Cvd Prevention and Control最新文献

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Thai Acute Decompensated Heart Failure Registry (Thai ADHERE) 泰国急性失代偿性心力衰竭登记(泰国坚持)
Cvd Prevention and Control Pub Date : 2010-09-01 DOI: 10.1016/j.cvdpc.2010.06.001
Prasart Laothavorn , Kriengkrai Hengrussamee , Rungsrit Kanjanavanit , Worachat Moleerergpoom , Donpichit Laorakpongse , Orathai Pachirat , Smonporn Boonyaratavej , Piyamitr Sritara , On behalf of Thai ADHERE Registry working groups
{"title":"Thai Acute Decompensated Heart Failure Registry (Thai ADHERE)","authors":"Prasart Laothavorn ,&nbsp;Kriengkrai Hengrussamee ,&nbsp;Rungsrit Kanjanavanit ,&nbsp;Worachat Moleerergpoom ,&nbsp;Donpichit Laorakpongse ,&nbsp;Orathai Pachirat ,&nbsp;Smonporn Boonyaratavej ,&nbsp;Piyamitr Sritara ,&nbsp;On behalf of Thai ADHERE Registry working groups","doi":"10.1016/j.cvdpc.2010.06.001","DOIUrl":"10.1016/j.cvdpc.2010.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Heart Failure (HF) is the one of the malignant cardiac syndromes which has a high morbidity and mortality rate. In Thailand, HF is one of the major cardiovascular health problems and economic burdens disease. Thai ADHERE is the first HF registry in Thailand.</p></div><div><h3>Objective</h3><p>To assess patient with HF in Thailand in terms of patients’ characteristics, clinical presentation, causes of heart failure, and precipitating causes of heart failure, hospital course, management, and in-hospital outcomes.</p></div><div><h3>Material and methods</h3><p>Thai Acute Decompensated Heart Failure Registry or Thai ADHERE registry is a Phase IV, multicenter, observational, and open-label registry in 18 cardiac centers in Thailand using the US ADHERE protocol. Medical records of hospitalized patients with the principal discharge diagnosis of HF from March 2006 to November 2007 were validated and registered via an electronic web based system.</p></div><div><h3>Results</h3><p>There were 2041 HF admissions in 1612 patients with a median age of 67<!--> <!-->years (mean 64<!--> <!-->±<!--> <!-->14<!--> <!-->years). Age &gt;75<!--> <!-->years was found in 24%, 49.6% were male patients, and 67% of these admissions had prior heart failure. Underlying diseases were hypertension [(HT)<!--> <!-->=<!--> <!-->65%], coronary artery disease [(CAD)<!--> <!-->=<!--> <!-->47%], dyslipidemia (50%), diabetes mellitus (47%), atrial fibrillation (24%) and chronic kidney disease (19%). Clinical features at presentation were dyspnea (97%), edema (60%), pulmonary rales (85%) and pulmonary congestion by chest X-ray (93%). Sixty-nine percent (69%) were in NYHA functional class IV and 44% had a left ventricular ejection fraction (LVEF) less than 40%. Common causes of heart failure were CAD (45%), valvular heart diseases (19%), cardiomyopathy (14%) and HT (12%). Precipitating causes of heart failure were heart disease itself 54% and 20% were related to inadequate diuretics and poor patient compliance with medications. Neurohormonal blockers (NHB) [angiotensin converting enzyme inhibitors (ACEI), angiotensinoge receptor blocker (ARB), aldosterone blocker (AA) and beta blockers (BB)], were given prior to hospitalization in comparison to at discharge in 26% vs. 35%, 12% vs. 12%, 13% vs. 17% and 26% vs. 24% respectively. In-hospital mortality rate was 5.5% and the median length of hospitalization was 7.5<!--> <!-->days. Major causes of death were sepsis, worsening of heart failure, arrhythmic arrest and acute coronary syndrome. There was a higher mortality rate in those with poor LV systolic function compared to those with preserved LV systolic function (8.2% vs. 4.1%; <em>p</em> <!-->=<!--> <!-->.008). At discharge, 23% of the patients were asymptomatic while 69% had symptomatic improvement.</p></div><div><h3>Conclusion</h3><p>Thai ADHERE registry revealed that Thai patients hospitalized for heart failure are younger and sicker than European and American p","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 3","pages":"Pages 89-95"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79985439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 45
Picture my heart: Reflections on cardiovascular care in developing countries 描绘我的心:对发展中国家心血管护理的思考
Cvd Prevention and Control Pub Date : 2010-06-01 DOI: 10.1016/j.cvdpc.2010.04.006
