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Melatonin and Coronary Artery Calcification

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Chinese PLA General Hospital

关键词

抽象

The investigators planned to research the association between plasma melatonin and coronary artery calcification in a Chinese population.

描述

Coronary artery calcification (CAC) is prevalent in coronary artery disease (CHD), and the extent of CAC predicts cardiovascular risk. The causes of CAC include dysregulated matrix metabolism, epitaxial mineral deposition, inflammation, oxidative stress, and apoptosis. Melatonin is the main indoleamine produced by the pineal gland; it is known recently to have anti-inflammatory, anti-cancer and antioxidant activities. Several studies have shown that melatonin protects against inflammation and apoptosis in vascular calcification. Melatonin also inhibits oxidative stress-induced apoptosis and calcification in endplate chondrocytes. However, no study has evaluated whether melatonin is associated with CAC in patients with coronary atherosclerosis. The investigators planned to research the association between plasma melatonin and coronary artery calcification.

日期

最后验证: 04/30/2019
首次提交: 05/25/2019
提交的预估入学人数: 05/27/2019
首次发布: 05/29/2019
上次提交的更新: 05/27/2019
最近更新发布: 05/29/2019
实际学习开始日期: 04/30/2017
预计主要完成日期: 04/29/2019
预计完成日期: 04/29/2019

状况或疾病

Coronary Artery Calcification

-

手臂组

干预/治疗
plasma melatonin 1
Quartile 1 of plasma melatonin
plasma melatonin 2
Quartile 2 of plasma melatonin
plasma melatonin 3
Quartile 3 of plasma melatonin
plasma melatonin 4
Quartile 4 of plasma melatonin

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
取样方式Probability Sample
接受健康志愿者没有
标准

Inclusion Criteria:

Patients with angina-like chest pain, were included in this study. All subjects had blood samples collected and all underwent a coronary CTA scan.

Exclusion Criteria:

1. melatonin treatment

2. coronary revascularization (percutaneous coronary intervention or coronary artery bypass graft surgery)

3. heart failure or cardiomyopathies

4. hepatic failure

5. renal dysfunction

6. haemolytic disorders

7. thyroid disease

8. neoplastic diseases

9. acute infectious or inflammatory conditions.

结果

主要结果指标

1. correlations of CAC score with melatonin concentrations [Subjects underwent a CAC scan at baseline.]

CAC score was obtained using the coronary CTA and Agatston score.

次要成果指标

1. correlations of CAC score with high-sensitivity C-reactive protein (hsCRP) level [Subjects had blood samples collected at baseline.]

The hsCRP levels were analyzed by a sandwich enzyme linked immunosorbent assay.

2. correlations of CAC score with malondialdehyde (MDA) level [Subjects had blood samples collected at baseline.]

The MDA levels were analyzed by a sandwich enzyme linked immunosorbent assay.

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