金supported by the National Natural Science Foundation of China(No.81970313)Anhui Province Science and Technology Project(No.1804h08020246)。
文摘Objective:To detect the levels of interleukin-33(IL-33)and soluble ST2(sST2)in peripheral blood of patients with essential hypertensive left ventricular hypertrophy,and to discusstheir correlation with patients with essential hypertensive left ventricular hypertrophy was further discussed.Methods:A total of 220 patients with essential hypertension treated in the Department of Cardiovascular Medicine of the First Affiliated Hospital of Bengbu Medical College were enrolled as the experimental group.According to left ventricular mass index(LVMI),patients with essential hypertension were divided into the non-left ventricular hypertrophy group(NLVH,n=108 cases)and the left ventricular hypertrophy group(LVH,n=112 cases).We used ELISA to detect the serum levels of IL-33 and sST2,the expression levels of IL-33 in peripheral blood lymphocytes of the NLVH group and the LVH group(60 cases each)were detected by Western blot,and the relationship between IL-33 and LVMI,a marker of left ventricular hypertrophic condition,was analyzed by Pearson.The relationship between IL-33,sST2 and left ventricular hypertrophy in essential hypertension was studied.Results:Compared with the NLVH group,the expression levels of IL-33 and sST2 in the LVH group were significantly increased.The results of Western blot showed that the expression level of IL-33 in the LVH group(1.07±0.08)was higher than that in the NLVH group(0.63±0.05)(P<0.05).Pearson correlation analysis showed that IL-33 was positively correlated with LVMI,sST2 was positively correlated with LVMI.Conclusion:The levels of IL-33 and sST2 in serum and the expression levels of IL-33 protein in peripheral blood lymphocytes are significantly increased in patients with hypertensive left ventricular hypertrophy,and the occurrence and development of essential hypertensive left ventricular hypertrophy may be related to IL-33 and sST2.
文摘<div style="text-align:justify;"> <strong>Introduction-Purpose: </strong><span "="">Pulsed pressure is recognized as an important predictor of cardiovascular risk. The purpose of this study was to identify a possible association between high ambulatory pulsed pressure and left ventricular geometry change in African black people. <b>Material and methods:</b> We conducted a bicentric, retrospective descriptive and analytical study that took place from 2010 to 2015 at the Abidjan Heart Institute and the Polyclinic Sainte Anne Marie in Abidjan. The people were selected from MAPA’s archive files. Those aged 18 years and over were included, all of whom had valid echocardiography and MAPA. The analyzed parameters concerned epidemiological data with age, gender and body surface area. The clinical data analyzed included systolic, diastolic, mean and 24-hours pulsed pressures. On the echocardiographic parameters, it was the evaluation of the ventricular mass indexed to the body surface. <b>Results: </b>A total of 177</span> patients records were