在心肌梗塞后独自生活. 对预后的影响
1Department of Medicine, St. Luke's Roosevelt Hospital, New York, NY 10025.
JAMA
|January 22, 1992
概括
单独生活增加了心肌梗塞后发生重大心脏事件的风险. 然而,一段破裂的婚姻并不能独立地影响心脏病的预后.
科学领域:
- 心脏病学 心脏病学
- 心理社会医学 心理社会医学
- 公共卫生 公共卫生
背景情况:
- 心肌梗塞 (MI) 幸存者面临心脏事件复发的风险.
- 对心脏病发作后结果的预后因素对于患者管理至关重要.
- 诸如婚姻状况等社会因素对心脏病预后的影响需要进一步研究.
研究的目的:
- 调查是否破坏婚姻或单身生活是初始心肌梗塞后主要心脏事件的独立预后风险因素.
主要方法:
- 在随机双盲药物试验 (安慰剂组) 中的前性评估.
- 考克斯比例危险模型用于分析单身生活和婚姻破裂的数据.
- 确诊急性心肌梗塞的患者 (N=1234) 被跟踪1-4年.
主要成果:
- 单独生活成为重复性主要心脏事件的独立风险因素 (危险比:1.54,P <.03).
- 单独生活的患者6个月内心脏事件复发率为15.8%,而非单独生活的患者为8.8%.
- 婚姻破裂并不是一个独立的风险因素.
结论:
- 独自生活是肌肉梗塞后预后的一个重要独立风险因素.
- 婚姻中断似乎不是心脏病发作后心脏病发作的独立预测因素.
- 这些发现强调了社会支持系统在心脏恢复中的重要性.
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