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1.
颈动脉内膜中层厚度与心血管危险因素聚集性的关系 总被引：8，自引：0，他引：8
目的:通过对颈动脉IMT(颈动脉内中膜厚度intima-media thickness)和粥样斑块进行超声检测,分析心血管危险因素聚集性与颈动脉粥样硬化的关系.方法:227例受检者,男139例,女88例,年龄45～57岁(平均53.25±3.01岁).大部分受检者有多重危险因素但临床上无严重动脉粥样硬化疾病并以药物治疗为主.1.记录身高、体重、腰围及血压、空腹血糖、血脂,吸烟史及家族史.2.颈动脉彩色多普勒超声检查:分别测量颈总动脉、颈动脉膨大处,颈内动脉取平均IMT.3.根据颈动脉超声结果分组,正常对照组,IMT增厚组,斑块形成组.4.冠心病危险因素按国际标准确定:危险因素评分范围为0～5,以危险因素评分≥2定义为危险因素聚集.结果:1.各组间心血管危险因素水平的比较 :三组有统计学意义(P＜0.05).并且随血压、血糖、胆固醇、腰围水平升高,随LDL-L下降,颈动脉(IMT)加重.2.各组间心血管危险因素异常检出率比较:高血压、高血糖、高胆固醇血症、高LDL-C血症组间比较有统计学意义(P＜0.05),随颈动脉IMT加重,高血压、高血糖、高胆固醇血症、高LDL-C血症异常检出率明显升高.3.各组心血管危险因素积分比较:根据心血管危险因素积分按等级检验进行秩和检验(H=20.16,P＜0.05),并且随IMT增厚,危险因素积分逐渐升高.4.颈动脉IMT与心血管危险因素的相关分析:在双变量Spearsman相关分析中,颈动脉内中膜厚度与各危险因素及危险因素评分呈显著相关(P＜0.05),在调整性别、年龄进行偏相关分析中,IMT与舒张压、HDL-C的相关性无统计学意义(P＞0.05),与FBG、SBP、TC、TG、LDL-C、RFS存在显著相关性(P＜0.01).IMT与危险因素评分的相关系数分别为0.407与0.219.结论:心血管危险因素的聚集,提示颈动脉粥样硬化程度严重,预示颈动脉粥样硬化病变与多种心血管危险因素的聚集有显著相关性. 相似文献
2.
T细胞是影响动脉粥样硬化多因素之一,在粥样硬化的自然进程中,T细胞免疫反应的综合效应可能是促进病变发展,随着对T细胞功能及免疫反应的深入研究,有选择地、准确地调节免疫反应将可能成为防治动脉粥样硬化的新途径。 相似文献
3.
杨晓东 《岳阳职业技术学院学报》2008,23(2):61-64
冠心病的病理学基础是动脉粥样硬化.目前认为动脉粥样硬化的形成和斑块的破裂与细胞外基质的破坏和重构有密切关系,而基质金属蛋白酶(MMPs)是降解细胞外基质的重要酶类.对近年来关于MMPs的结构、功能、基因表达以及在冠心病中的作用的研究取得的成果进行了综述. 相似文献
4.
Mohammad Taha Jalali Abdolhosain Mosavi Honomaror Abdolkarim Rekabi Mahmod Latifi 《Indian journal of clinical biochemistry : IJCB》2013,28(3):277-282
Cardiovascular diseases (CVD) are recognized as major mortality causes and imposes tremendously heavy socio-economic burden worldwide. A vast variety of risk factors have been introduced in the literature known to enhance the incidence of CVD, such as hyperlipidemia. Therefore in order to make an accurate clinical decision it is essential to have appropriate reference ranges for lipids and lipoprotein particles in a particular population. Healthy female (n = 601) and male (n = 617) cases were randomly selected according to certain exclusion criteria from individuals visiting the major University hospital clinics situated in different part of Ahvaz city, Iran, from June 2010 to December 2010. Fasting blood samples (10 ml) were collected and analyzed for total cholesterol, total triglyceride and HDL-C employing enzymatic assays of CHOD-PAP, GPO-PAP and homogenous methods respectively. The samples were obtained such to include the ethnic populations of Persian, Arab. Lore leaving in this city. The data were analyzed statistically by SPSS-18 software. The obtained results were analyzed then age ethnic-wise and reference ranges (mean ± 1SD) were calculated. Remarkable differences between the obtained results for our population with other nations were seen. Also ethnic difference for HDL-C among our cases was noted. The observed significant differences among different nations and ethnicities emphasizes the need for nation-specific, local reference ranges for lipids and lipoproteins particles, to be established. 相似文献
5.
