美国中东社区的心房的患病率和管理模式:一项回顾性研究
Mohamad Raad1, Christopher Lewis1, Mohamed Ramzi Almajed2
1Section of Electrophysiology, Division of Cardiology, Henry Ford Hospital, Detroit, MI, USA.
概括
与密歇根州东南部的白人患者相比,中东和黑人患者的心房动 (AF) 较少. 这项研究突出了中东人口中较低的AF患病率和风险因素.
科学领域:
- 心脏病学 心脏病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 心房动 (AF) 是美国普遍存在的心脏节律失常症,患病率和经济影响不断增加.
- 现有研究表明,AF在种族和族裔群体之间存在不同的发病率,特别是黑人群体的发病率较低.
- 没有先前的研究专门调查了美国中东社区的AF患病率.
研究的目的:
- 确定和比较中东患者中心房的患病率.
- 分析中东地区的AF患病率模式,相对于密歇根州东南部的白人和黑人患者群体.
- 确定这些人群中与AF相关的人口和临床特征.
主要方法:
- 追溯的横截面研究设计.
- 来自密歇根州东南部的一大队列919,454名患者的分析.
- 用多变量分析对中东,黑人和白人患者群体的AF患病率进行比较.
主要成果:
- 总体AF患病率约为5%,中东 (2.8%) 和黑人 (3.4%) 患者的患病率较低,而白人患者 (6.5%) 的患病率较低.
- 中东的AF患者比白人患者年轻,心血管风险因素较少.
- 多变量分析证实,中东和黑人种族身份独立地与AF的可能性较低有关.
结论:
- 与白人相比,密歇根州东南部的中东和黑人个体的心房的患病率较低.
- 中东地区的AF患者表现出明显的特征,包括年龄较小和心血管风险因素降低.
- 这些发现强调了考虑AF患病率和风险分层的种族和种族差异的重要性.
相关概念视频
01:28Disturbances in Heart Rhythm
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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...
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01:28Mechanism of Cardiac Arrhythmias
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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.
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01:30Pulse rhythm
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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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