三十年来心房的负担趋势:一个基于人口的研究
Shuyue Yang1, Nicole De Kruijf1,2, Fang Zhu1
1Department of Epidemiology, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
Heart (British Cardiac Society)
|September 27, 2025
概括
三十年来,心房的发生率有所增加,特别是在男性中,高血压是主要的驱动因素,特别是在女性中. 改善高血压的性别预防和管理对于减少AF负担至关重要.
科学领域:
- 心脏病学 心脏病学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 心房动 (AF) 是一个日益增长的全球健康问题,患病率越来越高.
- 在AF发病率,风险因素和性别差异的长期趋势需要进一步调查.
研究的目的:
- 分析三十年来心房 (AF) 发生率的长期趋势.
- 研究伴随性疾病,特别是高血压在AF发展中的作用,考虑性别特定的模式.
主要方法:
- 基于人口的鹿特丹研究数据来自三个时代 (1990年代,2000年代,2010年代),每人涉及7000多名参与者.
- 分析AF发病率和趋势,按性别分层,使用考克斯回归和人口归因分数 (PAF).
主要成果:
- 在不同时期,AF发病率各不相同,男性的发病率高于女性.
- 高血压被确定为所有时代对AF发病率贡献的主要并发症,对女性的影响尤其显著.
结论:
- 肌前膜炎的负担日益增加,需要加强性别特定的预防和管理策略.
- 高血压的有效,性别特定的管理是AF预防的关键目标.
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