JAHA:焦虑可增加房颤患者的卒中发生风险!

2018-04-17 MedSci MedSci原创

焦虑和抑郁会加重许多心血管疾病的预后结局,然而其是否会影响房颤患者的预后尚属未知。本研究的目的旨在评估房颤患者中焦虑和/或抑郁是否与卒中和出血事件的发生相关。本研究纳入了2004年至2007年WAVE数据库中接受华法林治疗的房颤患者,通过电子病历记录对患者进行焦虑和抑郁的诊断。最终共纳入了25570名房颤患者,其中490名患者出现了卒中或脑出血(1.52次/100人年),多变量分析后发现,焦虑会增

焦虑和抑郁会加重许多心血管疾病的预后结局,然而其是否会影响房颤患者的预后尚属未知。本研究的目的旨在评估房颤患者中焦虑和/或抑郁是否与卒中和出血事件的发生相关。本研究纳入了2004年至2007年WAVE数据库中接受华法林治疗的房颤患者,通过电子病历记录对患者进行焦虑和抑郁的诊断。最终共纳入了25570名房颤患者,其中490名患者出现了卒中或脑出血(1.52次/100人年),多变量分析后发现,焦虑会增加缺血性卒中和脑出血的复合发生风险(HR: 1.52; 95% Cl, 1.01–2.28),即使根据患者华法林使用时间进行调整分析后结果也没有变化(HR:1.56; 95% Cl, 1.03–2.36)。有趣的是,单独抑郁或者焦虑联合抑郁均不会增加患者不良结局的发生风险。研究结果显示,在接受华法林治疗的房颤患者中,焦虑与卒中和脑出血的发生呈独立相关性。原始出处:Christine B et al.Anxiety, Depression, and Adverse Clinical Outcomes in Patients With Atrial Fibrillation Starting Wa

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    2018-04-19 zhaohui6731
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    2018-04-18 祝您健康

    总之健康的心态乃长寿秘诀!

    0

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    2018-04-18 秀红

    学习了

    0

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    2018-04-18 健健

    卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!

    0

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    2018-04-18 明天jing

    焦虑是当年年轻人的共同问题,需要认真对待。

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1267798, encodeId=b569126e7985e, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Thu Apr 19 12:26:00 CST 2018, time=2018-04-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1614448, encodeId=50ac161444810, content=<a href='/topic/show?id=64f95426122' target=_blank style='color:#2F92EE;'>#房颤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54261, encryptionId=64f95426122, topicName=房颤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=937e19519012, createdName=hittouch, createdTime=Thu Apr 19 12:26:00 CST 2018, time=2018-04-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=307044, encodeId=c40c30e044b7, content=总之健康的心态乃长寿秘诀!, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/11/22/005b55a98a8b2e8ec8bd5577813de704.jpg, createdBy=29fc2176768, createdName=祝您健康, createdTime=Wed Apr 18 22:40:10 CST 2018, time=2018-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=306799, encodeId=611d306e99f1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/01/15/8213228fe923915543544ad3da7e1c64.jpg, createdBy=6bd82014262, createdName=秀红, createdTime=Wed Apr 18 05:49:02 CST 2018, time=2018-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026016, encodeId=b73d1026016d9, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Wed Apr 18 00:26:00 CST 2018, time=2018-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1050455, encodeId=1047105045514, content=焦虑是当年年轻人的共同问题,需要认真对待。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=明天jing, createdTime=Wed Apr 18 00:26:00 CST 2018, time=2018-04-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=306759, encodeId=7aeb306e59c3, content=不错的文章值得拥有, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Tue Apr 17 22:54:49 CST 2018, time=2018-04-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=306746, encodeId=c0fe306e4636, content=焦虑和抑郁会加重许多心血管疾病的预后结局.然而其是否会影响房颤患者的预后尚属未知.本研究的目的旨在评估房颤患者中焦虑和/或抑郁是否与卒中和出血事件的发生相关., beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7cJ6ejWUr2nIia8qOvAKNdLHr32Df6G8iaoaOx6pHaoiacwp26DaslxZHCGbibZhhCGven4rvmWP60GahtzgFjgCjR/0, createdBy=6b111703011, createdName=有备才能无患, createdTime=Tue Apr 17 22:44:01 CST 2018, time=2018-04-17, status=1, ipAttribution=)]
    2018-04-17 1e1b8538m79(暂无匿称)

    不错的文章值得拥有

    0

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    2018-04-17 有备才能无患

    焦虑和抑郁会加重许多心血管疾病的预后结局.然而其是否会影响房颤患者的预后尚属未知.本研究的目的旨在评估房颤患者中焦虑和/或抑郁是否与卒中和出血事件的发生相关.

    0

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