脂蛋白相关磷脂酶A2与冠状动脉粥样硬化性心脏病关系研究进展

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摘要

冠状动脉粥样硬化性心脏病是严重危害人类健康的常见病。发病率呈逐年上升趋势,发病年龄呈低龄化趋势。脂蛋白相关磷脂酶A2 (Lipoprotein associated Phospholipase A2, Lp-PLA2)作为一种血管炎性因子,可促进炎症和冠状动脉粥样硬化的进展,其血清水平可反映动脉粥样硬化斑块的稳定性。在冠心病的危险因素中,Lp-PLA2作为传统危险因素的补充,对冠心病的预测具有重要的参考价值。越来越多的研究发现Lp-PLA2在评价冠心病,特别是急性冠脉综合征患者预后方面具有显著的潜在价值。现就Lp-PLA2在冠心病发病机制、检测方法、预测冠心病独立危险因素、冠心病治疗及预后评价等方面的研究进展进行综述。
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Research Progress on the Relationship between Lipoprotein Associated Phospholipase A2 and Coronary Atherosclerotic Heart Disease
Coronary atherosclerotic heart disease is a common disease which seriously endangers human health. The incidence rate is increasing year by year and the age of onset is becoming younger. As a kind of Inflammatory factors of vascular, Lipoprotein associated Phospholipase A2 (Lp-PLA2) can promote the progress of inflammation and coronary atherosclerosis, and its serum level can reflect the stability of atherosclerotic plaque. Among the risk factors of coronary heart disease, Lp-PLA2, as a supplement to the traditional risk factors, has a significant reference value for the prediction of coronary heart disease. More and more studies have found that Lp-PLA2 has a significant potential value in evaluating the prognosis of coronary heart disease, especially in acute coronary syndrome patients. This review summarizes the research progress of Lp-PLA2 on the pathogenesis, detection methods, independent risk factors of predicting coronary heart disease and the treatment and prognosis evaluation of coronary heart disease.
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