心血管风险和COVID-19大流行:基于人口和病例控制的研究
Małgorzata Chlabicz1,2, Jacek Jamiołkowski1, Marlena Dubatówka1
1Department of Population Medicine and Lifestyle Diseases Prevention, Medical University of Bialystok, ul. Waszyngtona 15B, Bialystok, 15-269, Poland.
Population health metrics
|July 19, 2024
概括
COVID-19大流行并没有增加初级预防的心血管 (CV) 风险. 然而,它鼓励在感染后的人群中提高健康意识和控制心血管风险因素.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- COVID-19 流行病已与全球疾病和死亡率的增加有关.
- 研究SARS-CoV-2影响心血管健康的机制至关重要.
- 了解大流行对心血管 (CV) 风险的影响对于公共卫生战略至关重要.
研究的目的:
- 评估COVID-19大流行对心血管 (CV) 风险的影响.
- 评估一般人群和COVID-19后个体中心血管风险因素的变化.
- 为了比较大流行之前和期间的CV风险得分.
主要方法:
- 这是一项基于人口和病例控制的研究,该研究于2018年至2022年期间在波兰的一个中心进行.
- 使用风险评估模型,包括SCORE2,SCORE2-OP,弗拉明汉心脏研究和LIFE-CVD.
- 根据2021年ESC指南将研究群体分为CV风险类别.
主要成果:
- 在大流行期间,一般人群的CV风险没有显著增加.
- 与对照组相比,COVID-19感染后的个体表现出较低的LDL-c水平.
- 在使用特定风险得分的后COVID-19人口中,CV风险被发现较低,尽管风险类频率没有变化.
结论:
- 由于COVID-19的流行,初级预防的CV风险并没有增加.
- 疫情提高了健康意识,从而改善了对某些心血管风险因素的控制.
- 建议利用从大流行中增加的健康意识进行公共卫生信息宣传活动.
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