DOI: 10.1002/ame2.12249
Combined superposition effect of hypertension and dyslipidemia on left ventricular hypertrophy
Xueyao Zhang1
Guangxiao Li2
Chuning Shi1
Dongyuan Zhang3
Yingxian Sun1
1.Department of Cardiology,First Hospital of China Medical University,Shenyang,China2.Department of Medical Record Management,First Hospital of China Medical University,Shenyang,China3.NHC Key Laboratory of Human Disease Comparative Medicine,Institute of Laboratory Animal Sciences,Chinese Academy of Medical Sciences(CAMS), Comparative Medicine Center,Peking Union Medical College(PUMC),Beijing,China
摘要：Background : Hypertension and dyslipidemia are considered reversible risk factors for cardiovascular disease. The purpose of this study was to explore the impact of traditional and nontraditional blood lipid profiles on the risk of left ventricular hyper-trophy (LVH) and to explore the superposition effect of dyslipidemia combined with hypertension. Methods : Data on 9134 participants (53.5 ± 10.3 years old) from the Northeast China Rural Cardiovascular Health Study (NCRCHS) were statistically analyzed. The blood lipid profile was measured by total cholesterol (TC), low- density lipoprotein choles-terol (LDL- C), high- density lipoprotein cholesterol (HDL- C), total glyceride (TG), and calculated nontraditional blood lipid indices including non- HDL- C, atherosclerosis index (AI), TC/HDL- C, and residual cholesterol (RC). Results : After the adjustment of age and gender, the odds ratios (ORs) of LVH in pa-tients with hypertension, high LDL- C, high non- HDL- C, high AI, and high TC/HDL- C were 3.97 (3.31– 4.76), 1.27 (1.02– 1.59), 1.21 (1.04– 1.39), 1.33 (1.15– 1.53), and 1.42 (1.22– 1.65), respectively. After full adjustment of potential confounding factors, high AI and TC/HDL- C were associated with LVH rather than traditional blood lipid indices. The combination of hypertension and nontraditional dyslipidemia (defined by high AI and TC/HDL- C) was associated with the highest risk of LVH, especially in participants under 45 years of age. The risk was more significant in men, 5.09- fold and 6.24- fold, respectively, compared with 3.66- fold and 4.01- fold in women. Conclusions : People with dyslipidemia defined by nontraditional blood lipid indices (high AI and high TC/HDL- C) and hypertension were more likely to develop LVH.
机标关键词：hypertensioncombineddyslipidemiaeffecthypertrophyleftsuperpositionventricular
论文发表日期：2022-06-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：12( 227-238 )
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