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JAHA:急性心衰患者近9年临床特征和预后的变化

2018-09-13 MedSci MedSci原创

急性心衰(AHF)是一种异质性的疾病,其临床特征和治疗管理随种族不同而不同。本研究旨在评估日本近9年来AHF患者的院内管理模式和远期预后的变化情况。本研究纳入了2007-2015年来自三大AHF数据库的AHF患者,共计9075名。分析结果显示,随着时间的推移,AHF患者的背景和实验室检查(比如贫血和肾功能)无明显变化,而患者的年龄近9年来逐渐升高(71.6-77.0 岁; P <0.001)

急性心衰(AHF)是一种异质性的疾病,其临床特征和治疗管理随种族不同而不同。本研究旨在评估日本近9年来AHF患者的院内管理模式和远期预后的变化情况。

本研究纳入了2007-2015年来自三大AHF数据库的AHF患者,共计9075名。分析结果显示,随着时间的推移,AHF患者的背景和实验室检查(比如贫血和肾功能)无明显变化,而患者的年龄近9年来逐渐升高(71.6-77.0 岁; P <0.001),然而,住院的时间却逐年减少(26-16天)另外,患者的院内死亡率(4.7-7.5%)、30天心衰再住院率(4.8-5.4%)、1年死亡率(20.1-23.3%)和1年再住院率(23.6-26.2%)均无明显变化。

研究结果显示,近9年来日本急性心衰患者的住院时间逐年减少,患者的年龄逐渐增高,然而短期和远期预后无明显变化。

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    2018-09-15 13718711b3m

    非常不错的临床经验,值得借鉴与学习,获益匪浅,感谢分享!

    0

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    2018-09-15 zhaohui6731
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  5. [GetPortalCommentsPageByObjectIdResponse(id=1842886, encodeId=8174184288699, content=<a href='/topic/show?id=112222886b8' target=_blank style='color:#2F92EE;'>#临床特征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22886, encryptionId=112222886b8, topicName=临床特征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=yeye5224612, createdTime=Wed Jul 10 22:07:00 CST 2019, time=2019-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345109, encodeId=73303451092f, content=非常不错的临床经验,值得借鉴与学习,获益匪浅,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Sat Sep 15 15:25:42 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267919, encodeId=b91b126e91991, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1359792, encodeId=3ace1359e92ac, content=<a href='/topic/show?id=5aa95229085' target=_blank style='color:#2F92EE;'>#急性心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52290, encryptionId=5aa95229085, topicName=急性心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1373428, encodeId=046b13e342870, content=<a href='/topic/show?id=2fd051939ab' target=_blank style='color:#2F92EE;'>#心衰患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51939, encryptionId=2fd051939ab, topicName=心衰患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=467c360, createdName=yuanming7, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344994, encodeId=d83d344994b3, content=快乐学习每一天, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93342442178, createdName=123d926dm06暂无昵称, createdTime=Fri Sep 14 17:42:54 CST 2018, time=2018-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344858, encodeId=19f1344858f6, content=所以说,心力衰竭是心血管疾病最后一个战场!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ad162150, createdName=tjdsyyzg, createdTime=Thu Sep 13 18:05:37 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344836, encodeId=4c3a344836fd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Thu Sep 13 13:30:22 CST 2018, time=2018-09-13, status=1, ipAttribution=)]
  6. [GetPortalCommentsPageByObjectIdResponse(id=1842886, encodeId=8174184288699, content=<a href='/topic/show?id=112222886b8' target=_blank style='color:#2F92EE;'>#临床特征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22886, encryptionId=112222886b8, topicName=临床特征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=yeye5224612, createdTime=Wed Jul 10 22:07:00 CST 2019, time=2019-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345109, encodeId=73303451092f, content=非常不错的临床经验,值得借鉴与学习,获益匪浅,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Sat Sep 15 15:25:42 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267919, encodeId=b91b126e91991, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1359792, encodeId=3ace1359e92ac, content=<a href='/topic/show?id=5aa95229085' target=_blank style='color:#2F92EE;'>#急性心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52290, encryptionId=5aa95229085, topicName=急性心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1373428, encodeId=046b13e342870, content=<a href='/topic/show?id=2fd051939ab' target=_blank style='color:#2F92EE;'>#心衰患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51939, encryptionId=2fd051939ab, topicName=心衰患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=467c360, createdName=yuanming7, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344994, encodeId=d83d344994b3, content=快乐学习每一天, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93342442178, createdName=123d926dm06暂无昵称, createdTime=Fri Sep 14 17:42:54 CST 2018, time=2018-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344858, encodeId=19f1344858f6, content=所以说,心力衰竭是心血管疾病最后一个战场!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ad162150, createdName=tjdsyyzg, createdTime=Thu Sep 13 18:05:37 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344836, encodeId=4c3a344836fd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Thu Sep 13 13:30:22 CST 2018, time=2018-09-13, status=1, ipAttribution=)]
    2018-09-14 123d926dm06暂无昵称

