下心脏活力比率与心血管事件之间的关联:在中国社区人口中的队列研究
Haotai Xie1, Fangfang Fan1, Lan Gao1
1Department of cardiology, Peking University First Hospital, Beijing, China.
BMJ open
|August 26, 2025
概括
副内脏活力比率 (SEVR) 有效预测心血管事件. 较高的SEVR与显著降低主要心血管不良事件 (MACE) 的风险有关,特别是在老年人中.
科学领域:
- 心脏病学
- 预防医学
- 生物医学工程
背景情况:
- 下心内存活力比率 (SEVR) 评估心肌氧供需平衡.
- 评估SEVR在心血管事件预测中的作用对于社区健康至关重要.
研究的目的:
- 研究中国社区中SEVR与心血管事件之间的关联.
- 确定SEVR是否可以预测主要心血管不良事件 (MACE),包括死亡率,中风和心肌梗塞 (MI).
主要方法:
- 一个回顾性队列研究,涉及来自中国社区的5927名参与者.
- 使用动脉压力波形进行非侵入性测量.
- 考克斯的比例危险模型分析了SEVR与心血管终点之间的关联.
主要成果:
- 在3. 23年内,3. 49%的参与者经历了MACE.
- 较高的SEVR与MACE (48%),所有原因死亡率 (71%) 和中风 (57%) 的风险降低有关.
- 在65岁及以上的患者中,较高的SEVR与MACE风险降低有显著关联.
结论:
- 在社区环境中,SEVR是心血管事件的独立预测因素.
- 较高的SEVR水平与较低的MACE风险相关.
- 高SEVR的保护性关联在老年人中尤为明显.
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