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在坦桑尼亚原住民队列中表征非缺血性扩展性心肌病:MOYO研究
Lulu Said Fundikira1, Pilly Chillo1,2, Mohamed Z Alimohamed1,3
1Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania, Tanzania.
Global heart
|March 4, 2024
概括
在坦桑尼亚,非缺血性扩张性心肌病 (NIDCM) 往往具有已确定的原因,并迟迟出现. 异常性NIDCM患者较年轻,受影响更严重.
科学领域:
- 心脏病学 心脏病学
- 心脏衰竭研究研究
- 流行病学 流行病学
背景情况:
- 非缺血性扩张性心肌病 (NIDCM) 是全球心力衰竭的重要原因,每2500人中就有1人受到影响.
- 高发病率和死亡率与NIDCM有关,但坦桑尼亚的具体数据有限.
研究的目的:
- 在坦桑尼亚队伍中描述NIDCM.
- 评估NIDCM患者的人口统计,临床表现,成像发现和管理策略.
主要方法:
- 在Jakaya Kikwete心脏研究所对NIDCM患者 (≥18岁) 进行前性队列研究 (MOYO).
- 收集的数据包括临床信息,心声学 (LVEF ≤45%),心电图和冠状动脉血管学.
- 研究期:2020年2月至2022年3月.
主要成果:
- 招募了402名患者,54.7%是男性,平均年龄为55岁.
- 常见的NIDCM病因是:高血压 (54.2%),异常病 (28.9%),PPCM (11.2%).
- 大多数出现呼吸障碍 (85.1%) 和NYHA III类 (48.5%),严重的缩功能障碍 (LVEF <30%) 在51.7%.
结论:
- 大多数坦桑尼亚NIDCM患者有可识别的病因,并且患有晚期疾病.
- 与其他形式相比,异常性NIDCM与年轻和更严重的疾病有关.
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