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Soluble fibrin monomer complex is associated with cardio- and cerebrovascular events in patients with heart failure

机译:可溶性纤维蛋白单体复合物与心力衰竭患者的心血管和脑血管事件相关

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BackgroundA biomarker of fibrin formation, the soluble fibrin monomer complex (SFMC), is abnormally elevated in a variety of clinical situations of hypercoagulability. The aim of the present study was to examine the prognostic impact of SFMC, with regard to increased risk of major cardio- and cerebrovascular events (MACCE) and all-cause mortality, on patients with heart failure (HF).Methods and ResultsWe conducted a prospective observational study where we analyzed data of 723 hospitalized patients with decompensated HF who were discharged alive and whose SFMC had been measured in a stable condition prior to discharge. The patients were divided into tertiles based on SFMC levels: the first (SFMC?
机译:背景,纤维蛋白形成的生物标志物,可溶性纤维蛋白单体复合物(SFMC),在多彩凝血性的各种临床情况下异常升高。本研究的目的是研究SFMC的预后影响,关于主要心血管和脑血管事件(宏观)和全因死亡率的风险增加,心力衰竭(HF)。方法和结果开展了一个前瞻性观察研究,我们分析了723名住院治疗的分解患者的数据,其在排出的中排出并在放电前以稳定的病症测量其SFMC。将患者分为基于SFMC水平的乳液:第一(SFMC?<α1.7≤7μg/ ml,n?= 250),第二(≤1.8sfmc?<α.2.9?μg/ ml,n?= 233 ),第三(3.0?μg/ ml?≤αsfmc,n?=Δ240)。慢性肾脏疾病和贫血的患病率在第三张力中比第一和第二截头患者显着高。相比之下,年龄,性别,乍得2- vasc评分,左心室喷射分数和高血压,糖尿病和心房颤动的患病率在锥度下没有区别。在Kaplan-Meier分析中,宏观和全因死的累积事件率从第一至第三截头位逐渐增加(分别为log-rank p?<?0.05)。在多变量Cox比例危害分析中,发现第三个泰利尔是宏观的独立预测因子(HR 2.014,P?= 0.046)和全因死亡率(HR 1.792,P?= 0.036).ClclusionsFMC是一个独立的HF患者不良预后的预测因素。

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