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移民和非移民在心脏再同步治疗中的长期心血管结果:全国性的研究

Johanna Krøll¹, Søren Lund Kristensen¹, Camilla H B Jespersen¹

¹Department of Cardiology, The Heart Centre, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

|June 19, 2023

概括

心脏再同步治疗 (CRT) 对移民和非移民在心力衰竭住院和整体死亡率方面表现出类似的有效性. 然而,中东移民在CRT后的死亡率较高.

科学领域:

心脏病学心脏病学
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

欧洲接受心脏再同步治疗 (CRT) 的移民的结果没有得到充分的记录.
了解心力衰竭 (HF) 患者CRT疗效差异对于公平护理至关重要.

研究的目的:

为了比较CRT在丹麦移民和非移民人口中的有效性.
评估心力衰竭相关住院和CRT植入后所有原因死亡率的差异.

主要方法:

来自丹麦 (2000-2017年) 的全国注册数据确定了首次进行CRT植入的患者.
考克斯回归分析评估了5年内HF住院和所有原因死亡率的差异.
患者的起源被分类,重点是欧洲,中东和其他群体.

主要成果:

移民 (3.4%) 和非移民 (3.5%) 的CRT植入率相似.
在CRT后,这两组都显示出HF住院次数显著减少 (61%对57%的减少).
整体5年死亡率相似 (24.1%对25.8%),但来自中东的移民的死亡率更高 (HR=2.2).

结论:

心脏再同步治疗在丹麦的移民和非移民心力衰竭患者中表现出类似的疗效.
值得注意的例外是,中东移民的死亡风险更高.
心血管疾病导致的死亡率在两组中都占主导地位.

关键词:

在CRT中,CRT可以在CRT中使用.流行病学流行病学民族身份民族身份心脏衰竭是因为心脏衰竭.死亡率死亡率死亡率

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