研究冠状动脉化和心房动之间的联系:系统性审查和元分析
Faezeh Tabesh1, Zahra Arjmand2, Zahra Teimouri-Jervekani1
1Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Medicine
|October 21, 2024
概括
冠状动脉化 (CAC) 与心房动 (AF) 密切相关. 该协会强调CAC是评估AF风险的潜在因素,强调了心血管健康的复杂性.
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:
- 冠状动脉化 (CAC) 和心房动 (AF) 具有共同的风险因素,如高血压和糖尿病.
- 调查CAC-AF联系可能会揭示共享的机制和风险概况.
研究的目的:
- 系统地审查有关冠状动脉化和心房动之间的关联的观察性研究.
- 综合目前关于CAC和AF患病率和结果之间的关系的证据.
主要方法:
- 在PubMed,Scopus,ISI和谷歌学者 (2000-2023) 的系统文献搜索.
- 包括观察性研究 (队列,病例控制,横截面) 在报告CAC和AF协会的成年人.
- 排除没有完整文本,非英语出版或数据不足的研究.
主要成果:
- 包括14项观察性研究,主要是队列和病例控制.
- 所有研究都报告了AF患者中CAC和增加主要心血管不良事件 (中风,死亡率) 之间的联系.
- 在冠状动脉化得分 (CACS) 类别中,AF的患病率有所不同,冠状动脉化得分 (CACS) 的个体中显著比例为0.
结论:
- 在冠状动脉化和心房动之间存在强有力的和一致的关联.
- 在AF风险评估中应考虑CAC,承认AF的多因素性质.
- 进一步的研究可能会阐明CAC和AF之间的共享病理生理路径.
相关概念视频
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
3
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
3
Coronary Artery Disease I: Introduction
3
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
3
Atherosclerosis II: Clinical manifestations and prevention
1
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
1
Coronary Artery Disease II: Pathophysiology
3
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
3
Imaging Studies for Cardiovascular System III: X-Ray
149
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
149
Coronary Artery Disease IV: Medical Management
3
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
3