A.Y.Y. Fong, K.H. Sim
{"title":"Picture my heart: Reflections on cardiovascular care in developing countries","authors":"A.Y.Y. Fong,&nbsp;K.H. Sim","doi":"10.1016/j.cvdpc.2010.04.006","DOIUrl":"10.1016/j.cvdpc.2010.04.006","url":null,"abstract":"","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 2","pages":"Pages 63-64"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.04.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78300217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Leukocytes are the major target of hepatitis C virus infection: Possible mechanism of multiorgan involvement including the heart 白细胞是丙型肝炎病毒感染的主要目标:包括心脏在内的多器官累及的可能机制
Cvd Prevention and Control Pub Date : 2010-06-01 DOI: 10.1016/j.cvdpc.2010.04.005
Akira Matsumori , Miho Shimada , Tsutomu Obata
{"title":"Leukocytes are the major target of hepatitis C virus infection: Possible mechanism of multiorgan involvement including the heart","authors":"Akira Matsumori ,&nbsp;Miho Shimada ,&nbsp;Tsutomu Obata","doi":"10.1016/j.cvdpc.2010.04.005","DOIUrl":"10.1016/j.cvdpc.2010.04.005","url":null,"abstract":"<div><p>Chronic hepatitis C virus infection has been associated with several extrahepatic manifestations, among these, renal and cardiac involvement. However, morphological evidence of hepatitis C virus localization in various organs remains to be clarified.</p><p>We used immunohistochemistry to analyze the hepatitis C virus core and nonstructural antigens. Peripheral blood mononuclear cells were obtained from four patients with hepatitis C virus infection. Liver, kidney, heart, and bone marrow were taken from autopsy specimens from nine patients with hepatocellular carcinoma and three patients with cardiomyopathies with positive hepatitis C virus infection.</p><p>Antibody against hepatitis C virus core antigen stained peripheral blood mononuclear cells, and the majority of positive staining was seen in CD68-positive macrophages. Hepatitis C virus core and NS4 antibodies stained mostly infiltrating cells in the liver, heart, kidney, and bone marrow, but not hepatocytes, myocytes, or globular cells. Serial sections stained by CD68, CD3, and CD20 antibodies showed that most of the hepatitis C virus-positive cells were CD68-positive macrophages.</p><p>We demonstrate for the first time clear distribution of hepatitis C virus antigen in mononuclear cells in various organs from patients with hepatitis C virus infection. This study suggests that macrophages are the major target of hepatitis C virus infection.</p></div>","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 2","pages":"Pages 51-58"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.04.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76968092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
The effect of hypertension, aging and benidipine on arterial elasticity in elderly hypertensives 高血压、衰老及苯尼地平对老年高血压患者动脉弹性的影响
Cvd Prevention and Control Pub Date : 2010-06-01 DOI: 10.1016/j.cvdpc.2010.04.004
Tetsuhiro Umeno , Toshio Shimada , Hironori Tsukihashi , Nobuyuki Oyake , Yo Murakami , Nobuyuki Takahashi , Kazuaki Tanabe , Osamu Doi , Hirofumi Kambara , Akira Matsumori
{"title":"The effect of hypertension, aging and benidipine on arterial elasticity in elderly hypertensives","authors":"Tetsuhiro Umeno ,&nbsp;Toshio Shimada ,&nbsp;Hironori Tsukihashi ,&nbsp;Nobuyuki Oyake ,&nbsp;Yo Murakami ,&nbsp;Nobuyuki Takahashi ,&nbsp;Kazuaki Tanabe ,&nbsp;Osamu Doi ,&nbsp;Hirofumi Kambara ,&nbsp;Akira Matsumori","doi":"10.1016/j.cvdpc.2010.04.004","DOIUrl":"10.1016/j.cvdpc.2010.04.004","url":null,"abstract":"<div><p>Four hundred and 16 subjects (average age, 56.2<!--> <!-->years; range, 20–92<!--> <!-->years; Men/Women, 207/209) undergoing annual health check-up were studied for the effect of aging and hypertension on arterial compliance or elasticity index, which were measured after a 10<!--> <!-->min rest in the supine position using CR-2000. Thirteen additional elderly patients with hypertension were also studied at rest in the supine position 30<!--> <!-->min before and after 8<!--> <!-->mg benidipine oral administration at the beginning of treatment and then repeatedly studied after a 10<!--> <!-->min rest over at least 4–7<!