selected. The mean age of the patients was 56.32 ± 10.51 years. There was a male predominance with a sex ratio of 1.15. The main cardiovascular risk factors found outside high blood pressure were dyslipidemia (06.87%) and obesity (13.7%). In clinical terms, hypertension was found in 75% of cases (n = 133) versus 25% (n = 44) of normotensive patients. These blood pressure profiles allowed us to classify our study population into two groups:<span "=""> hypertensives people and normotensives people. The hypertensives people had significantly higher mean pulsed pressure levels than the normotensives people. All normotensive patients had normal pulsed pressure. In the hypertensive population, the prevalence of high pulsed pressure was 31% (n = 41) versus 69% (n = 92) normal pulsed pressure. Concerning the relationship between 24 hour ambulatory pulsed pressure and left ventricular mass, hypertensives patients with a high ambulatory pulsed pressure had a significantly higher average indexed ventricular mass than the opposite groups (p = 0.039). Their ejection fraction was significantly lower than those of the opposite populations (p = 0.000). On the analysis of the correlation between the left ventricular mass and the tension profile, we noted in our series, a strong and significant correlation (r = 0.6342;p = 0.0000) between pulsed pressure and the ventricular geometry change. <b>Conclusion: </b>High ambulatory pulsed pressure remains an independent factor of change in left ventricular geometry in black people.</span> </div>
文摘目的探究达格列净对2型糖尿病(T2DM)合并高血压病患者血压变异性(BPV)和左心室质量指数(LVMI)的作用。方法选择2021年8月至2022年8月丽水市中心医院收治的T2DM合并高血压病患者为研究对象,分别给予常规治疗(对照组)和达格列净治疗(试验组)。比较两组患者的BPV指标、LVMI、血糖水平的变化及不良反应发生率。结果研究共纳入94例T2DM合并高血压病患者,试验组和对照组各47例。两组T2DM合并高血压病患者的24 h舒张压均数(DBP)、24 h收缩压均数(SBP)、24 h收缩压标准差(SSD)、24 h舒张压标准差(DSD)、空腹血糖(FBG)、2 h血糖(PG)、糖化血红蛋白(HbA1c)、体重指数(BMI)及LVMI显著降低(P<0.05),且试验组的24 h SBP、24 h DBP、24 h SSD、24 h DSD、FPG、2 h PG、HbA1c、BMI及LVMI均低于对照组(P<0.05)。试验组与对照组的不良反应总发生率分别为10.64%和4.26%,差异无统计学意义(P>0.05)。结论达格列净可降低T2DM合并高血压病患者LVMI,改善患者BPV及血糖水平,且安全性较好。
文摘目的本研究旨在采用二维斑点示踪技术(2D-STE)评估2型糖尿病(T2DM)患者左心室应变功能,比较体重控制良好和体重控制不佳的糖尿病患者的左室功能差异以及与健康对照组的差异。方法选择2022年8月—2023年3月在本院内分泌科住院的98例2型糖尿病患者及39名体检正常的健康人作为研究对象,将98例T2DM患者按体重指数(BMI)分为A组(BMI≥24 kg m^(-2),50例)和B组(BMI<24 kg m^(-2),48例)两组,同时将39名健康正常人作为健康对照组记为C组(其左室射血分数LVEF≥55%)。采用常规超声心动图测量常规心脏数据同时采用二维斑点示踪技术(2D-STE)获得左室心尖四腔、三腔、两腔二维动态图像,统计出左室基底段、中间段、心尖段各节段纵向应变值及左室整体纵向应变值和左室前间壁、前壁、前侧壁、下侧壁、下壁、下间壁各侧壁纵向应变值,并比较这些数据在三组之间的差异性。分析左室整体纵向应变值与BMI之间的相关性。任意选取16例患者重新检查检验观察者内与观察者间的可重复性。结果三组患者的LAd、LVd、LVPW S'、E/e'值比较,差异无统计学意义(P>0.05);A组和B组患者的LVEF、IVS S'值比C组明显降低,且A组患者的LVEF、IVS S'值低于B组,差异具有统计学意义(P<0.05);A组和B组患者的左室基底段、中间段、心尖段及整体纵向应变值比C组明显降低,且A组患者的左室基底段、中间段、心尖段及整体纵向应变值低于B组,差异具有统计学意义(P<0.05);A组和B组患者的左室前间壁、前壁、前侧壁、下侧壁、下壁、下间壁纵向应变值比C组明显降低,且A组患者的左室前间壁、前壁、前侧壁、下侧壁、下壁、下间壁纵向应变值低于B组,差异具有统计学意义(P<0.05)。Pearson相关性分析表明,左室整体纵向应变值与BMI呈显著负相关,差异具有统计学意义。Bland-Altman分析显示,随机选取的16例患者左室基底段、中间段、心尖段纵向应变值测量散点值绝大多数处于95%一致性界限范围内,提示在观察者内与观察者间表现出较好的重复性。结论本研究表明体重控制不佳糖尿病组左室整体纵向应变值较体重控制良好糖尿病组及健康对照组改变明显,提示临床医生有必要对2型糖尿病患者的体重进行监管,特别是那些体重控制不良的患者,应加强心脏功能的监测和管理,防止病程发展演变到糖尿病心脏病,并为临床治疗提供参考依据。