在自身免疫性疾病中,心室心律不整的长期发病率
Guoli Sun1,2, Emil L Fosbøl1, Morten Schou3
1Department of Cardiology, Copenhagen University Hospital-Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.
European journal of preventive cardiology
|March 28, 2024
概括
与一般人群相比,患有自身免疫性疾病 (AID) 的患者面临心室心律失常 (VAs) 的风险更高. 这项研究强调了各种艾滋病患者的长期VA率的增加.
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:
- 自身免疫性疾病 (AID) 与心血管并发症有关.
- 有限的数据存在于长期发病率的腹腔失常 (VA) 在整个AIDs的频谱.
研究的目的:
- 调查28种不同的艾滋病史患者的VA长期发病率.
- 为了比较艾滋病患者和普通人群之间的VA发病率.
主要方法:
- 丹麦全国范围的登记处确定了186,733名艾滋病患者 (2005-2018).
- 每个患者与四个对照组相匹配 (共746,932人).
- 多变量考克斯回归分析了VA率,并调整了潜在的混因素.
主要成果:
- 在5年内,VA的累积发病率在AID患者中为0.5%,对照组为0.3%.
- 患有任何AID的患者有39%更高的静脉动脉率 (HR 1.39; 95% CI, 1.29-1.49).
- 系统性硬化症的风险最高 (HR 3.86;95% CI,1.92-7.75).
结论:
- 患有AID的个体具有显著更高的VA的相对比率.
- 这种增加的风险甚至在没有先前存在的缺血性心脏病或心力衰竭的患者中也可见.
相关概念视频
Disturbances in Heart Rhythm
950
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
950
Mechanism of Cardiac Arrhythmias
918
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
918
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
213
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
213
Autoimmune Disorders
430
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
430
Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers
741
Adrenergic stimulation generally impacts cardiac rate and rhythm. Specifically, stimulation of the β-adrenoceptors triggers an increase in intracellular calcium ion influx and pacemaker currents, which may cause arrhythmias. Catecholamines like adrenaline also demonstrate β2-adrenoceptor-mediated hypokalemia, impacting cardiac action potential and disrupting the normal cardiac rhythm. Class II antiarrhythmic drugs are β-adrenoceptor antagonists or β-blockers, which...
741
Antiarrhythmic Drugs: Class III Agents as Potassium Channel Blockers
988
Class III antiarrhythmic drugs are a group of medications that can prolong action potentials in the heart. They achieve this by blocking potassium channels or enhancing inward currents from sodium channels. However, these drugs have a unique property of "reverse use-dependence," which is most pronounced at slower heart rates and can lead to torsades de pointes—a specific type of arrhythmia. However, it is essential to note that excessive QT interval prolongation—a measure of...
988


