中国先天性心脏病的18年演变:基于心声图数据库的研究
DanQing Hu1, TingXiang Lan2, YiFan Chen3
1Department of Cardiology, Fujian Medical University Union Hospital, Fujian Cardiovascular Medical Center, Fujian Institute of Coronary Artery Disease, Fujian Cardiovascular Research Center, Fuzhou, PR China; School of Health, Fujian Medical University, Fuzhou, PR China.
International journal of cardiology
|August 24, 2023
概括
18年来,中国的先天性心脏病 (CHD) 观察率下降,复杂病例减少. 然而,简单心血管疾病和成人心血管疾病的比例,特别是先天性大动脉缺陷,正在增加.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 关于中国先天性心脏病 (CHD) 演变的数据有限.
- 了解心血管疾病的趋势,特别是先天性大动脉缺陷 (CAVM) 和成人心血管疾病 (ACHD),对于公共卫生至关重要.
- 心声图是评估心脏病的关键诊断工具.
研究的目的:
- 在18年的时间里,分析了在中国观察到的CHD的速率和频谱变化.
- 专门调查先天性大动脉缺陷 (CAVM) 和成人心脏病 (ACHD) 的趋势.
- 评估简单与复杂心血管疾病比例的变化和干预率.
主要方法:
- 从2003年至2020年期间,对682,565个跨胸腔心声记录进行了回顾性审查.
- 在三个不同的时间段分析了37,200例被诊断为心血管疾病的病例.
- 随着时间的推移,慢性心血管疾病的流行率,复杂性,ACHD比例和干预率的统计比较.
主要成果:
- 观察到的CHD总病例率显著下降,从每1000例的106.72下降到67.43下降.
- 简单心脏病的比例增加,而复杂心脏病的比例下降 (p < 0.05).
- 成年人心脏病的比例,包括CAVM和有大动脉狭窄的CAVM,在所有时期显著增加 (p <0.05).
结论:
- 中国的CHD显示出总体观察率较低和复杂性降低的趋势.
- 简单心脏病和成人心脏病的患病率显著增加,CAVM是其中的一个重要组成部分.
- 冠心病患者的干预率也增加,反映出改善的管理和护理.
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