基于查方法和检测时间的基础上,各类心房动之间中风复发风险的时间变化差异
Alonso Alvarado-Bolanos1, Diana Ayan2, Facundo Lodol2
1Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Canada.
European stroke journal
|November 26, 2024
概括
在中风后检测到的心房动 (ECG-AF) 与已知的AF (KAF) 相比,在第一年内显示出复发风险降低. 长期监测 (AFDAS) 始终降低了缺血性中风复发风险与KAF相比.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 临床研究 临床研究
背景情况:
- 前庭动 (AF) 负担和检测时间影响缺血性中风 (IS) 复发风险.
- AF可以在中风前检测到 (称为AF-KAF),通过中风后的ECG (ECG-AF) 或长时间监测 (AFDAS).
研究的目的:
- 在KAF,ECG-AF和AFDAS患者中比较IS复发风险.
- 调查是否IS复发风险差异AF类型之间的时间变化.
主要方法:
- 对患有KAF,ECG-AF或AFDAS的IS/TIA患者进行了回顾性队列研究 (2018-2021).
- 调整后的危险比率 (aHR) 是使用考克斯的比例危险模型计算的.
- 时间变化的影响通过比例危险假设测试来评估.
主要成果:
- 在研究结束时ECG-AF和KAF之间IS复发风险没有显著差异 (aHR 0.67).
- 在第一年内,ECG-AF显示IS复发风险低于KAF (aHR 0.15).
- 在AFDAS中,IS复发风险始终低于KAF (aHR为0.22).
结论:
- 与EKG-AF相关的IS复发风险随着时间的推移而变化,与KAF相比.
- AFDAS与持续较低的IS复发风险相关,而不是KAF.
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