在一般人群中,基线心电图左心室缩与未来功能下降的关联
Shota Ikeda1, Keisuke Shinohara2, Koshiro Tagawa3
1Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Scientific reports
|January 3, 2024
概括
电心图左心室缩 (LVH) 是一般人群中功能下降的预测因素. 在健康检查期间早期检测LVH可以识别患有不良结局风险较高的人.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
背景情况:
- 电心图左心室缩 (LVH) 与高血压患者的不良结果有关.
- 它对一般人群功能下降的预测价值仍然不太了解.
研究的目的:
- 调查心电图 LVH 与未来功能下降之间的关联.
- 评估LVH查在一般人口健康检查中的有用性.
主要方法:
- 一项基于人口的队列研究,从2010-2019年对19,825名参与者进行了研究.
- 以明尼苏达州代码定义的电心图LVH;通过估计的膜过率 (eGFR) 降低,功能下降.
- 随访时间平均为3.4年.
主要成果:
- 电心图LVH在1263名参与者中存在.
- 在非LVH和LVH组中,功能下降的发病率分别为0.30和0.78/100人年.
- 显著与增加功能下降风险相关 (aHR为1.69;95% CI为1.14-2.50).
结论:
- 电心电图 LVH 是预测一般人群功能下降的有价值指标.
- 在健康检查期间对LVH进行查,可以帮助识别患有主动护的风险人群.
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