动脉僵硬度新指标AVI与API的临床价值
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上海市自然基金项目(21ZR1451400)


Clinical value and influencing factors of the new indexes of arterial stiffness, AVI and API
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    探讨动脉僵硬度新指标动脉波速指数(AVI)和动脉压力容积指数(API)的临床价值及其影响因素。方法 2020年9月—2021年2月上海交通大学附属第一人民医院嘉定分院健康体检的自然人2677例,依据年龄三分位数分为≥64.2岁(Q1组)929例、≥47.8岁(Q2组)890例和<47.8岁(Q3组)858例。采用袖带振荡波分析法监测受试者的AVI和API。随机选取124例受试者,获取其左心室射血分数(EF)。采用单因素方差分析比较3组间受试者AV和API的差异。采用Pearson相关和多元线性回归分析获取AVI和API的独立影响因素。结果 3组间AVI和API比较,差异均有统计学意义(均P<0.05),且AVI和API值随年龄增加而增加(P<0.05)。升高的AVI与年龄、体质量指数(BMI)、收缩压和舒张压呈正相关(r=0.536、0.055、0.486和0.189,均P<0.01),与身高、体质量、射血分数和短轴缩短率呈负相关(r=-0.123、-0.049、-0.268和-0.259,均P<0.05)。多元线性回归分析显示,年龄和收缩压是AVI独立影响因素(P<0.05)。升高的API与年龄、体质量、BMI和收缩压呈正相关(r=0.475、0.108、0.230和0.690,均P<0.01),与身高呈负相关(r=-0.107,P<0.01)。多元线性回归分析提示,舒张压和收缩压是API独立影响因素(P<0.01)。结论 AVI和API可用于评估不同段动脉僵硬度,为动脉僵硬度筛查提供一个新的替代指标,能对临床心脑血管病早期筛查和治疗提供帮助

    Abstract:

    To explore the clinical value and influencing factors of arterial velocity index (AVI) and arterial pressure-volume index (API), a new index of arterial stiffness. Methods 2677 volunteers were recruited from the hospital and divided into 929 patients ≥64.2 years old (Q1 group), 890 patients ≥47.8 years old (Q2 group), and 858 patients younger than 47.8 years old (Q3 group) according to the age tertiles. The AVI and API of the subjects were monitored by the cuff oscillatory wave analysis method. 124 subjects were randomly selected to obtain their left ventricular ejection fraction (EF). One-way analysis of variance was used to compare the differences in AVI and API between the three groups. Pearson correlation and multiple linear regression analysis were used to obtain independent influencing factors of AVI and API. Results The differences between AVI and API in the three groups had statistical significance (all P<0.05), and the values of AVI and API increased with age (all P<0.05). Elevated AVI was positively correlated with age, body mass index, systolic blood pressure and diastolic blood pressure (r=0.536, 0.055, 0.486 and 0.189, all P<0.01), and was negatively correlated with height, body mass, ejection fraction and shortening fraction(r=-0.123, -0.049,-0.268 and -0.259, all P<0.05). Multiple linear regression analysis indicated that age and systolic blood pressure were independent influencing factors of AVI (P<0.05). Elevated API was positively correlated with age, body mass, body mass index, and systolic blood pressure (r=0.475, 0.108, 0.230, and 0.690, all P<0.01), and negatively correlated with height (r=-0.107, P<0.01) ). Multiple linear regression analysis indicated that diastolic blood pressure and systolic blood pressure were independent factors affecting API (P<0.01). Conclusion AVI and API are new indicators reflecting arterial stiffness, which are related to age, height, body mass index and blood pressure, providing new substitute indicator for arterial stiffness screening

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  • 在线发布日期: 2023-04-19
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