在社区中无症状的 mitra 门脱落的自然史
Jean-François Avierinos1, Bernard J Gersh, L Joseph Melton
1Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minn 55905, USA.
Circulation
|September 11, 2002
概括
无症状的 mitra 漏 (MVP) 的结果有很大的差异. 识别风险因素,如中度至重度的 mitra regurgitation,可以预测严重的结果,而很少有风险因素表明出色的预后.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 流行病学 流行病学
背景情况:
- 由于并发症的发生率不一致,米特拉脱落 (MVP) 的预后受到争议.
- 无症状的MVP诊断和结果需要进一步的社区调查.
研究的目的:
- 在社区环境中调查无症状膜缩 (MVP) 的长期结果.
- 确定MVP患者心血管疾病发病率和死亡率的临床和心声学预测因素.
主要方法:
- 一项基于社区的队列研究,对833名奥姆斯特德县居民进行了研究,这些居民在1989年至1998年期间被诊断为无症状MVP.
- 通过心声学证实诊断;分析4581人年间的死亡率,心血管疾病和MVP相关事件.
- 风险因素分析包括:头回的严重程度,喷射率,左心脏大小,心脏小册子,心脏动和年龄.
主要成果:
- 10年死亡率为19%,中度至重度的额叶吐和低射出分数作为心血管死亡的主要风险因素.
- 二次风险因素 (轻微的额头肌吐,左心房扩大,心脏小册子,心房动,年龄≥50岁) 预测了心血管发病率.
- 具有0-1次要危险因子的患者有很好的结果 (10年死亡率5%),而具有≥2因子的患者患病率和MVP相关事件较高.
结论:
- 无症状MVP的自然史是高度可变的,一些患者经历了严重的并发症.
- 临床和心声回声学特征可以将患者分为不同的预后组.
- 大多数无症状的MVP患者的预后很好,但由于潜在的高发病率或死亡率,子集需要密切监测.
相关概念视频
Social Traps
Social traps are negative situations where people get caught in a direction or relationship that later proves to be unpleasant, with no easy way to back out of or avoid. The concept was orignally introduced by John Platt who applied psychology to Garrett Hardin's "Tragedy of the Commons", where in New England herd owners could let their cattle graze in the common ground. This situation seems like a good idea, but an individual could have an advantage. If they owned more cows, the larger...
Social Facilitation
Not all intergroup interactions lead to negative outcomes. Sometimes, being in a group situation can improve performance. Social facilitation occurs when an individual performs better when an audience is watching than when the individual performs the behavior alone. This typically occurs when people are performing a task for which they are skilled.
Classification of Illness
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe and...
Models of Health Promotion and Illness Prevention II
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results from...
The agent-host-environment model states that disease results from...
Therapeutic Drug Monitoring: Affecting Factors
Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.
Community Based Intervention
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...


