Categories: 健康心血管病

Prognostic Value of Fasting vs. Non-Fasting Lipid Test空腹与非空腹血脂检测的预后价值

Non-fasting low density lipoprotein cholesterol (LDL-C) has similar prognostic value as that of fasting LDL-C. A nationally representative cross-sectional survey of 16,161 participants performed between 1988 and 1994, was stratified based on fasting status (≥8 hours or <8 hours) and followed for a mean of 14.0 (±0.22) years. Fasting LDL-C yielded similar prognostic value as non-fasting LDL-C for both primary outcome (all-cause mortality) and secondary outcome (cardiovascular mortality). The results are similar to another population analysis. National and international agencies should consider re-evaluating the recommendation that patients fast before obtaining a lipid panel. Source: http://circ.ahajournals.org/; http://archinte.jamanetwork.com/非空腹低密度脂蛋白胆固醇(LDL-C)具有与空腹LDL-C相似的预后价值。美国在1988年和1994年间进行的包括16,161参与者,具有全国代表性的横断面研究,根据空腹状态(≥8小时或<8小时)进行分类,平均随访14.0(±0.22)年。对主要结果(全因死亡率)和次要结果(心血管病死亡率)而言,空腹LDL-C水平都取得了与非空腹LDL-C类似的预后价值。该研究结果与另一个群体分析结果相似。国内和国际机构应考虑重新评估患者在血脂检测之前应空腹的建议。来源:http://circ.ahajournals.org/; http://archinte.jamanetwork.com/

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