在老年人群中无症状膜心脏病的患病率:基于社区的回声心脏学研究
Vasiliki Tsampasian1,2, Cristian Militaru1, Sathish Kumar Parasuraman1
1Norwich Medical School, University of East Anglia, Rosalind Franklin Road, Norwich NR4 7UQ, UK.
European heart journal. Cardiovascular Imaging
|June 26, 2024
概括
无症状的膜心脏病 (VHD) 影响超过四分之一的60岁以上的成年人,临床上显著的VHD在2.4%中被发现. 年龄是主要的风险因素,强调了对老年人群进行查的必要性.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 在老年人群中无症状的心病 (VHD) 的患病率在很大程度上是未知的.
- 人口老龄化需要了解未被诊断的VHD的负担.
研究的目的:
- 在60岁及以上的个人中确定无症状VHD的患病率和相关因素.
- 评估在这个人口群体中使用心声回声学进行VHD查的可行性.
主要方法:
- 英国的前性队列研究 (2007-2016) 涉及4237名年龄≥60岁的合格参与者.
- 参与者接受了健康问卷,临床检查和胸前心脏回声扫描.
- 排除微不足道的反;专注于临床上显著的VHD.
主要成果:
- 超过四分之一的参与者 (28.2%) 患有VHD,最常见的是三管,二管和大动脉吐.
- 临床显著的VHD (中度/严重) 在2.4%的个体中存在.
- 年龄是与VHD相关的唯一显著因素 (或每年增加1.07,P<0.001).
结论:
- 无症状VHD在60岁以上的健康人群中普遍存在.
- 年龄是显著VHD的强有力的预测因素,支持有针对性的查.
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