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休息时心率升高与慢性病患者的死亡率有关
Hirotaka Saito1, Kenichi Tanaka2,3, Hiroki Ejiri1
1Department of Nephrology and Hypertension, Fukushima Medical University, 1 Hikariga-Oka, Fukushima City, Fukushima, 960-1295, Japan.
Scientific reports
|July 29, 2024
概括
在非透析慢性病 (CKD) 患者中,休息心率较高与全因死亡率增加有关. 这一发现强调了监测心率在CKD患者中的重要性,以获得更好的结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 心率升高是一般人群死亡率和心血管事件的已知危险因素.
- 在非透析依赖慢性病 (CKD) 患者中,心率升高和不良结果之间的关联仍未得到充分研究.
研究的目的:
- 调查静止心率和临床不良结果之间的关联,包括全因死亡率和心血管事件,在非透析依赖的CKD患者中.
主要方法:
- 福岛CKD队列研究检查了1353名参与者.
- 考克斯比例危险分析用于评估静止心率 (分为四组) 和结果之间的关联.
- 研究期间的中位数为4.9年,所有原因死亡率和心血管事件分别是主要和次要结局.
主要成果:
- 与心率<70/分钟相比,所有原因死亡率的调整后危险比为1.74 (≥80和<90/分钟) 和2.61 (≥90/分钟).
- 在心率≥80和<90/分组 (调整HR1.70) 观察到心血管事件的风险显著增加,但在≥90/分组 (调整HR1.45) 没有.
结论:
- 在非透析依赖的CKD患者中,更高的休息心率与所有原因死亡率的增加有显著关联.
- 休息时心率升高可能是这种患者群体不良结果的预测因素.
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