在老年人群中,心房动与失眠的关联
Justin Nguyen1, Neil Mookerjee1, Prashant Koirala2
1Cooper Medical School of Rowan University, Camden, NJ, USA.
Journal of primary care & community health
|November 7, 2024
概括
失眠显著增加了老年人的心房动 (AF) 的风险. 这项研究发现,在患有失眠的患者中,AF的几率几乎增加了两倍,这突显了睡眠与心脏健康之间的关键联系.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 睡眠医学 睡眠医学
背景情况:
- 失眠是一种普遍的睡眠障碍,影响着全球人口的很大一部分.
- 现有研究表明,失眠与心房动 (AF) 的风险增加之间存在潜在联系,特别是在成年人中,尽管老年人的证据不那么强大.
- 心房动 (AF) 影响了美国数以百万计的人,代表了主要的公共卫生问题,特别是在老年人中.
研究的目的:
- 研究失眠和心房动 (AF) 之间的联系,特别是在老年患者群体中.
- 为了比较老年患者与没有AF之间的失眠和其他并发症的患病率.
主要方法:
- 对在内部医学办公室接受护理的老年患者进行了电子病历的回顾性审查.
- 患者被分为两组:被诊断为AF的患者和没有AF (NOAF) 的患者.
- 在AF和NOAF组之间比较了失眠和各种其他疾病,以确定关联.
主要成果:
- 在2428名患者中,341名 (14%) 患有AF. 与NOAF组相比,患有AF的患者年龄大得多,男性患者的发生频率更高.
- 失眠的频率在AF组 (14.1%) 与NOAF组 (9.5%) 相比显著更高.
- 失眠与AF的几率显著增加 (OR=1.972,P<.001),并且AF与包括脑血管事故,冠状动脉疾病,充血性心力衰竭和慢性病在内的众多并发症有着强烈的关联.
结论:
- 在老年人群中,失眠与心房动有显著的关联.
- 这些发现强调了将失眠视为老年人AF潜在风险因素的重要性.
- 进一步研究失眠和AF之间的联系机制可能会揭示在老年人中预防心血管疾病的新治疗点.
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