在皮肤冠状动脉干预患者中,晚睡和主要不良心血管事件之间存在关联
Xiao-Qing Lian1, Kun Jiang1, Xiang-Xuan Chen1
1Department of Cardiology, The Affiliated Jiangning Hospital of Nanjing Medical University, 169 Hushan Road, Nanjing, 211100, Jiangsu Province, China.
BMC public health
|August 3, 2024
概括
晚睡会增加经过皮肤冠状动脉干预 (PCI) 的患者发生重大心血管不良事件 (MACE) 的风险. 采取早睡习惯对于改善这些人的预后至关重要.
科学领域:
- 心脏病学 心脏病学
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 晚睡是越来越令人担忧的,它会对健康产生不利影响.
- 接受皮肤冠状动脉干预 (PCI) 的患者是脆弱人群.
- 了解睡眠时间和心血管结果之间的联系至关重要.
研究的目的:
- 调查睡眠开始时间和主要不良心血管事件 (MACE) 之间的联系.
- 评估睡眠时间对PCI后患者预后的影响.
主要方法:
- 在426名PCI患者中,睡眠开始时间被分类 (在22:00之前,22:00到22:59,23:00到23:59,≥24:00).
- 随访时间的中位数是35个月.
- 考克斯比例危险回归分析了睡眠时间和复合终点事件 (CEEs) 之间的关系.
主要成果:
- 与睡在22:00-22:59之间 (调整HR:5.089) 的患者相比,在24:00或之后睡觉的患者心肌痛 (AP) 的发病率显著更高.
- 晚睡时间 (≥24:00) 与CEE风险增加有关,包括心肌梗塞,心力衰竭住院治疗和因任何原因死亡 (调整HR:3.156).
结论:
- 晚睡与MACE的风险增加和PCI患者的预后较差有关.
- 对于患有PCI的患者来说,鼓励早睡习惯对于减轻心血管风险至关重要.
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