--> <!-->weeks to examine the effect of benidipine hydrochloride 8<!--> <!-->mg on arterial compliance in a similar manner. Systolic blood pressure and pulse pressure were increased in subjects above 40<!--> <!-->years of age. Diastolic blood pressure was also increased up to 60<!--> <!-->years of age but after 60<!--> <!-->years of age, it was decreased or rather it plateaued. Above 40<!--> <!-->years of age, large and small arterial compliance levels were significantly decreased with advancing age. Small arterial compliance was much more decreased than large arterial compliance. In hypertensive subjects, small and large arterial compliance levels were significantly decreased in comparison with normotensive subjects. Benidipine hydrochloride 8<!--> <!-->mg was given orally every morning in elderly hypertensive patients for at least 1<!--> <!-->month, and blood pressure and arterial compliance were measured every week using CR-2000. Benidipine hydrochloride decreased blood pressure and improved arterial compliance gradually and safely without any adverse effect. Therefore, benidipine hydrochloride is thought to be a useful antihypertensive drug for elderly hypertensives because of its potential to improve arterial function and perhaps arterial properties.</p></div>","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 2","pages":"Pages 45-50"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74892684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Metabolic obesity: A new therapeutic target for cardio-metabolic risk reduction 代谢性肥胖:降低心脏代谢风险的新治疗靶点
Cvd Prevention and Control Pub Date : 2010-06-01 DOI: 10.1016/j.cvdpc.2010.05.002
P.C. Manoria , Pankaj Manoria , Piyush Manoria
{"title":"Metabolic obesity: A new therapeutic target for cardio-metabolic risk reduction","authors":"P.C. Manoria ,&nbsp;Pankaj Manoria ,&nbsp;Piyush Manoria","doi":"10.1016/j.cvdpc.2010.05.002","DOIUrl":"10.1016/j.cvdpc.2010.05.002","url":null,"abstract":"<div><p>During the last couple of years, the focus of attention has drifted from coronary risk to cardio-metabolic risk because of the growing epidemic of cardio-metabolic disorders such as obesity, metabolic syndrome, diabetes, and cardiovascular disease (CVD). Physical inactivity and consumption of high-energy foods are the root causes of this epidemic.</p></div>","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 2","pages":"Pages 39-44"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79914535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Metabolic syndrome and cardiovascular risk in diabetic subjects 糖尿病受试者的代谢综合征和心血管风险
Cvd Prevention and Control Pub Date : 2010-06-01 DOI: 10.1016/j.cvdpc.2010.05.001
Faria Afsana, Zafar A. Latif, Shah J. Khan, Samir K. Talukder
{"title":"Metabolic syndrome and cardiovascular risk in diabetic subjects","authors":"Faria Afsana,&nbsp;Zafar A. Latif,&nbsp;Shah J. Khan,&nbsp;Samir K. Talukder","doi":"10.1016/j.cvdpc.2010.05.001","DOIUrl":"10.1016/j.cvdpc.2010.05.001","url":null,"abstract":"<div><p>There are divergent criteria for the identification of metabolic syndrome (MetS), but all the definitions agree that obesity, insulin resistance, dyslipidemia and hypertension are core components of this syndrome. The MetS is associated with an increased risk of cardiovascular disease events in general populations. Well-designed prospective studies in Asian populations are very limited. This study characterizes nine parameters of the MetS in a population of diabetic patients without a history of cardiovascular disease in Bangladesh, and defines the influence of MetS on peripheral vascular disease. A total of 100 patients with diabetes who visited the outpatient department of BIRDEM for routine diabetic follow-up were included in this study. The prevalence of MetS was 66%. Sixty-seven percent of patients had a waist circumference above normal, 89% hypertriglyceridemia, and 87% a low HDL-C level, while elevated systolic blood pressure was found in 46% and diastolic blood pressure in 55%, according to IDF criteria. Peripheral vascular disease defined by a low ankle-brachial index (&lt;0.9) was identified in 24% of patients with no history of a cardiovascular event.</p></div>","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 2","pages":"Pages 59-62"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89334975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
