- 期刊
A Novel Marker of Impaired Aortic Elasticity in Never Treated Hypertensive Patients: Monocyte/High-Density Lipoprotein Cholesterol Ratio
摘要
Background: Monocyte to high density lipoprotein cholesterol ratio (MHR) is generally understood to be a candidate marker of inflammation and oxidative stress. Therefore, we aimed to assess the association between MHR and aortic elastic properties in hypertensive patients. Methods: A total of 114 newly-diagnosed untreated patients with hypertension and 71 healthy subjects were enrolled. Aortic stiffness index, aortic strain and aortic distensibility were measured by using echocardiography. Results: Patients with hypertension had a significantly higher MHR compared to the control group (p ＜ 0.001). Also, aortic stiffness index (p ＜ 0.001) was significantly higher and aortic distensibility (p ＜ 0.001) was lower in the hypertensive group. There was a positive correlation of MHR with aortic stiffness index (r = 0.294, p ＜ 0.001) and negative correlation with aortic distensibility (r = -0.281, p ＜ 0.001). In addition, MHR and high sensitivity C-reactive protein have a positive correlation (r = 0.30, p ＜ 0.001). Furthermore, MHR was found to be an independent predictor of aortic distensibility and aortic stiffness index. Conclusions: In patients with newly-diagnosed untreated essential hypertension, higher MHR was significantly associated with impaired aortic elastic properties.
延伸閱讀
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