精神分裂症与心血管疾病发展之间的关系中的性别差异
Jin Komuro1,2, Hidehiro Kaneko1,3, Yuta Suzuki1,4
1The Department of Cardiovascular Medicine The University of Tokyo Tokyo Japan.
Journal of the American Heart Association
|February 27, 2024
概括
精神分裂症增加了男性和女性的心血管疾病 (CVD) 的风险. 然而,这种关联在女性中显著更强,突出了针对性别的预防策略的需要.
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:
- 关于精神分裂症与心血管疾病 (CVD) 联系的性别差异存在有限的数据.
- 了解这些差异对于有针对性的预防策略至关重要.
研究的目的:
- 调查精神分裂症和患心血管疾病的风险之间的关联.
- 探索这种关系中潜在的性别差异.
主要方法:
- 从JMDC索赔数据库 (2005-2022) 中回顾分析了4,124,508名个人 (18至75岁).
- 排除标准包括之前的心血管疾病或脏替代疗法.
- 在1288天的平均随访期间,追踪了主要心血管事件的复合终点.
主要成果:
- 精神分裂症与两性中复合心血管疾病事件的风险更高有关.
- 与男性 (HR 1.42) 相比,女性 (HR 1.63) 的相关性更强.
- 这种特定于性别的差异与胸痛,心力衰竭和心房动一致.
结论:
- 精神分裂症显著提高了随后心血管疾病事件的风险.
- 与男性相比,患有精神分裂症的女性患心血管疾病的风险更大.
- 在精神分裂症患者中预防心血管疾病的临床策略应考虑性别特异性因素.
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