期刊
CLINICAL CARDIOLOGY
卷 30, 期 2, 页码 69-74出版社
JOHN WILEY & SONS INC
DOI: 10.1002/clc.19
关键词
women; risk factors; microcirculation; adenosine
资金
- NCRR NIH HHS [M01-RR00425] Funding Source: Medline
- NHLBI NIH HHS [U01-HL64914-01, U01-HL64829-01, N01-HV-68164, U01-HL65924-01, N01-HV-68162, N01-HV-68163] Funding Source: Medline
- PHS HHS [N01 NV-68161] Funding Source: Medline
Background: Altered coronary reactivity is frequent in women with findings of myocardial ischemia without significant obstructive disease. This suggests a defect in coronary microvascular function. The adenosine-related component of this altered reactivity has been described in male and mixed gender populations, while the factors influencing this component of coronary reactivity in symptomatic women have received limited attention. Accordingly, the relationship between adenosine-related microvascular coronary reactivity and risk factors in symptomatic women evaluated for suspected ischemia remains uncertain. Hypothesis: Abnormal coronary microvascular reactivity to adenosine is predicted by atherosclerosis risk factors in women. Methods: As part of the NHLBI-sponsored Women's Ischemia Syndrome Evaluation (WISE), we investigated the relationship between risk factors and coronary microvascular reactivity as flow velocity reserve to intracoronary adenosine (CFVRAdo) in 210 women referred for angiography to evaluate suspected ischemia. Results: Univariate analyses identified associations between CFVRAdo and multiple risk conditions; however, after adjusting for age, none remained significant. The best multivariable model using combinations of risk conditions to predict CFVRAdo yielded an R-2 of only 0.18. Conclusions: Among women with suspected ischemia, risk factors account for < 20% of observed variability in CFVRAdo. Therefore, other as yet unidentified factors must primarily account for coronary microvascular reactivity to adenosine.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据