In-hospital outcome of primary percutaneous coronary intervention for the management of acute ST-segment elevation myocardial infarction in a Bangladeshi population 孟加拉国人群急性st段抬高型心肌梗死的初步经皮冠状动脉介入治疗的住院结果
Cvd Prevention and Control Pub Date : 2010-01-01 DOI: 10.1016/j.cvdpc.2010.03.002
Md. Abu Salim , Fazilatunnesa Malik , Nazir Ahmed , M. Badiuzzaman , Rumana Jesmin Khan , K.M.H.S. Sirajul Haque , Abdul Malik
{"title":"In-hospital outcome of primary percutaneous coronary intervention for the management of acute ST-segment elevation myocardial infarction in a Bangladeshi population","authors":"Md. Abu Salim ,&nbsp;Fazilatunnesa Malik ,&nbsp;Nazir Ahmed ,&nbsp;M. Badiuzzaman ,&nbsp;Rumana Jesmin Khan ,&nbsp;K.M.H.S. Sirajul Haque ,&nbsp;Abdul Malik","doi":"10.1016/j.cvdpc.2010.03.002","DOIUrl":"https://doi.org/10.1016/j.cvdpc.2010.03.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study aims to describe the different clinical outcomes of ST-Segment Elevated (STEMI) Myocardial Infarction patients of a tertiary care cardiac hospital in Bangladesh who went through Primary Per-cutaneous Coronary Intervention (PCI).</p></div><div><h3>Methods</h3><p>This study was conducted in the Department of Cardiology, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh. Participants of the study were 80 patients with a diagnosis of acute STEMI. Information was collected on their demographic characteristics and clinical history. Relevant physical examination and laboratory investigations were performed. Percutaneous transluminal coronary angioplasty (PTCA)<!--> <!-->±<!--> <!-->stent implantation was done in the culprit vessel. Coronary angiograms were done before and after the procedure. They were followed up thoroughly during the hospital stay.</p></div><div><h3>Results</h3><p>According to the 12 lead surface ECG, 25% had an extensive anterior MI, 20% anteroseptal MI, 35% an inferior MI, 10% an anterior MI, 7.5% an inferior with right ventricular infarction and 2.5% a lateral MI. The mean door to balloon time was 95.6<!--> <!-->±<!--> <!-->33.4<!--> <!-->min. LAD was the most common (51.2%) culprit vessel followed by RCA (38.5%) and LCX (10.2%).We compare, (1) ECG changes (return of ST segment towards isoelectric line in mm). (2) Improvement of TIMI flow. (3) Improvement of LV function (LVEF measured by echocardiography). (4) Complications (general, vascular). There was significant improvement in ECG changes (return of ST segment towards isoelectric line in mm). Pre and post-procedural mean ST elevation was 6.6<!--> <!-->±<!--> <!-->2.7<!--> <!-->mm and 0.5<!--> <!-->±<!--> <!-->0.8<!--> <!-->mm. Examining improvement of TIMI flow after the PCI, 87.5% had TIMI-3 flow, 7.5% had TIMI-2 flow, 2.5% had TIMI-1 and 2.5% had TIMI-0 flow (<em>P</em> <!-->&lt;<!--> <!-->0.001). The pre-procedural mean left ventricular ejection fraction (LVEF) was 41.6<!--> <!-->±<!--> <!-->4.2% and the post-procedural mean LVEF was 51.8<!--> <!-->±<!--> <!-->5.1% (<em>P</em> <!-->&lt;<!--> <!-->0.01). There were, 7.7% with post-procedural general complications and no vascular complications in any of the patients. In-terms of major adverse cardiac events (MACE), only 2(2.5%) patients died, one was due to a cardiac arrest 8<!--> <!-->h after the procedure, and another was due to ventricular fibrillation followed by asystole 2<!--> <!-->h after the procedure.</p></div><div><h3>Conclusion</h3><p>The study results show that with limited facilities and financial abilities, patients receiving Primary PCI had good in hospital outcomes which is similar to other studies done in different countries. So primary PCI may be the preferred method of reperfusion for the management of STEMI in the current Bangladeshi setting.</p></div>","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 1","pages":"Pages 23-26"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91777271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Asian-Pacific Congress of Cardiology (APCC) – From birth to the present 亚太心脏病学大会(APCC) -从出生到现在
Cvd Prevention and Control Pub Date : 2010-01-01 DOI: 10.1016/j.cvdpc.2010.03.001
Chuichi Kawai M.D.
