心脏应力测试的患者中呼吸障碍的频率越来越高
Alan Rozanski1, Heidi Gransar2, Sakul Sakul3
1Division of Cardiology and Department of Medicine, Mount Sinai Morningside Hospital, Mount Sinai Heart, and the Icahn School of Medicine at Mount Sinai, New York, NY, USA. alan.rozanski@mountsinai.org.
呼吸不全或呼吸短促在接受心脏应力测试的患者中越来越常见. 这种日益增长的患病率与较高的死亡风险有关,突出显示需要进一步调查.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 呼吸不良是一种常见的症状,促使进行心脏应力测试.
- 了解其不断变化的患病率和预后影响对于患者护理至关重要.
研究的目的:
- 评估心脏应力测试转诊的患者中呼吸障碍的频率,患病率的变化和预后意义.
- 评估呼吸障碍和全因死亡率之间的关联.
主要方法:
- 从2002年到2017年,追溯分析了33564名接受压力/休息SPECT-MPI的患者.
- 呼吸障碍通过单项问题进行评估;患者被分为三个时间队列.
- 统计分析以确定流行趋势和死亡风险.
主要成果:
- 呼吸障碍的总体患病率为30.2%,随着时间的推移逐步增加 (从2002-2006年的25.6%到2012-2017年的38.7%).
- 在所有年龄,症状和风险因素子组中观察到患病率增加.
- 呼吸障碍与较高的调整后死亡风险比率有关.
结论:
- 呼吸障碍在接受心脏应力测试的患者中越来越普遍,影响近五分之二的近期队列.
- 需要进一步的前性研究来标准化呼吸困难的评估,并探索呼吸困难患病率上升的原因.
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