神经病变和心房的风险:一个观察性流行病学和门德尔随机化研究
Tae-Min Rhee1,2, JungMin Choi1, Eue-Keun Choi1,3
1Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
JACC. Asia
|February 19, 2024
概括
高度的神经性得分与患上心房动 (AF) 的风险增加有关. 这项研究证实了显著的纵向和因果关系,建议对高风险个体进行心理健康查.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 神经病症和心房动 (AF) 之间的关系以前没有被确立.
- 神经主义是一种性格特征,其特点是倾向于经历负面情绪.
研究的目的:
- 调查神经病变和发展AF的风险之间的流行病学和因果关系.
- 确定神经病变是否是AF的独立风险因素.
主要方法:
- 利用来自英国生物库的数据,这是一项大型前性队列研究.
- 通过12个领域的自我问卷来评估神经病症,将参与者分为高分和低分的组.
- 在流行病学分析中使用治疗权重的逆概率,并在因果推断中使用双样本的门德尔随机化.
主要成果:
- 总共有394,834名参与者被分析,其中23,509人在10年内发展出AF.
- 具有高神经性得分的个体表现出发生性AF的风险明显增加 (HR:1.05;95%CI:1.02-1.09).
- 门德尔随机化证实了神经病症得分较高和AF风险增加之间的显著因果关系 (OR:1.06;95% CI:1.02-1.11).
结论:
- 在神经病变和心房动之间建立了显著的纵向和因果关系.
- 建议综合护理,包括心理健康查和管理,可能有利于AF高风险人群.
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