{"title":"Asian-Pacific Congress of Cardiology (APCC) – From birth to the present","authors":"Chuichi Kawai M.D.","doi":"10.1016/j.cvdpc.2010.03.001","DOIUrl":"https://doi.org/10.1016/j.cvdpc.2010.03.001","url":null,"abstract":"","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 1","pages":"Pages 15-22"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90130472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
γ-Glutamyltransferase and mortality risk from heart disease and stroke in Japanese men and women: NIPPON DATA90 γ-谷氨酰转移酶与日本男性和女性心脏病和中风的死亡率风险:NIPPON数据90
Cvd Prevention and Control Pub Date : 2010-01-01 DOI: 10.1016/J.CVDPC.2010.03.003
A. Fujiyoshi, K. Miura, A. Hozawa, Y. Murakami, N. Takashima, N. Okuda, T. Kadowaki, Y. Kita, T. Okamura, Yasuyuki Nakamura, T. Hayakawa, A. Okayama, H. Ueshima
{"title":"γ-Glutamyltransferase and mortality risk from heart disease and stroke in Japanese men and women: NIPPON DATA90","authors":"A. Fujiyoshi, K. Miura, A. Hozawa, Y. Murakami, N. Takashima, N. Okuda, T. Kadowaki, Y. Kita, T. Okamura, Yasuyuki Nakamura, T. Hayakawa, A. Okayama, H. Ueshima","doi":"10.1016/J.CVDPC.2010.03.003","DOIUrl":"https://doi.org/10.1016/J.CVDPC.2010.03.003","url":null,"abstract":"","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 1","pages":"27-34"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78468202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
γ-Glutamyltransferase and mortality risk from heart disease and stroke in Japanese men and women: NIPPON DATA90 γ-谷氨酰转移酶与日本男性和女性心脏病和中风的死亡率风险:NIPPON数据90
Cvd Prevention and Control Pub Date : 2010-01-01 DOI: 10.1016/j.cvdpc.2010.03.003
Akira Fujiyoshi , Katsuyuki Miura , Atsushi Hozawa , Yoshitaka Murakami , Naoyuki Takashima , Nagako Okuda , Takashi Kadowaki , Yoshikuni Kita , Tomonori Okamura , Yasuyuki Nakamura , Takehito Hayakawa , Akira Okayama , Hirotsugu Ueshima , for the NIPPON DATA80/90 Research Group
{"title":"γ-Glutamyltransferase and mortality risk from heart disease and stroke in Japanese men and women: NIPPON DATA90","authors":"Akira Fujiyoshi ,&nbsp;Katsuyuki Miura ,&nbsp;Atsushi Hozawa ,&nbsp;Yoshitaka Murakami ,&nbsp;Naoyuki Takashima ,&nbsp;Nagako Okuda ,&nbsp;Takashi Kadowaki ,&nbsp;Yoshikuni Kita ,&nbsp;Tomonori Okamura ,&nbsp;Yasuyuki Nakamura ,&nbsp;Takehito Hayakawa ,&nbsp;Akira Okayama ,&nbsp;Hirotsugu Ueshima ,&nbsp;for the NIPPON DATA80/90 Research Group","doi":"10.1016/j.cvdpc.2010.03.003","DOIUrl":"https://doi.org/10.1016/j.cvdpc.2010.03.003","url":null,"abstract":"<div><h3>Background</h3><p>Studies have shown that baseline serum γ-glutamyltransferase (GGT) is independently associated with cardiovascular disease (CVD) risk in men and women. However, less is known whether GGT is similarly associated with both stroke and heart disease (HD) risk in Asia. We examined an association between serum GGT and deaths from stroke and HD in Japanese men and women.</p></div><div><h3>Methods</h3><p>From 1990 to 2005, we followed 7488 adults (3089 men) randomly selected from 300 districts throughout Japan, aged 30–95 with no history of coronary disease nor stroke at baseline. Cox proportional hazards models were used to estimate adjusted hazard ratios (HRs) according to sex-specific GGT strata.</p></div><div><h3>Results</h3><p>During the study period, observed deaths from HD and stroke were 165 (83 men), and 135 (66 men), respectively. After adjustment for confounding factors, HRs of HD death for 25th, 50th, 75th, and 90th GGT percentiles in reference to the lowest GGT stratum were 1.61, 2.28, 2.48, and 4.59 in women (<em>P</em> for trend<!--> <!-->=<!--> <!-->0.001), and 0.90, 0.74, 1.42, and 1.56 in men (<em>P</em> for trend<!--> <!-->=<!--> <!-->0.250). The corresponding HRs of total stroke death were 1.52, 0.95, 1.22, and 1.34 in women (<em>P</em> for trend<!--> <!-->=<!--> <!-->0.785), and 0.75, 0.91, 1.26, and 1.02 in men (<em>P</em> for trend<!--> <!-->=<!--> <!-->0.642). Results were similar when analysis was limited to never-drinkers.</p></div><div><h3>Conclusion</h3><p>This cohort study of representative Japanese men and women suggested that baseline GGT independently predicts future HD mortality risk, especially in women, but not stroke mortality risk in Asian.</p></div>","PeriodicalId":11021,"journal":{"name":"Cvd Prevention and Control","volume":"5 1","pages":"Pages 27-34"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cvdpc.2010.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91777270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
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