酒精性和非酒精性肝硬化都与HF-A队列研究的风险增加有关,包括75,558名患者
Karel Kostev1,2, Jamschid Sedighi3, Samuel Sossalla3,4,5
1IQVIA, Epidemiology, 60549 Frankfurt am Main, Germany.
Journal of cardiovascular development and disease
|August 27, 2025
概括
肝硬化 (LC) 显著增加患心力衰竭 (HF) 的风险,尤其是男性的酒精性肝硬化. 这项研究提供了这一重要关联的实际欧洲证据.
科学领域:
- 心脏病学
- 肝病学
- 流行病学
背景情况:
- 肝硬化是全球的主要健康问题.
- 需要进一步研究LC与随后心力衰竭之间的关系.
研究的目的:
- 评估肝硬化 (LC) 与随后心力衰竭 (HF) 的相关性.
- 为了比较酒精与非酒精LC患者的HF风险.
主要方法:
- 2005-2023年使用德国疾病分析数据库 (IQVIA) 的回顾性队列研究.
- 包括首次诊断为LC的成年人,与比较队列匹配 (5:1倾向性比分匹配).
- 使用单变Cox比例危险模型来评估LC和HF之间的关联.
主要成果:
- 患有酒精性LC的患者患HF的风险增加了2. 07倍 (HR:2. 07;95% CI:1. 85-2.31).
- 患有非酒精性LC的患者患HF的风险增加了1. 70倍 (HR: 1. 70;95% CI: 1.56-1. 82).
- 在男性中,LC和HF之间的关联比在女性中更强.
结论:
- 无论是酒精性还是非酒精性肝硬化,都与长期心力衰竭的风险显著增加有关.
- 患有酒精性肝硬化和男性患心力衰竭的风险特别明显.
- 这项研究提供了来自欧洲的新实验证据,证明了LC与随后的HF之间的积极关联.
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