韩国与西方的运动能力诺莫格拉姆,用于韩国心血管疾病患者
Soohyung Park1, Byambakhand Battumur1, Seo Yeon Yoon2
1Division of Cardiology, Department of Medicine, Korea University Guro Hospital, Seoul, Korea.
Journal of Korean medical science
|June 13, 2023
概括
一个韩国运动能力的诺米图比西方的更好地预测韩国患者的心血管事件. 这些患者的运动能力较低表明患有重大心血管不良事件 (MACE) 的风险较高.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 运动能力是心血管事件和死亡率的关键预测因素.
- 以前的研究主要集中在西方人群上,因此需要针对亚洲患者的特定种族数据.
- 心血管疾病 (CVD) 风险分层需要准确的预后工具,适合不同种族群体.
研究的目的:
- 为了比较韩国和西方的Nomograms对韩国心血管疾病患者的运动能力的预后准确性.
- 为了确定韩国特异性名录能否改善主要不良心血管事件 (MACE) 的预测.
- 突出种族因素在评估心血管风险的运动能力时的重要性.
主要方法:
- 对1178名韩国心血管疾病患者进行了回顾性队列研究,这些患者被转诊进行心肺运动测试.
- 在跑步机测试期间使用直接气体交换以代谢等价物 (MET) 测量运动能力.
- 使用韩国和西方名字来定义较低的运动能力MACE预测的比较.
主要成果:
- 较低的运动能力 (<85%预测) 通过韩国名谱显著增加了MACE风险 (HR 2.20).
- 韩国名录识别了运动能力作为MACE的强有力的独立预测因素,与LVEF,年龄和血红蛋白一起.
- 西方名图未能预测这一韩国队列中的MACE (HR 1.33).
结论:
- 韩国心血管疾病患者的运动能力较低与MACE的风险显著增加有关.
- 与西方名录相比,韩国名录是评估运动能力和预测韩国患者心血管事件的更合适的参考.
- 心血管健康的种族差异强调了在心血管医学中需要特定于人群的预后工具的需要.
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