Academic Journal

H-type hypertension is a risk factor for chronic total coronary artery occlusion: a cross-sectional study from southwest China

التفاصيل البيبلوغرافية
العنوان: H-type hypertension is a risk factor for chronic total coronary artery occlusion: a cross-sectional study from southwest China
المؤلفون: Kaiyong Xiao, Zhe Xv, Yuling Xv, Jianping Wang, Lian Xiao, Zhou Kang, Jianhui Zhu, Zhongwei He, Guan Huang
المصدر: BMC Cardiovascular Disorders, Vol 23, Iss 1, Pp 1-9 (2023)
بيانات النشر: BMC, 2023.
سنة النشر: 2023
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: H-type hypertension, Chronic total coronary occlusion, Coronary occlusion, Coronary artery disease, Homocysteine, Hyperhomocysteinemia, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Abstract Background Chronic total coronary occlusion (CTO) is serious and the "last bastion" of percutaneous coronary intervention. Hypertension and hyperhomocysteinemia (HHCY) are synergistic and significantly increase cardiovascular event risk. The relationship between H-type hypertension and CTO remains unclear; thus, this cross-sectional study investigated this potential association. Methods Between January 2018 and June 2022, 1446 individuals from southwest China were recruited to participate in this study. CTO was defined as complete coronary artery occlusion persisting for over three months. H-type hypertension was defined as hypertension with plasma homocysteine levels ≥ 15 µmol/L. Multivariate logistic regression models were applied to assess the association between H-type hypertension and CTO. Receiver operating characteristic (ROC) curves were generated to determine the accuracy of H-type hypertension in predicting CTO. Results Of the 1446 individuals, 397 had CTO, and 545 had H-type hypertension. After multivariate adjustment, the odds ratio (OR) for CTO in individuals with H-type hypertension was 2.3-fold higher (95% CI 1.01–5.26) than that in healthy controls. The risk of CTO is higher in individuals with H-type hypertension than in those with isolated HHCY and hypertension. The area under the ROC curve for CTO was 0.685 (95% CI, 0.653–0.717) for H-type hypertension. Conclusions In southwest China, H-type hypertension is significantly related to the occurrence of CTO. Trial registration This retrospective study was registered with the Chinese Clinical Trials Registry ( http://www.chictr.org.cn , ChiCTR2100050519.2.2).
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2261
Relation: https://doaj.org/toc/1471-2261
DOI: 10.1186/s12872-023-03345-1
URL الوصول: https://doaj.org/article/be9044ad6a59486085966254a66ea4e5
رقم الانضمام: edsdoj.be9044ad6a59486085966254a66ea4e5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712261
DOI:10.1186/s12872-023-03345-1