精神疾病和随后的心血管疾病风险:在三个国家进行的纵向匹配队列研究
Qing Shen1,2,3, Dorte Helenius Mikkelsen4, Laura Birgit Luitva5
1Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, Tongji University School of Medicine, Shanghai, China.
EClinicalMedicine
|July 10, 2023
概括
患有精神疾病的患者面临更高的心血管疾病 (CVD) 风险,特别是在诊断后的第一年内. 这种高风险不论家族病史如何,都会持续存在,这凸显了精神病治疗中对心血管疾病综合监测的必要性.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 精神疾病与心血管疾病 (CVD) 风险增加有关.
- 家庭因素和特定疾病途径的影响仍然不清楚.
研究的目的:
- 调查精神疾病与心血管疾病事件之间的关联.
- 确定疾病轨迹,将精神疾病与心血管疾病联系起来,考虑家庭因素.
主要方法:
- 在瑞典 (N=900,240),丹麦 (N=875,634) 和爱沙尼亚 (N=30,656) 的纵向队列研究.
- 在患有精神疾病的患者中,心血管疾病发病率与未受影响的兄弟姐妹和匹配的对照进行比较.
- 利用灵活的参数模型和疾病轨迹分析.
主要成果:
- 与兄弟姐妹和对照人群相比,患有精神疾病的患者心脏病发病率明显高 (HR为第一年1.88,随后为1.37).
- 疾病轨迹揭示了精神疾病与高血压,缺血性心脏病和中风等疾病之间的直接联系.
- 在瑞典,丹麦和爱沙尼亚队伍中,研究结果是一致的.
结论:
- 精神疾病增加心血管疾病的风险独立于家族因素,特别是在诊断后的第一年.
- 综合性心血管疾病监测和风险因素管理对于患有精神疾病的患者至关重要.
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