心脏性休克导致心肌梗塞并发症的长期结果
Lee H Sterling1, Shannon M Fernando2, Robert Talarico3
1CAPITAL Research Group, Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Journal of the American College of Cardiology
|August 30, 2023
概括
随着时间的推移,急性心肌梗塞与心脏性休克 (AMI-CS) 的死亡率仍然很高,并没有很大的改善. 幸存者面临显著的长期发病率,包括高回收率和死亡率.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 公共卫生 公共卫生
背景情况:
- 带有心脏性休克的急性心肌梗塞 (AMI-CS) 有较高的短期死亡率.
- 关于AMI-CS患者的长期结果和趋势的数据有限.
研究的目的:
- 检查 AMI-CS. 严重病情的成年患者的长期结果和生存趋势.
主要方法:
- 在加拿大安大略省 (2009-2019) 进行基于人口的回顾性队列研究.
- 包括9789名成年AMI-CS患者入院于135个中心.
- 使用链接的卫生行政数据库来捕获结果数据.
主要成果:
- 在研究期间,AMI-CS发病率为每10万人/年8.2,在研究期间增加.
- 住院死亡率为30.2%,一年死亡率为40.9%,五年死亡率为58.9%.
- 幸存者面临高发病率:47.5%在1年内重新入院,15.3%在出院后1年内死亡.
结论:
- 对AMI-CS的短期和长期死亡率很高,随着时间的推移,改善的程度很小.
- AMI-CS幸存者经历了显著的发病率,高回收率和死亡率.
- 需要进一步的研究,以确定能降低出院后发病率和死亡率的干预措施.
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