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相关概念视频

Ischemic Heart Disease: Overview01:17

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Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
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Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
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Angina IV: Management01:26

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Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia
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糖尿病对患有不稳定心痛和非Q波心肌梗塞的患者的长期预后的影响:OASIS (组织评估缺血综合征策略) 注册表的结果.

K Malmberg1, S Yusuf, H C Gerstein

  • 1Department of Cardiology, Karolinska Hospital, Stockholm, Sweden.

Circulation
|August 30, 2000
PubMed
概括

由于冠状动脉疾病不稳定而住院的糖尿病患者面临更高的2年死亡和心血管事件的风险. 即使没有先前的心脏病,糖尿病患者也经历了与已确定的心血管疾病的非糖尿病患者相似的结果.

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科学领域:

  • 心脏病学 心脏病学
  • 糖尿病学 糖尿病学
  • 公共卫生 公共卫生

背景情况:

  • 不稳定的冠状动脉疾病 (CAD) 是冠状动脉护理单位入院的常见原因.
  • 在不稳定的CAD后的长期预后不太清楚,特别是对于糖尿病患者.
  • 糖尿病患者在心肌梗塞后的发病率和死亡率较高.

研究的目的:

  • 为了确定糖尿病患者与非糖尿病患者住院患有不稳定的心痛或非Q波心肌梗塞的2年预后.
  • 确定这些患者群体的风险因素和结果.

主要方法:

  • 从组织评估缺血综合征策略 (OASIS) 登记处收集的前性数据的分析.
  • 包括来自6个国家的8013名患者,1718人 (21%) 患有糖尿病.
  • 糖尿病患者和非糖尿病患者之间的两年结局的比较.

主要成果:

  • 糖尿病独立预测死亡率 (RR 1.57) 和不良心血管事件.
  • 糖尿病患者的冠状动脉旁路手术发生率更高.
  • 女性,特别是糖尿病女性,面临的风险明显高于男性.

结论:

  • 住院治疗不稳定性心痛或非Q波性心脏病发作预测高2年发病率和死亡率,特别是在糖尿病患者中.
  • 没有先前心血管疾病的糖尿病患者的发病率与已确诊疾病的非糖尿病患者相似.
  • 糖尿病严重恶化了急性冠状动脉综合征后的长期预后.