在心房的多病性:对结果的影响.
Sheila M Manemann1, Alvaro Alonso2, Peter A Noseworthy3
1Department of Quantitative Health Sciences Mayo Clinic Rochester MN USA.
Journal of the American Heart Association
|February 24, 2026
概括
副发病的数量和类型显著影响心房患者的治疗结果,影响因年龄而异. 心脏代谢,体质和心理健康状况都在预测不良事件方面发挥着作用.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 在被诊断患有心房动 (AF) 的患者中,多种病情普遍存在.
- 伴随性疾病的数量和性质对AF患者结局的具体影响仍然不清楚.
研究的目的:
- 为了调查慢性疾病的数量和类型与新发性心房的患者的不良结果之间的联系.
- 检查这些关联在不同年龄组之间有何差异.
主要方法:
- 进行了一项队列研究,使用了新发动心房的患者 (2013-2017) 的数据.
- 18种慢性疾病被分为心脏代谢,其他体质和心理健康组.
- 考克斯回归分析用于评估疾病类型和结果 (死亡,中风,心力衰竭) 之间的关系,按年龄分层.
主要成果:
- 这项研究包括16509名AF患者 (平均年龄74岁,43%为女性).
- 较多的心脏代谢疾病增加了90天死亡风险,但仅在85岁以上的人群中.
- 同病症和结果之间的关联通常在较年轻的年龄组 (<65岁) 中最强,并且随着年龄的增长而减少,特别是在体质疾病中.
结论:
- 心脏代谢,其他体质和精神健康状况是心房患者结果的显著预测因素.
- 这些并发症对结果的影响取决于年龄,需要在临床管理中考虑.
- 综合性疾病的全面评估对于优化AF患者的护理至关重要.
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