CAI Wei RUAN Li-ming WANG Yi-na CHEN Jun-zhu 《Journal of Zhejiang University. Science. B》2006,7(8):648-653
Objective： To observe the effect ofangiotensin Ⅱ （Ang Ⅱ） on expression of gap junction channel protein connexin 43 （Cx43） in the proliferation process of vascular smooth muscle cells （VSMCs） during the early stage of arteriosclerosis. Methods： Thirty-two adult male rabbits were randomly divided into 4 groups. Rabbits in Group A were fed common diet while others in Groups B, C, and D were fed high-cholesterol diet. Losartan （10 mg/（kg.d）） and ramipril （0.5 mg/（kg-d）） were added in the diet of Groups C and D, respectively. The animals were sacrificed after 8 weeks and abdominal aortas were removed and dissected. The expression of Cx43 was assayed using RT-PCR and Western Blotting analysis. Results： Cx43 was increased markedly in both protein and mRNA level in Groups B, C, and D fed high-cholesterol diet compared with that in control group （P〈0.01）. Cx43 level in losartan or ramipril treated groups was higher than that in control group （P〈0.01, P〈0.05）, but lower than that in high-cholesterol diet groups （P〈0.05, P〈0.01）. Conclusion： Cx43 level was upregulated in VSMCs during early atherosclerosis. Losartan and ramipril can inhibit the expression of Cx43. 相似文献
6.
Heng Ge Qing Zhang Wei Zhou Qing He Zhi-hua Han Ben He 《Journal of Zhejiang University. Science. B》2010,11(8):553-560
Objective:Although drug-eluting stent(DES) implantation is the primary treatment modality for bare-metal stent(BMS) in-stent restenosis(ISR),little is known about the efficacy and safety profile of DES in the treatment of DES-ISR.The goal of this study was to compare the clinical outcomes following DES treatment for BMS-ISR and DES-ISR.Methods:Rates of major adverse cardiac events(MACE) were compared in 97 consecutive patients who underwent DES implantation for the treatment of ISR(56 BMS-ISR and 41 DES-ISR) from January 2004 to December 2008.Results:Baseline clinical and procedural characteristics were comparable,except that the DES used in the BMS-ISR group was longer and had a larger diameter.The length of follow-up was(28.60±1.96) and(20.34±1.54) months for the BMS-ISR and DES-ISR groups,respectively.One patient(1.8%) experienced non-cardiac mortality and one(1.8%) had target-vessel revascularization(TVR) in the BMS-ISR group.In the DES-ISR group,three patients(7.3%) died of sudden death with a documented acute ST-segment elevation myocardial infarction,and three suffered TVR(7.3%).Kaplan-Meier analysis indicated that cumulative survival probability and MACE-free probability were both significantly lower for the DES-ISR group(log rank test P=0.047 and P=0.005,respectively).In Cox regression analysis,DES-ISR remained an independent predictor for future MACE occurrence after adjustment for other factors(compared with BMS-ISR,risk ratio(RR)=8.743,95% confidence interval(CI) 1.54-49.54,P=0.014).Switching to a different type of DES to treat DES-ISR did not improve the prognosis.Conclusion:DES-ISR patients had a poorer prognosis than BMS-ISR patients after DES therapy. 相似文献
7.
In the present study, we report a simple and economical precipitation method for the quantitative determination of small,
dense LDL-cholesterol (sdLDL-C) in serum that is considered to be an emerging risk factor for cardiovascular disease. This
method consisted of precipitation of lipoproteins of density <1.044 g/ml using heparin-MnCl2 and quantification of cholesterol existed in the supernatant using reagents for routine cholesterol assay instead of the
costly direct low density lipoprotein-cholesterol assay kit. The supernatant contained sdLDL and high-density lipoprotein
(HDL) that was confirmed by polyacrylamide gel electrophoresis. sdLDL-C concentration can be calculated by subtracting the
HDL-C value from the total cholesterol concentration of the supernatant. sdLDL-C values obtained by this modified method were
similar to those obtained by direct assay of sdLDL-C and there was significant correlation between the two methods. In conclusion,
this method is highly economical, do not require special equipments and is useful to evaluate atherogenic risk. 相似文献
8.
