血液透析患者的血管内皮生长因子-C、血浆血管紧张素原与左心室肥厚的关系。

Haci Hasan Yeter, Mustafa Levent, Levent Sahiner, Tolga Yildirim, Rahmi Yilmaz
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引用次数: 0

摘要

简介本研究旨在探讨血液透析患者液体超负荷、血管内皮生长因子 C(VEGF-C)、血浆血管紧张素原(pAGT)和超声心动图结果之间的关系:这是一项单中心横断面研究。方法:这是一项单中心横断面研究,根据周中透析间体重增加(mIDWG)情况将患者分为两组:(1)mIDWG ≤3%;(2)mIDW >3%:本研究共纳入 55 名患者。pAGT≥76.8 mcg/L、VEGF-C≤175.5 pg/ML、pAGT /VEGF-C≥0.45是预测左心室肥厚(LVH)的重要临界值。单变量逻辑回归分析表明,这些临界值与左心室肥厚显著相关:结论:肾素-血管紧张素-醛固酮系统激活可能会持续存在于IDWG过高的血液透析患者中。结论:IDWG 过高的血液透析患者的肾素-血管紧张素-醛固酮系统激活可能持续存在,此外,pAGT 和 VEGF-C 可能是导致左心室积水的危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of vascular endothelial growth factor-C, plasma angiotensinogen and left ventricular hypertrophy in patients with hemodialysis.

Introduction: This study aims to examine the relationship between fluid overload, Vascular Endothelial Growth Factor C (VEGF-C), plasma Angiotensinogen (pAGT), and echocardiography findings in hemodialysis patients.

Methods: This was a single-center, cross-sectional study. Patients were divided into two groups according to mid-week inter-dialytic weight gain (mIDWG): (1) mIDWG ≤3% and (2) mIDW >3%.

Results: A total of 55 patients were enrolled in this study. While the mean pAGT and left ventricular mass index were significantly higher in patients with mIDWG >3% compared to patients with mIDWG ≤3%, VEGF-C was similar between groups. pAGT ≥76.8 mcg/L, VEGF-C ≤175.5 pg/ML, and pAGT /VEGF-C ≥0.45 were significant cut-offs for the prediction of left ventricular hypertrophy(LVH). Univariate logistic regression analysis revealed that these cut-off values were significantly associated with LVH.

Conclusion: Renin-angiotensin-aldosterone system activation may persist in hemodialysis patients with excessive IDWG. Additionally, pAGT and VEGF-C could be risk factors for the development of LVH.

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