皮肤冠状动脉干预后片消费的长期影响:10年随访研究
Ali Izadi Amoli1, Alireza Oraii1, Faezeh Aghajani2
1Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Global heart
|April 29, 2024
概括
片使用显著增加了长期死亡率和主要不良心脏和脑血管事件 (MACCE) 风险超过50%在皮肤穿冠状动脉干预 (PCI) 后的患者. 这凸显了对成干预策略的需要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 片消费是伊朗普遍存在的健康问题.
- 在重血管化后,片使用对心血管结果的影响尚不清楚.
研究的目的:
- 调查片消费与皮肤穿透冠状动脉干预 (PCI) 后的长期心血管结果之间的关联.
主要方法:
- 分析了2025名接受选择性PCI的患者队列.
- 片使用是自我报告的;结果包括全因死亡率和MACCE.
- 用治疗权重的逆概率 (IPTW) 来评估关联.
主要成果:
- 片使用者 (14.6%) 在中位数为10.7年的随访后,所有原因死亡率 (IPTW-HR=1.705) 和MACCE (IPTW-HR=1.578) 的风险显著增加.
- 在片使用者中观察到非致命的心肌梗塞和死亡率增加的趋势.
结论:
- 片消费与PCI后的长期死亡率和MACCE风险大幅增加有关.
- 针对片成的预防策略对于这种患者群体至关重要.
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