在心力衰竭患者中,肉类的预后作用
Giuseppe Armentaro1, Cristiana Vitale2,3, Velia Cassano4
1Geriatrics Division, "Renato Dulbecco" University Hospital of Catanzaro, 88100, Catanzaro, Italy.
Cardiovascular diabetology
|October 29, 2025
概括
皮症显著增加了主要心脏不良事件 (MACE) 的风险和心力衰竭 (HF) 患者的死亡率. 这一发现不论年龄如何都适用,突出显示了sarcopenia是慢性HF管理中的关键预后因素.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 内部医学 内部医学
背景情况:
- 石症,骨肌肉质量的损失,在心力衰竭 (HF) 中很普遍.
- 在没有营养不良的年轻慢性HF患者中,肉类的长期预后影响仍然未得到充分研究.
- 了解这种关系对于风险分层和风险管理至关重要.
研究的目的:
- 为了研究长期 Sarcopenia 的预后价值.
- 评估慢性HF的门诊患者中肉类和主要不良心脏事件 (MACE) 之间的关联.
主要方法:
- 对670名心力衰竭患者的回顾性分析.
- 评估MACE (中风,心肌梗塞,再血管,心血管死亡) 和总死亡率.
- 平均随访时间为4.7年.
主要成果:
- 340名患者被诊断出患有肉症.
- 麻症患者的MACE发病率显著更高 (13.3对2.1事件/100患者年,p<0.001).
- 麻症独立增加了MACE风险的8.6倍,并与较高的总死亡率有关.
结论:
- 萨科佩尼亚是MACE和慢性心力衰竭死亡率的重要独立预测因素.
- 萨科佩尼亚的预后影响是显而易见的,不管患者的时间年龄.
- 识别和管理皮症可能会改善HF患者的治疗结果.
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