作者@article {Zamanian318 = {R。t Zamanian g·汉斯曼和美国斯努克·d·利和k . m . Rappaport通用汽车里文和m .因r·l·道尔}标题={在肺动脉高血压胰岛素抵抗},体积={33}={2},页面= {318 - 324}= {2009},doi ={10.1183/09031936.00000508},出版商={欧洲呼吸学会},文摘={尽管肥胖、血脂异常和胰岛素抵抗(IR)是众所周知的系统性的心血管疾病的危险因素,它们对肺动脉高血压(多环芳烃)的影响是未知的。188bet官网地址目前作者{\ textquoteright}先前的研究表明,红外多环芳烃可能是一个风险因素。目前的研究在多环芳烃有红外的患病率调查,探讨其与疾病严重程度的关系。81年临床数据和空腹血液样本进行评估非糖尿病的多环芳烃女性。总的来说,967年全国健康和营养调查(NHANES)女性担任控制。空腹甘油三酯和高密度脂蛋白胆固醇比率被用作替代胰岛素敏感性。当身体质量指数相似NHANES与PAH女性(28.6和28.7公斤{\ textperiodcentered} m - 2),多环芳烃女性更有可能拥有IR(45.7和21.5 \ %)和不太可能是胰岛素敏感(;43.2和57.8 \ %)。PAH女性大多(82.7 \ %)纽约心脏协会(NYHA) II类和III的症状。 Aetiology, NYHA class, 6-min walk-distance and haemodynamics did not differ between IR and IS PAH groups. However, the presence of IR and a higher NYHA class was associated with poorer 6-months event-free survival (58 versus 79\%). Insulin resistance appears to be more common in pulmonary arterial hypertension females than in the general population, and may be a novel risk factor or disease modifier that might impact on survival.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/33/2/318}, eprint = {//www.qdcxjkg.com/content/33/2/318.full.pdf}, journal = {European Respiratory Journal} }