癌症患者的心律不整使用日本全国性基于索赔的数据库
Takashi Kobayashi1,2,3,4, Kengo Kusano1
1Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Japan.
Journal of arrhythmia
|July 16, 2025
概括
在心律失常患者中经常观察到癌症,随着时间的推移,患病率会增加. 与没有癌症的患者相比,这些患者的某些并发症和功能障碍的发病率也更高.
科学领域:
- 心脏瘤学 - 心脏瘤学
- 流行病学 流行病学
- 心血管疾病 心血管疾病
背景情况:
- 心脏瘤学是一个新兴的医学学科.
- 之前的研究没有利用全国性的索赔数据来调查日本癌症与心律失常的联系.
研究的目的:
- 通过日本全国索赔数据库检查癌症和心律失常之间的关联.
- 为了确定癌症患者心律失常的患病率和特征.
主要方法:
- 利用JROAD-DPC (所有心血管疾病的日本注册 - 诊断程序组合) 全国索赔数据库.
- 分析了来自1119家医院的11,297,525份记录 (2012年4月 - 2021年3月).
- 专注于2,976,362名心律失常患者,按癌症状况分类.
主要成果:
- 癌症在7.51%的住院心律失常患者中存在,随着时间的推移,患病率增加.
- 心房动 (AF) 和/或心房动 (AFL) 是最常见的心律失常症 (70.6%的癌症患者).
- 患有癌症的心律失常患者的巴塞尔指数得分较高,尿血过高和慢性病 (CKD) 的患病率增加. 肺炎是一种主要的传染性并发症.
结论:
- 癌症是患有心律失常的患者常见的并发症,其患病率正在上升.
- 心房动/动是癌症患者的主要心律失常症.
- 患有心律失常的癌症患者表现出明显的临床特征,包括更高的功能状态和并发症负担.
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