    快乐学习每一天

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1842886, encodeId=8174184288699, content=<a href='/topic/show?id=112222886b8' target=_blank style='color:#2F92EE;'>#临床特征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22886, encryptionId=112222886b8, topicName=临床特征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=yeye5224612, createdTime=Wed Jul 10 22:07:00 CST 2019, time=2019-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345109, encodeId=73303451092f, content=非常不错的临床经验,值得借鉴与学习,获益匪浅,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Sat Sep 15 15:25:42 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267919, encodeId=b91b126e91991, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1359792, encodeId=3ace1359e92ac, content=<a href='/topic/show?id=5aa95229085' target=_blank style='color:#2F92EE;'>#急性心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52290, encryptionId=5aa95229085, topicName=急性心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1373428, encodeId=046b13e342870, content=<a href='/topic/show?id=2fd051939ab' target=_blank style='color:#2F92EE;'>#心衰患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51939, encryptionId=2fd051939ab, topicName=心衰患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=467c360, createdName=yuanming7, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344994, encodeId=d83d344994b3, content=快乐学习每一天, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93342442178, createdName=123d926dm06暂无昵称, createdTime=Fri Sep 14 17:42:54 CST 2018, time=2018-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344858, encodeId=19f1344858f6, content=所以说,心力衰竭是心血管疾病最后一个战场!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ad162150, createdName=tjdsyyzg, createdTime=Thu Sep 13 18:05:37 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344836, encodeId=4c3a344836fd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Thu Sep 13 13:30:22 CST 2018, time=2018-09-13, status=1, ipAttribution=)]
    2018-09-13 tjdsyyzg

    所以说,心力衰竭是心血管疾病最后一个战场!

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1842886, encodeId=8174184288699, content=<a href='/topic/show?id=112222886b8' target=_blank style='color:#2F92EE;'>#临床特征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22886, encryptionId=112222886b8, topicName=临床特征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=yeye5224612, createdTime=Wed Jul 10 22:07:00 CST 2019, time=2019-07-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=345109, encodeId=73303451092f, content=非常不错的临床经验,值得借鉴与学习,获益匪浅,感谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/27/c53a212859edcad4f60a54feffff50bb.jpg, createdBy=67cf1525321, createdName=13718711b3m, createdTime=Sat Sep 15 15:25:42 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267919, encodeId=b91b126e91991, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1359792, encodeId=3ace1359e92ac, content=<a href='/topic/show?id=5aa95229085' target=_blank style='color:#2F92EE;'>#急性心衰#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52290, encryptionId=5aa95229085, topicName=急性心衰)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1373428, encodeId=046b13e342870, content=<a href='/topic/show?id=2fd051939ab' target=_blank style='color:#2F92EE;'>#心衰患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51939, encryptionId=2fd051939ab, topicName=心衰患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=467c360, createdName=yuanming7, createdTime=Sat Sep 15 01:07:00 CST 2018, time=2018-09-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344994, encodeId=d83d344994b3, content=快乐学习每一天, beContent=null, objectType=article, channel=null, level=null, likeNumber=115, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=93342442178, createdName=123d926dm06暂无昵称, createdTime=Fri Sep 14 17:42:54 CST 2018, time=2018-09-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344858, encodeId=19f1344858f6, content=所以说,心力衰竭是心血管疾病最后一个战场!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7ad162150, createdName=tjdsyyzg, createdTime=Thu Sep 13 18:05:37 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=344836, encodeId=4c3a344836fd, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Thu Sep 13 13:30:22 CST 2018, time=2018-09-13, status=1, ipAttribution=)]
    2018-09-13 医者仁心5538

    学习了

    0

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JAHA:晕厥患者再住院的相关因素研究

晕厥患者占了美国住院患者的0.6%-1.5%,本研究的目的旨在评估导致晕厥患者再住院的因素和预测因子。本研究纳入了数据库中2013年-2014年282311名原发性晕厥住院患者,平均年龄为72岁,女性占53.9%,其中9.3%的患者有过30天内再住院情况。分析结果显示,30天再住院的最常见原因是晕厥,其次是心源性、神经源性和感染源性因素。与30天再住院相关的因素包括年龄≥65岁([OR], 0.7

JACC:妊高症和女性心血管风险的预测

妊高症(HDP)影响了10%-15%的女性健康,且可增加2倍的心血管疾病发生风险。本研究的目的旨在评估将HDP纳入现有心血管风险评估体系中是否能提高女性心血管疾病发生的预测价值。本研究纳入了Nurses' Health Study II研究中的67406名年龄≥40岁无心血管基础疾病的女性,随访观察其心梗、冠心病和卒中的发生情况。本研究采用了2中心血管风险评分模型:模型A包括年龄、总胆固醇和高密度

JACC:2017美国心脏病学会血压指南有助于房颤患者的血压管理

2017年美国心脏病学会(ACC/AHA)的血压指南中推荐高血压的重新定义为收缩压≥130mmHg或舒张压≥80mmHg,但对于房颤患者来说,什么样的血压才是理想的尚不清楚。本研究纳入分析了2005年至2015年298374名韩国接受口服抗凝药治疗的房颤患者,根据最新的指南,其中有79.4%的患者为高血压,包括17.2%的患者为新定义的高血压(130 - 139/80 - 89 mm Hg)。与非

JAHA:皮肤自发荧光衡量的晚期糖基化终产物可作为高风险受试者心血管和全因死亡率的预测因子

由此可见,该分析的数据表明皮肤自发荧光水平可被作为高风险和极高风险患者全因死亡率和心血管死亡率的预测因子。

盘点:JACC9月第2期(血压专场)研究一览

1. 2017年美国血压指南推荐情况与心血管疾病风险DOI: 10.1016/j.jacc.2018.05.074http://www.onlinejacc.org/content/72/112017年美国心脏病学会(ACC/AHA)血压指南更新了抗高血压药物治疗的时机和强度。本研究的目的旨在比较和评估被2017 ACC/AHA指南推荐抗高血压治疗或不推荐的患者的心血管疾病发生风险。本研究纳入

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