心肺血管病杂志2024,Vol.43Issue(9) :921-926.DOI:10.3969/j.issn.1007-5062.2024.09.03

血清C1q/肿瘤坏死因子相关蛋白9与急性冠状动脉综合征患者药物洗脱支架再狭窄的相关性分析

Association between serum C1q/tumor necrosis factor-related protein 9 and drug-eluting stent restenosis in patients with acute coronary syndrome

秦政 高海
心肺血管病杂志2024,Vol.43Issue(9) :921-926.DOI:10.3969/j.issn.1007-5062.2024.09.03

血清C1q/肿瘤坏死因子相关蛋白9与急性冠状动脉综合征患者药物洗脱支架再狭窄的相关性分析

Association between serum C1q/tumor necrosis factor-related protein 9 and drug-eluting stent restenosis in patients with acute coronary syndrome

秦政 1高海1
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作者信息

  • 1. 100029 首都医科大学附属安贞医院-北京市心肺血管疾病研究所 心内科
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摘要

目的:探索血清C1q/肿瘤坏死因子相关蛋白9(C1q/tumor necrosis factor-related protein 9,CTRP9)与支架内再狭窄(in-stent restenosis,ISR)的相关性.方法:本研究回顾性纳入2019年1月至2023年12月,于我院置入药物洗脱支架(drug-eluting stent,DES)并于术后22~26个月,行血管内超声检查的急性冠状动脉综合征(acute coronary syndrome,ACS)患者.通过评估纳入135例ACS患者,分为(DES-ISR,n=50)组与非DES-ISR(n=85)组.随后通过多元回归分析模型评估CTRP9与DES-ISR的相关性.结果:与非DES-ISR组人群相比,DES-ISR组人群CTRP9浓度水平明显偏低[(5.4±1.9)vs(6.7±2.0)µg/L,P<0.001].单因素回归分析,CTRP9 与DES-ISR显著相关(OR=0.691,95%CI:0.562~0.849,P<0.001);校正其他混在因素后多因素回归分析,CTRP9仍与DES-ISR独立相关(OR=0.706,95%CI:0.559~0.892,P=0.002).结论:通过本观察性研究表明,CTRP9 与 ACS 患者中远期DES-ISR风险独立相关.

Abstract

Objective:Numerous studies have suggested that C1q/tumor necrosis factor-related protein 9(CTRP9)is closely associated with the risk of cardiovascular disease.This study aims to explore the association between serum CTRP9 and in stent restenosis(ISR).Methods:This study retrospectively included patients with acute coronary syndrome(ACS)who were implanted with drug-eluting stents(DES)in our hospital from January 2019 to December 2023 and underwent intravascular ultrasound examination at 22-26 months after intervention.Based on the evaluation results,the included population will be divided into a DES-ISR group and a non-DES-ISR group.Subsequently,the association between CTRP9 and DES-ISR was evaluated using a multiple regression analysis model.Results:This study included a total of 135 ACS patients,including 50 DES-ISR patients.Compared with the non DES-ISR group,the CTRP9 concentration level in the DES-ISR group was significantly lower[(5.4±1.9)vs.(6.7±2.0)μg/L,P<0.001].In univariate regression analysis,CTRP9 was significantly correlated with DES-ISR(OR=0.691,95%CI:0.562-0.849,P<0.001);After adjusting for other confounding factors through a multiple regression analysis model,CTRP9 remained independently correlated with DES-ISR(OR=0.706,95%CI:0.559-0.892,P=0.002).Conclusions:Through this observational study,it has been confirmed that CTRP9 is independently associated with the mid to long-term DES-ISR risk in ACS patients.

关键词

急性冠状动脉综合征/支架内再狭窄/C1q/肿瘤坏死因子相关蛋白9/药物洗脱支架/血管内超声

Key words

Acute coronary syndrome/In-stent stenosis/C1q/tumor necrosis factor-related protein 9/Drug eluting stent/Intravascular ultrasound

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基金项目

首都健康发展与研究基金(CFH2022-1-2062)

出版年

2024
心肺血管病杂志
北京市心肺血管疾病研究所,首都医科大学附属北京安贞医院

心肺血管病杂志

CSTPCD
影响因子:1.214
ISSN:1007-5062
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