粉样性病例中心脏相关死亡率的全国性模式:一项流行病学研究
Abdalhakim Shubietah1, Diana Owda2, Mohamed Saad Rakab3
1Department of Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL, USA.
BMC cardiovascular disorders
|December 30, 2025
概括
心脏粉样粉症的死亡率急剧增加,特别是在男性和黑人中. 改进的检测可能是一个因素,但诊断和治疗机会的差异仍然存在,预计将继续增加.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 心脏氨基粉症往往被低估,导致心脏死亡率被低估.
- 早期发现和对其影响的准确评估对于患者的治疗结果至关重要.
研究的目的:
- 分析趋势和预测1999年至2040年美国心脏粉样性病的死亡率.
- 为了确定心脏粉症死亡率的人口和地理差异.
主要方法:
- 利用CDC WONDER数据 (1999-2020年) 针对美国粉样化和心脏病患者的死者.
- 通过Joinpoint回归和ARIMA预测计算了年龄调整后的死亡率 (AAMR) 并分析了趋势.
主要成果:
- 心脏粉症AAMR从1999年的0.261增加到2020年的0.608 (年增长3.96%).
- 在男性和黑人中,死亡率显著更高,在2017年后急剧上升.
- 预测模型预测,到2040年,AAMR将达到大约2.0,黑人和男性死者的比例更高.
结论:
- 粉样性粉症的心脏死亡率急剧上升,可能是由于改善的检测方法,如非活检成像等.
- 在诊断和治疗获取方面存在持续的差异,跨性别,种族和地理位置.
- 迫切需要公平的诊断和治疗策略来应对预计的增加,特别是在弱势群体中.
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