[1]李 敏,陈 霞,何 偲,等.缺血性心力衰竭患者血清miR-34 表达水平与心室重构和预后的相关性分析[J].现代检验医学杂志,2023,38(04):67-71.[doi:10.3969/j.issn.1671-7414.2023.04.012]
 LI Min,CHEN Xia,HE Si,et al.Correlation between Serum miR-34 Expression and Ventricular Remodeling and Prognosis in Patients with Ischemic Heart Failure[J].Journal of Modern Laboratory Medicine,2023,38(04):67-71.[doi:10.3969/j.issn.1671-7414.2023.04.012]
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缺血性心力衰竭患者血清miR-34 表达水平与心室重构和预后的相关性分析()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第38卷
期数:
2023年04期
页码:
67-71
栏目:
论著
出版日期:
2023-07-15

文章信息/Info

Title:
Correlation between Serum miR-34 Expression and Ventricular Remodeling and Prognosis in Patients with Ischemic Heart Failure
文章编号:
1671-7414(2023)04-067-05
作者:
李 敏1陈 霞1何 偲1李华华2
(1. 武汉亚洲心脏病医院,武汉 430022;2. 广西壮族自治区贺州市人民医院,广西贺州 542899)
Author(s):
LI Min1 CHEN Xia1 HE Si1 LI Huahua2
(1.Wuhan Asian Heart Hospital, Wuhan 430022, China; 2.Guangxi Hezhou People’s Hospital, Guangxi Hezhou 542899, China)
关键词:
缺血性心力衰竭心室重构微小核糖核酸-34
分类号:
R541.6;R392.11
DOI:
10.3969/j.issn.1671-7414.2023.04.012
文献标志码:
A
摘要:
目的 检测缺血性心力衰竭(ischemic heart failure, IHF)患者血清微小核糖核酸(miR)-34 水平,分析其与IHF 患者心室重构(VR)及预后的相关性。方法 选择2019 年8 月~ 2021 年8 月武汉亚洲心脏病医院收治的80 例IHF 患者,入院时采用实时定量PCR 法测定血清miR-34 表达,对比不同临床特征的IHF 患者血清miR-34 表达状况。并分析血清miR-34 与IHF 患者VR 及预后的相关性。结果 80 例IHF 患者血清miR-34 水平为3.64±1.13;发生VR,预后不良的IHF 患者血清miR-34 水平高于未发生VR,预后良好的患者,差异均有统计学意义(t=7.630,4.492,均P< 0.05);经点二列相关性分析结果显示,IHF 患者血清miR-34 与发生VR,预后不良呈正相关(r=33.967,16.193,均P < 0.05);经Logisitic 回归分析,结果显示,高血清miR-34 水平是IHF 患者发生VR,预后不良的危险因素(OR=4.437,3.526,均P < 0.05)。结论 血清miR-34 水平与IHF 患者发生VR 密切相关,miR-34 高表达可增加患者不良预后风险。
Abstract:
Objective To detect the serum micro ribonucleic acid (miR) -34 level in patients with ischemic heart failure (IHF) and analyze its correlation with ventricular remodeling (VR) and prognosis in patients with IHF. Methods A total of 80 patients with IHF who were admitted to Wuhan Asian Heart Hospital from August 2019 to August 2021 were selected. Serum miR- 34 expression was measured by real-time quantitative PCR at the time of admission. According to whether the patients had VR after 6 months’follow-up, they were divided into VR group and non-VR group. According to the prognosis of patients, they were divided into a good prognosis group and a bad prognosis group. The baseline data of each subgroup were compared with the serum miR-34 expression, and the correlation between serum miR-34 and VR and prognosis of patients with IHF was analyzed by binary logistic regression and COX regression models, respectively. Results The serum level of miR-34 in 80 patients with IHF was 3.64±1.13. The serum miR-34 level of IHF patients with VR and poor prognosis was higher than that of patients without VR and with good prognosis (t=7.630,4.492,all P<0.05). The results of point-two-column correlation analysis show that, serum miR-34 in IHF patients was positively correlated with VR and poor prognosis (r=33.967, 16.193, all P< 0.05). Logisitic regression analysis showed that high serum miR-34 level was a risk factor for VR and poor prognosis in IHF patients (OR=4.437, 3.526, all P < 0.05). Conclusion Serum miR-34 levels were closely related to the occurrence of VR in patients with IHF, and high expression of miR-34 may increase the risk of poor prognosis in patients.

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备注/Memo

备注/Memo:
作者简介:李敏(1988-),女,本科,主治医师,主研方向:冠心病、心血管危重症。
通讯作者:李华华(1989-),男,主治医师,E-mail:yufeiqun919@163.com。
更新日期/Last Update: 2023-07-15