Lack of relationship between success of angioplasty and blood pressure response in patients with renal artery stenosis: longitudinal follow-up by angiography.

Lack of relationship between success of angioplasty and blood pressure response in patients with renal artery stenosis: longitudinal follow-up by angiography.
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肾动脉狭窄患者血管成形术成功与血压反应之间缺乏关系:血管造影纵向随访。

DOI:
10.1097/hjh.0b013e3283537f1e
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发表时间:
2012
影响因子:
4.9
通讯作者:
A. Woittiez
A. Woittiez
中科院分区:
医学2区
文献类型:
--
作者:
K. Mui;P. Stassen;J. Kouwenberg;H. van den Hout;G. Navis;A. Woittiez

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在我们最近发表在《高血压杂志》[1] 上的论文中,我们研究了一般人群中脂肪肝疾病 (FLD) 与血压 (BP) 和高血压的横向和纵向关联。此外,我们分析了饮酒对这种关联的具体贡献。我们得出四个主要结论:首先,肝脏高回声和血清丙氨酸转氨酶 (ALT) 水平升高所证明的 FLD 与基线时血压相关变量和高血压相关。其次,FLD 可以预测 5 年后血压的进展和高血压的发展。第三,饮酒对 FLD 与血压相关变量和高血压的关联影响较小。第四,研究结果强调,如果 ALT 水平升高,有必要在常规医疗护理中实施肝脏超声检查以检测 FLD。由于我们分析中的两个错误,我们不得不撤回第二个和第四个结论。首先,我们错误地没有调整基线时的血压测量或排除基线时的流行病例。因此,无法对血压和高血压的任何进展进行适当的推断。其次,由于分析语法中的错误,回归模型中包含了不完整的个体子集。我们使用适当的方法重新分析了我们的数据。所有更正的表格如下所示。
In our recently published paper in the Journal of Hypertension [1] we investigated the cross-sectional and longitudinal association of fatty liver disease (FLD) with blood pressure (BP) and hypertension in a general population cohort. Furthermore, we analyzed the specific contribution of alcohol consumption to this association. We drew four main conclusions: first, FLD as evidenced by liver hyperechogenicity and increased serum alanine aminotransferase (ALT) levels is associated with BP-related variables and hypertension at baseline. Second, FLD predicts the progression of BP and the development of hypertension after 5 years. Third, alcohol consumption has a minor contribution to the association of FLD with BP-related variables and hypertension. Fourth, the findings emphasize the necessity to implement liver ultrasound in routine medical care to detect FLD if ALT levels are elevated.Due to two errors in our analyses we have to withdraw the second and fourth conclusion. First, we mistakenly did not adjust for BP measurement at baseline or excluded prevalent cases at baseline. Therefore, no proper inferences were possible on any progression of BP and incident hypertension. Second, due to an error in the analysis syntax, an incomplete subset of individuals was included in regression models. We re-analyzed our data using appropriate methods. All corrected tables are displayed below.
DOI: 10.7326/0003-4819-150-12-200906160-00119
发表时间: 2009-06-16
影响因子: 39.2
作者:
Bax, Liesbeth;Woittiez, Arend-Jan J.;Beutler, Jaap J.
通讯作者: Beutler, Jaap J.