社区队列人群血浆NT-proBNP水平分布状况分析
DOI:
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

“十一五”国家科技支撑计划(2006BAI01A02)


Disposition of Plasma NT-proBNP Level in the Community Cohort
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    目的探讨社区队列人群血浆NT-proBNP水平的分布状况。方法横断面调查北京首钢社区734例具有心血管疾病高危因素的队列人群,运用电化学发光免疫技术测定血浆NT-proBNP水平。收集人群心血管疾病病史情况如心肌梗死、心绞痛、高血压病、心房颤动,并收集有无糖尿病病史;对受试者进行NYHA分级评估,行超声心动图测量左心室射血分数,并依据二尖瓣口血流多普勒、二尖瓣环组织多普勒、肺动脉血流多普勒对左心室射血分数正常者进行左心室舒张功能分级分组(正常、轻度受损、中/重度受损)。分析不同人群血浆NT-proBNP水平情况。结果该人群中NYHA级86.5%,Ⅱ级12.9%;左心室射血分数<50%者占3.5%。该人群的血浆NT-proBNP水平中位数为69.75 ng/L。血浆NT-proBNP水平在有冠心病者高于无冠心病者(108.60 ng/L比65.68ng/L,P><0.05),有高血压者高于无高血压者(72.71 ng/L比61.51 ng/L,P><0.05),有房颤者高于无房颤者(93.31ng/L比67.61 ng/L,P><0.05),有糖尿病者高于无糖尿病者(80.05 ng/L比66.04 ng/L,P><0.05),NYHA分级Ⅱ级者高于Ⅰ级者(115.5 ng/L比65.01 ng/L,P><0.05),左心室射血分数降低者高于左心室射血分数正常者(293.8ng/L比67.85 ng/L,P><0.05),舒张功能正常、轻度受损、中/重度受损和未定型人群血浆NT-proBNP水平分别为53.73 ng/L、75.07 ng/L、101.85 ng/L和269.75 ng/L。结论社区人群血浆NT-proBNP水平虽处于相对较低水平,但可能对早期监测各种心血管疾病导致心功能变化有一定临床意义。

    Abstract:

    Aim To explore the disposition of plasma NT-proBNP level in the community cohort. Methods 734 subjects with high risks of cardiovascular diseases in Beijing Shougang community were investigated.The plasma NT-proBNP level were measured with the automated electrochemiluminescence immunoassay.Their history of myocardial infarction,angina pectoris,hypertension,atrial fibrillation,and diabetes mellitus were collected,their cardiac function were also evaluated with New York Heart Association functional classification.The left ventricular ejection fraction(LVEF) were measured by Echocardiography.To the normal LVEF subjects,they were put in different diastolic heart function groups(the normal one,the mild-damaged and the moderate/severe damaged ones) according to mitral inflow,annulus of mitral valve tissues and pulmonary venous flow of echocardiography.Then the disposition of plasma NT-proBNP level in the community cohort were analyzed. Results The percentage of NYHA functional class Ⅰ and class Ⅱ were 86.5% and 12.9%,and LVEF less than 50% was 3.5%.The median of plasma NT-proBNP level was 69.75 ng/L.The plasma NT-proBNP level in the group with coronary artery disease was higher than that in the group without coronary artery disease(108.60 ng/L vs 65.68 ng/L,P><0.05),the plasma NT-proBNP level in the group with hypertension was higher than that in the group without hypertension(72.71 ng/L vs 61.51 ng/L,P><0.05),the plasma NT-proBNP level in the group with atrial fibrillation was higher than that in the group without atrial fibrillation(93.31 ng/L vs 67.61 ng/L,P><0.05),and the plasma NT-proBNP level in the group with diabetes mellitus was higher than that in the group without diabetes mellitus(80.05 ng/L vs 66.04 ng/L,P><0.05).It was found that the plasma NT-proBNP level in the group of NYHA functional class Ⅱ was higher than that in the group of class Ⅰ(115.5 ng/L vs 65.01 ng/L,P><0.05),and the plasma NT-proBNP level in the lower LVEF group was higher than that in the normal LVEF group(293.8 ng/L vs 67.85 ng/L,P><0.05).In the group with normal LVEF,the plasma NT-proBNP level in the group with different diastolic heart function were 53.73 ng/L,75.07 ng/L,101.85 ng/L and 269.75 ng/L. Conclusion Although the plasma NT-proBNP level in the community cohort is low,but it may be a biochemical marker to monitor the change of their heart function which results in various kinds of cardiovascular diseases.

    参考文献
    相似文献
    引证文献
引用本文

王征,张宝娓,赵锋,霍勇,徐国宾,杨颖,齐丽彤,孟磊,马为,王学菁,王淑玉,刘力生.社区队列人群血浆NT-proBNP水平分布状况分析[J].中国动脉硬化杂志,2010,18(9):737~740.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:2010-07-15
  • 最后修改日期:2010-09-05
  • 录用日期:
  • 在线发布日期: