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患有先天性心脏病的成年人的痴呆风险:基于人口的队列研究
Carina N Bagge1, Victor W Henderson2,3, Henning B Laursen2
1Departments of Clinical Epidemiology (C.N.B., V.W.H., H.B.L., K.A., M.O., N.L.M.) c.n.bagge@gmail.com.
Circulation
|February 15, 2018
概括
患有先天性心脏病的成年人患痴呆的风险增加了60%. 这种风险在早期痴呆症中特别高,突显了进一步研究和预防策略的必要性.
科学领域:
- 心脏病学
- 神经学
- 公共卫生
背景情况:
- 患有先天性心脏病 (CHD) 的成年生存率有所增加.
- 心脏病与痴呆的危险因素有关.
- 在患有冠状动脉疾病的成年人中需要调查痴呆风险.
研究的目的:
- 将心脏病成年人的痴呆风险与普通人群进行比较.
- 确定与心血管疾病患者痴呆相关的特定风险因素和人口统计数据.
主要方法:
- 一个使用丹麦医疗登记的队列研究.
- 包括1963年至2012年期间被诊断患有心脏病的10,632名成年人.
- 匹配的一般人口队列进行比较,并追踪到2012年.
主要成果:
- 患有心血管疾病的成年人患痴呆的总体风险增加了1. 6倍.
- 严重的心脏病与痴呆症的风险高出2. 0倍.
- 早期痴呆的风险在心血管疾病组中高出2. 6倍.
结论:
- 遗传性心脏病与痴呆的风险增加有关.
- 早期痴呆症是患有心脏病的成年人的一个重大问题.
- 需要对冠状动脉疾病患者的痴呆风险进行进一步的研究.
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