缺血性心脏病和纤维肌痛之间存在双向联系
Mahmoud Mansour1,2, Scott Ehrenberg1,2, Naim Mahroum1,2
1Department of Medicine 'B', Sheba Medical Center, Tel-Hashomer.
Coronary artery disease
|January 11, 2024
概括
纤维肌痛 (FM) 与缺血性心脏病 (IHD) 的更高风险有关. 即使考虑到心血管风险因素,这种双向关联仍然存在,这表明例行查很重要.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 流行病学 流行病学
背景情况:
- 纤维肌痛 (FM) 是一种常见的疾病,引起广泛的疼痛和其他症状.
- 已经提出了FM和心血管事件,特别是缺血性心脏病 (IHD) 之间的潜在联系.
- 了解这种关联对于患者管理至关重要.
研究的目的:
- 为了调查纤维肌痛和缺血性心脏病之间的联系.
- 要确定该关系是否是双向的.
- 在调整心血管风险因素和抑郁症后评估相关性.
主要方法:
- 一项基于人口的横截面研究,使用来自以色列克莱利特医疗服务公司的电子健康记录.
- 根据至少两项记录的诊断,确定了患有 FM 和 IHD 的患者.
- 用逻辑回归来比较 FM 患者和匹配的健康对照之间的 IHD 发生率.
主要成果:
- 这项研究包括18598名 FM 患者和36985名对照人群.
- 与对照组 (6.2%) 相比, FM 患者的 IHD 患病率明显高 (9.2%).
- FM显示与IHD (OR 1.43) 有独立的关联,IHD与FM (OR 1.40) 有独立的关联.
结论:
- 纤维肌痛和缺血性心脏病之间存在双向联系.
- 这种关联在调整传统心血管风险因素后仍然很重要.
- 在FM患者中常规查IHD,反之亦然,可能具有临床意义.
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