患有初级高血压的成年人中由于大动脉剖析的死亡率:在二十年中的全国性分析
Shahzaib Ahmed1, Zain Ali Nadeem2, Aimen Nadeem3
1Department of Medicine, Fatima Memorial Hospital College of Medicine and Dentistry, Lahore, Pakistan.
Clinical cardiology
|February 6, 2026
概括
在美国,患有初级高血压的成年人中,大动脉剖析 (AD) 的死亡率最初下降,但随后增加,特别是在农村地区. 对高风险人群需要有针对性的干预措施.
科学领域:
- 心血管科学 心血管科学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 高血压是主动动脉解剖 (AD) 的主要危险因素,这种疾病的不治疗死亡率很高.
- 了解高血压成年人中AD的死亡率趋势对于公共卫生战略至关重要.
研究的目的:
- 分析美国初级高血压的成年人中大动脉剖析 (AD) 死亡率的时间趋势.
主要方法:
- 使用了CDC WONDER数据库来获取初级高血压和AD患者的死亡率数据 (1999-2020年).
- 按年龄调整的死亡率 (AAMR) 和每10万人的原始死亡率 (CMR) 的计算.
- 雇员联结点回归以确定年度百分比变化 (APC) 和平均APC (AAPC).
主要成果:
- 在高血压的美国成年人中,AD造成13,128人死亡 (1999-2020年).
- 男性的AAMR比女性高;西部地区的AAMR最高.
- 城市AAMR高于2008年;农村AAMR从2010年到2020年大幅增加.
结论:
- 患有高血压的成年人中阿尔茨海默病的死亡率趋势与一般人群不同,显示了最初的下降,随后的增加.
- 确定死亡率的特定人口和地理差异.
- 强调需要集中临床关注高风险群体,提高疾病意识.
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