心力衰竭的流行病学在农村的查蒂斯加尔,印度
Abhisake Kole1, Anup Agarwal1, Bhavna Seth2
1Jan Swasthya Sahyog, Bilaspur, Chhattisgarh, Jharkhand, India.
The National medical journal of India
|May 1, 2024
概括
印度农村的心力衰竭 (HF) 患者是年轻人,主要是女性. 心肌病,风湿性心脏病和与结核病相关的右心力衰竭是常见的原因.
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:
- 心血管疾病,特别是心力衰竭,是印度死亡和残疾的主要原因.
- 现有的研究往往忽略了农村地区最贫穷的人口,限制了概括性.
- 这项研究侧重于印度查蒂斯加尔农村的一个二级护理医院的高烧热流行病学.
研究的目的:
- 调查印度农村地区心力衰竭患者的人口特征和风险因素.
- 确定心力衰竭在这个服务不足的人群中最常见的病因类别.
- 为了确定特定风险因素和HF亚型之间的潜在关联.
主要方法:
- 在2018年住院的88名HF患者的回顾性图表审查.
- 收集人口统计数据和高频预先存在的风险因素.
- 对心声回声图进行审查,以将患者分类为可能的HF类别.
主要成果:
- 研究群体包括88名HF患者,平均年龄为42岁,其中62.5%为女性.
- 最常见的HF类别是心肌病 (36.8%),风湿性心脏病 (RHD; 25.3%),以及右心力衰竭 (RHF; 18.4%).
- 在RHF患者 (43.8%) 中,与其他HF类型 (13.9%) 相比,先前结核病的患病率更高.
结论:
- 印度中部农村的心力衰竭患者主要是年轻人,主要是女性.
- 这种人群中HF的常见原因包括心肌病,RHD和与过去的结核病相关的RHF.
- 进一步的研究是必要的,以了解HF风险因素和农村贫困人口的结果.
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