在英国心房的种族差异
Emilie K Frimodt-Møller1,2, Janet J Tang1, Tor Biering-Sørensen2,3
1Division of Cardiology, University of California-San Francisco, San Francisco, California, USA.
JACC. Advances
|January 16, 2025
概括
在英国,白人患心房风险最高,但AF诊断后中风风险没有因种族而异. 这表明,获得医疗保健可能无法解释美国AF和中风的种族差异.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在美国,与其他群体相比,白人有较高的心房动 (AF) 风险,但心房动中风风险较低.
- 美国医疗保健的差异性可能解释了这些差异.
- 英国的社会化医疗系统为研究AF和中风风险的种族差异提供了一个独特的环境.
研究的目的:
- 调查英国心房动 (AF) 和AF相关的中风/全身心脏病发作风险的种族差异.
- 确定在英国普遍获得医疗保健是否能缓解在美国观察到的种族差异.
主要方法:
- 利用了英国生物库的纵向数据 (2006-2020年).
- 按种族分类的参与者:白人,黑人,南亚人,中国人和多种族.
- 从电子健康记录中确定发生的AF,中风和全身性心脏病发作.
主要成果:
- 在458,785名参与者中,白人的AF发病率最高.
- 与白人相比,黑人,南亚人和中国人表现出明显较低的AF风险 (HRs <0.60).
- 在AF诊断后的中风或全身性心脏病发作风险中没有发现显著的种族差异,尽管事件数量很少.
结论:
- 英国 (全民医疗环境) 的白人患有AF风险最高.
- 在这个英国人群中,在AF相关的中风或全身性心脏病发作风险中没有发现种族差异.
- 研究结果表明,除了医疗保健之外的因素可能会影响AF和随后中风风险的种族差异.
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