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| 1 | 早发冠心病患者血清骨保护素水平及其临床危险因素显示文摘目的研究早发冠心病患者血清骨保护素水平及相关危险因素。方法以胸痛就诊患者455例,根据冠脉造影结果确诊为冠心病者370例,冠心病组按年龄(男≤55岁,女≤65岁)分为早发冠心病组267例,晚发冠心病组103例。早发冠心病组按年龄分为3个亚组,1亚组(男≤35岁,女≤45岁)56例,2亚组(35<男≤45岁,45<女≤55岁)84例,3亚组(45<男性≤55岁,55<女性≤65岁)127例;冠脉造影正常者85例为对照组。详细记录患者的一般情况包括:年龄、性别、体重指数、吸烟史、饮酒史、高血压病史、糖尿病病史、血脂异常病史、冠心病家族史等危险因素。采用酶联免疫方法检测血清骨保护素水平,经统计分析血清骨保护素和早发冠心病及相关危险因素相关性。结果 1对照组与冠心病组在年龄、性别等各个危险因素比较存在显著性差异(P<0.05),骨保护素水平与冠心病发病呈正相关,与早发冠心病亦呈正相关。2早发冠心病组在性别、冠心病家族史、高血压病史、糖尿病病史、吸烟等方面与晚发冠心病组比较均有统计学差异(P<0.05);早发冠心病组在高敏C-反应蛋白、体重指数、饮酒、骨保护素等方面与晚发冠心病组无统计学差异(P>0.05)。晚发冠心病组在危险因素个数、血脂异常、尿酸等方面与早发冠心病组存在显著差异(P<0.05)。3早发冠心病组中3亚组各个危险因素较晚发冠心病组各危险因素无统计学差异(P>0.05);1亚组在性别、吸烟、冠心病家族史与晚发冠心病组存在显著差异(P<0.01)。结论血清骨保护素水平可预示冠脉病变进展;性别、吸烟、冠心病家族史为早发冠心病最危险因素;早发冠心病年龄界限应该提前。 | 韩全乐 毛瑞英 王金艳 刘晓明 张庆华 刘晓堃 张琦 于佳新 | 2015 | 中国老年学杂志2015，35，19： | 20 |
| 2 | Genetics of coronary artery disease and myocardial infarction显示文摘Atherosclerotic coronary artery disease(CAD) comprises a broad spectrum of clinical entities that include asymptomatic subclinical atherosclerosis and its clinical complications, such as angina pectoris, myocardial infarction(MI) and sudden cardiac death. CAD continues to be the leading cause of death in industrialized society. The long-recognized familial clustering of CAD suggests that genetics plays a central role in its development, with the heritability of CAD and MI estimated at approximately 50% to 60%. Understanding the genetic architecture of CAD and MI has proven to be difficult and costly due to the heterogeneity of clinical CAD and the underlying multi-decade complex pathophysiological processes that involve both genetic and environmental interactions. This review describes the clinical heterogeneity of CAD and MI to clarify the disease spectrum in genetic studies, provides a brief overview of the historical understanding and estimation of the heritability of CAD and MI, recounts major gene discoveries of potential causal mutations in familial CAD and MI, summarizes CAD and MIassociated genetic variants identified using candidate gene approaches and genome-wide association studies(GWAS), and summarizes the current status of the construction and validations of genetic risk scores for lifetime risk prediction and guidance for preventive strategies. Potential protective genetic factors against the development of CAD and MI are also discussed. Finally, GWAS have identified multiple genetic factors associated with an increased risk of in-stent restenosis following stent placement for obstructive CAD. This review will also address genetic factors associated with in-stent restenosis, which may ultimately guide clinical decision-making regarding revascularization strategies for patients with CAD and MI. | Xuming Dai Szymon Wiernek James P Evans Marschall S Runge | 2016 | World Journal of Cardiology2016，8，1： | 15 |
| 3 | 针对冠心病危险因素的健康管理研究显示文摘目的研究冠心病患者的各种危险因素,并通过针对性的管理降低冠心病患者的死亡率,改善生存质量。方法2014年8月1日至2015年8月1日入住我院的冠心病患者172人年龄在52~89岁针对冠心病外在危险因素例如:高血脂、高血压、糖尿病、肥胖、饮酒、吸烟进行分析,并随机分为两组,每组有86人,对照组进行常规管理,观察组实行针对性的健康管理,三个月后用WTO生存质量表对患者自我生存能力及健康水平进行评估。结果观察组冠心病患者的总体健康水平WTO生存质量评分明显高于对照组(P<0.05)具有统计学意义。结论针对冠心病危险因素的健康管理能显著改善患者的生存能力及健康水平。 | 潘迪 常影 黄菲 | 2015 | 世界最新医学信息文摘2015，15，90： | 0 |
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