肺高血压:心房动患者中风的一个尚未研究的风险因素
Georges Khattar1, Ahmad Mustafa1, Fasih Sami Siddiqui1
1Department of Internal Medicine, Staten Island University Hospital/Northwell Health, Staten Island, New York 10305, USA.
概括
肺高血压 (PH) 在心房动 (Afib) 患者中显著增加中风风险. 这项研究证实PH是Afib患者缺血性,出血性中风和TIA的独立风险因素.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 肺部病理学 肺部病理学
背景情况:
- 心房动 (Afib) 是主要的中风风险因素,通常使用CHADsVAsc评分进行评估.
- 肺高血压 (PH) 之前没有被评价为Afib患者中风风险的一个独立因素.
研究的目的:
- 调查肺高血压 (PH) 是否是心房动 (Afib) 患者中风的独立风险因素.
主要方法:
- 使用国家住院患者样本数据库进行的回顾性病例控制研究.
- 包括患有Afib的患者,但不包括先前患有中风或血栓塞栓性疾病的患者.
- 使用贪倾向匹配和二进制后勤回归来评估PH作为独立的中风风险因素.
主要成果:
- 肺高血压 (PH) 在6.5%的Afib患者中存在,并与较高的缺血性中风,出血性中风和TIA相关.
- 在匹配后,PH独立增加了缺血性中风 (OR 1.2),出血性中风 (OR 2.4) 和TIA (OR 2.2) 的风险.
- 此外,PH还与Afib患者住院时间和死亡率的增加有关.
结论:
- 肺高血压 (PH) 独立地提高了心房动 (Afib) 患者的所有类型中风的发病率.
- 这项大规模研究强调了PH对AFib患者中风风险,死亡率和住院时间的重大不良影响.
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