同时的大动脉狭窄和高血压:1999-2020年美国老年人的死亡趋势
Ahmed Raza1, Fnu Kalpina2, Manayiel Rehmat3
1Department of Medicine, Services Institute of Medical Sciences, Lahore, Punjab, Pakistan.
Future cardiology
|July 21, 2025
概括
美国老年人中,主动脉狭窄和高血压的死亡率正在上升,特别是在男性和非西班牙裔白人中. 针对性的医疗保健干预措施对于打击这一趋势至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 大动脉狭窄 (AS) 是一种显著的膜性心脏病.
- 高血压是一种已知的风险因素,可以加速AS的进展,增加患者的发病率和死亡率.
- 了解患有这两种疾病的老年人死亡率趋势对于公共卫生倡议至关重要.
研究的目的:
- 调查1999年至2020年间被诊断患有大动脉狭窄和高血压的65岁及以上美国成年人死亡率趋势.
- 为了确定这个患者群体内的死亡率的人口和地理差异.
主要方法:
- 利用CDC的WONDER数据库来获得全面的死亡数据.
- 分析了每10万个人的年龄调整后死亡率 (AAMR).
- 使用Joinpoint回归来计算年度百分比变化 (APC) 和趋势分析的平均APC (AAPC).
主要成果:
- 从1999年到2020年,观察到显著的死亡率上升趋势 (AAPC:5.51%),高血压导致AS患者的99250例死亡.
- 与女性 (9.99) 相比,男性表现出更高的AAMR (11.51).
- 非西班牙裔白人 (11.32) 的AAMR率最高,其次是西班牙裔 (7.37),非西班牙裔黑人 (7.27) 和非西班牙裔亚洲人 (6.12). 西部地区报告了最高的AAMR (13.3),非大都市地区 (11.19) 的死亡率高于大都市地区 (10.49).
结论:
- 大动脉狭窄和高血压患者的死亡率正在增加,在人口群体 (男性,非西班牙裔白人) 和地理区域 (西方) 中观察到显著的差异.
- 这些发现强调,迫切需要有针对性的医疗保健策略和干预措施,以减轻与这些同时发生的疾病相关的死亡率上升.
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