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世居高原藏族急性ST段抬高型心肌梗死患者的冠状动脉病变特点和短期预后分析 被引量:3
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作者 央金 格桑罗布 +2 位作者 古桑拉姆 格桑嘎瓦 伍满燕 《中国介入心脏病学杂志》 2021年第6期329-332,共4页
目的通过比较高原地区世居藏族和移居汉族急性ST段抬高型心肌梗死(STEMI)患者的危险因素、冠状动脉病变特点和短期预后结果,旨在为高原STEMI的防治提供临床依据。方法回顾性分析2017年1月至2020年8月西藏自治区人民医院收治的STEMI患者... 目的通过比较高原地区世居藏族和移居汉族急性ST段抬高型心肌梗死(STEMI)患者的危险因素、冠状动脉病变特点和短期预后结果,旨在为高原STEMI的防治提供临床依据。方法回顾性分析2017年1月至2020年8月西藏自治区人民医院收治的STEMI患者177例,通过查阅病历如实记录患者社会人口学、危险因素、发病情况、实验室结果、住院治疗情况和住院不良事件结局等,并由两名心血管介入医师独立判读冠状动脉造影(CAG)图像,比较两组患者的危险因素、冠状动脉病变特点和短期预后。结果共纳入世居藏族STEMI患者112例(世居藏族组)、移居汉族STEMI患者65例(移居汉族组);世居藏族组的平均年龄为(59.5±12.2)岁,显著大于同时期的移居汉族组[(47.9±11.3)岁,P<0.001],均以男性为主(分别占91.1%和90.8%)。世居藏族组合并高血压病比例(56.3%比29.2%)、GRACE评分[116.5(92.0,142.5)分比99.0(79.0,128.0)分]、CRUSADE评分[25.0(19.0,35.0)分比21.0(15.0,28.0)分]更高(均P<0.05),血红蛋白水平[(169.7±24.2)g/L比(182.5±24.7)g/L,P<0.05]更低。两组患者冠状动脉病变特征、严重程度、血运重建治疗比例和短期预后比较,差异均无统计学意义(均P>0.05)。结论与移居汉族STEMI患者相比,世居藏族STEMI患者的年龄更大,且入院时缺血和出血危险分层更高,但在冠状动脉病变特点和血运重建治疗相似的情况下,短期预后无明显差异。 展开更多
关键词 高原 心肌梗死 危险因素 预后
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Relationship between Dyslipidemia and Gene Polymorphism in Tibetan Population 被引量:5
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作者 ZHANG Ling Xia SUN Ying +4 位作者 LIANG Yu LI Kui CHEN Yong gusanglamu WANG Jian 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2012年第3期305-310,共6页
Objective To investigate the relationship between SNPs reported in previous studies and the blood lipid level in the Tibetan population. Methods Random cluster sampling was employed in 5 areas (Lhasa, Shigatse, Shann... Objective To investigate the relationship between SNPs reported in previous studies and the blood lipid level in the Tibetan population. Methods Random cluster sampling was employed in 5 areas (Lhasa, Shigatse, Shannan, Nagqu, and Nyingchi). The levels of cholesterol (TC), triglyceride {TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) from blood samples were determined and DNA was extracted for genotyping and statistical analyses. Results Among 1 318 subjects aged 〉18 years enrolled in this study, 367 had dyslipidemia with a prevalence of 27.8%, of whom dyslipidemia males accounted for 33.1% and dyslipidemia females - 24.5%. Results of the correlation analysis between all SNPs and TG showed that the SNPs of rs714052 and rs964184 were related to the serum TG level. Subjects with rs714052 CC genotype had the lowest TG level, and the highest TG level was found in those with rs714052 TT genotype. The serum TG level in individuals with TC genotype lied in between the above two population groups. Subjects with rs964184 CC genotype had the lowest TG level, and the highest serum TG level was noted in those with rs964184 GG genotype. Conclusion Several SNPs were found to be related to the serum TG level in the Tibetan population. The APOA5 gene and MLXlPL gene may be closely associated with the serum TG level in this ethnic population group. 展开更多
关键词 DYSLIPIDEMIA SNP Tibetan Population
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