根据社会经济地位的动脉硬的预后值
Woo-Hyun Lim1, Hack-Lyoung Kim1, Hyun Sung Joh1
1Division of Cardiology, Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul 07061, Republic of Korea.
Journal of clinical medicine
|November 14, 2023
概括
腕脉冲波速率 (baPWV) 在低社会经济地位的个体中有效预测主要不良心血管事件 (MACE). 这种简单的动脉硬度测量可以帮助脆弱人群的风险分层.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 公共卫生 公共卫生
背景情况:
- 低社会经济地位 (SES) 与心血管风险增加和更差的结果有关.
- 动脉硬度,用手臂脚脉冲波速率 (baPWV) 来衡量,是心血管疾病的一个关键风险因素.
- 在低SES群体中baPWV的预后值需要进一步调查.
研究的目的:
- 评估baPWV的预后价值,用于预测低社会经济地位的个体的主要不良心血管事件 (MACE).
- 在不同社会经济群体中比较baPWV的预测性能.
主要方法:
- 对1266名没有先前心血管疾病的受试者的回顾性分析.
- 纳入国家医疗保险受益人 (NHIB) 和医疗援助受益人 (MAB) 通过倾向分数匹配.
- 评估MACE,包括心血管死亡,心肌梗塞,中风,再血管化和心力衰竭入院.
主要成果:
- 总共有77个MACE病例 (6.1%) 在平均4.2年的随访期间发生.
- 多变量考克斯回归证实baPWV是NHIB和MAB组MACE的显著预测因子.
- 从ROC分析中获得的baPWV显示出最强的预测值,特别是在NHIB组 (HR 5.80).
结论:
- 在NHIB和MAB种群中,baPWV是未来MACE的重要预测因素.
- baPWV的简单性和成本效益使其成为低SES个体的有价值的风险分层工具.
- 常规的baPWV测量可以改善服务不足人群的心血管风险评估.
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