Vitamin C in Disease Prevention and Cure: An Overview 总被引：1，自引：0，他引：1
Shailja Chambial Shailendra Dwivedi Kamla Kant Shukla Placheril J. John Praveen Sharma 《Indian journal of clinical biochemistry : IJCB》2013,28(4):314-328
The recognition of vitamin C is associated with a history of an unrelenting search for the cause of the ancient haemorrhagic disease scurvy. Isolated in 1928, vitamin C is essential for the development and maintenance of connective tissues. It plays an important role in bone formation, wound healing and the maintenance of healthy gums. Vitamin C plays an important role in a number of metabolic functions including the activation of the B vitamin, folic acid, the conversion of cholesterol to bile acids and the conversion of the amino acid, tryptophan, to the neurotransmitter, serotonin. It is an antioxidant that protects body from free radical damage. It is used as therapeutic agent in many diseases and disorders. Vitamin C protects the immune system, reduces the severity of allergic reactions and helps to fight off infections. However the significance and beneficial effect of vitamin C in respect to human disease such as cancer, atherosclerosis, diabetes, neurodegenerative disease and metal toxicity however remains equivocal. Thus further continuous uninterrupted efforts may open new vistas to understand its significance in disease management. 相似文献
9.
V. Nagarjuna Maturu Nidhi Gupta Gagandip Singh Kirandip Gill Yash Paul Sharma Surjit Singh 《Indian journal of clinical biochemistry : IJCB》2013,28(3):248-254
Human serum paraoxonase-1 (PON1), an enzyme on HDL prevents oxidation of LDL thereby preventing the development of atherosclerosis. Studies done so far have lead to conflicting results. As studies are lacking in North-West Indian Punjabi’s, a distinct ethnic group with high incidence of coronary artery disease, we determined PONase activity in this population. It has been postulated that sudden lowering of serum PONase may lead to precipitation of acute myocardial infarction. We determined serum PONase activity and lipids in 100 patients each of AMI (within 24 h of onset), stable CAD and 100 age and sex matched healthy controls. These were again determined after 6 weeks in AMI patients. The mean serum PONase activity was lowest in AMI patients (23.26 U/ml) followed by stable CAD patients (102.0 U/ml) where as in controls was highest (179.8 U/ml). In patients with AMI, activity was significantly higher at 6 weeks as compared to that after acute event (49.39 %; p < 0.05). Sudden lowering of serum PONase activity in a population which already has lower activity may be one of the risk factors for development of AMI. 相似文献
10.
Wei MAO Jing KONG Jin DAI Zhao-quan HUANG Dong-zhi WANG Gui-bao NI Min-li CHEN 《Journal of Zhejiang University. Science. B》2010,11(8):599-607
Objective:Atherosclerotic plaques and neovascularization play an important role in the course of coronary atherosclerosis.This study evaluated the effect of recombinant endostatin on experimental atherosclerotic plaques and neovascularization in rabbits.Methods:Eighteen healthy male rabbits were divided into three groups:control group,atherosclerotic model group,and recombinant endostatin treated group.The atherosclerotic model was established via a high-cholesterol diet after balloon catheter injury.The subject weights,serum total cholesterol,creatine kinase-myocardial band fraction(CKMB),and matrix metalloproteinase-2(MMP-2)were measured.Six weeks after treatment,the aortic roots were taken for pathological assay.The thickness ratio of the intima to media was measured by hematoxylin and eosin(HE)staining,and the number of neovessels was measured by immunohistochemistry via monoclonal antibody CD31 staining.Results:The weight,plasma total cholesterol,and CKMB were not significantly different between the atherosclerotic model group and the recombinant endostatin treated group,but much higher than those of the control group(P<0.05).The thickness ratio of the intima to media in the recombinant endostatin treated group was distinctly less than that in the atherosclerotic model group(P<0.05).The number of neovessels decreased dramatically(P<0.05)and the content of MMP-2 decreased slightly without statistical difference(P>0.05)in the recombinant endostatin treated group,compared to the atherosclerotic model group.Conclusions:Recombinant endostatin is able to inhibit the growth of neovascularization in the atherosclerotic plaque and the development of plaque. 相似文献