Heart:急性和慢性心肌损伤患者的远期预后比较

2019-12-01 不详 MedSci原创

急性和慢性心肌损伤的长期预后的对比尚不清楚,本研究提出假设:慢性心肌损伤的远期预后和急性心肌损伤相似。本研究纳入分析了22589名2011-2014年在急诊检测过高敏肌钙蛋白T(hs-cTnT)的患者,并将hs-cTnT >14?ng/L的患者归分为急性心肌损伤、1型心梗(T1MI)、2型心梗(T2MI)和慢性心肌损伤患者,主要终点事件是全因死亡率,次要终点事件是心梗。最终,共纳入了3853

急性和慢性心肌损伤的长期预后的对比尚不清楚,本研究提出假设:慢性心肌损伤的远期预后和急性心肌损伤相似。

本研究纳入分析了22589名2011-2014年在急诊检测过高敏肌钙蛋白T(hs-cTnT)的患者,并将hs-cTnT >14?ng/L的患者归分为急性心肌损伤、1型心梗(T1MI)、2型心梗(T2MI)和慢性心肌损伤患者,主要终点事件是全因死亡率,次要终点事件是心梗。最终,共纳入了3853名患者,经过平均3.9年时间的随访,急性心肌损伤、T1MI、T2MI和慢性心肌损伤的患者分别有48%, 24%, 44%和49%出现死亡。与慢性心肌损伤患者相比,急性心肌损伤患者的死亡和心衰风险更高,但是心梗的发生风险无明显差异。T1MI患者的死亡风险更低,但心梗风险更高,心衰风险相似。T2MI患者的死亡和心衰风险也更高。

研究结果显示,与慢性心肌损伤患者相比,急性心肌损伤患者的远期绝对死亡风险相似,但是调整后的死亡风险更高。


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    2019-12-03 zhaojie88
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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:26 CST 2019, time=2019-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376117, encodeId=758e3e6117e8, content=研究结果显示惊人, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:23 CST 2019, time=2019-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376116, encodeId=87393e6116f7, content=研究结果显示非常惊人, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:14 CST 2019, time=2019-12-01, status=1, ipAttribution=)]
  5. 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:26 CST 2019, time=2019-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376117, encodeId=758e3e6117e8, content=研究结果显示惊人, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:23 CST 2019, time=2019-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376116, encodeId=87393e6116f7, content=研究结果显示非常惊人, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:14 CST 2019, time=2019-12-01, status=1, ipAttribution=)]
    2019-12-03 slcumt
  6. 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createdTime=Sun Dec 01 17:05:14 CST 2019, time=2019-12-01, status=1, ipAttribution=)]
    2019-12-01 14794e5bm67(暂无昵称)

    研究结果显示惊人

    0

  7. 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encodeId=a5d33e612053, content=研究结果显示惊人, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:31 CST 2019, time=2019-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376119, encodeId=ad553e6119ce, content=研究结果显示惊人, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:29 CST 2019, time=2019-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376118, encodeId=5c233e611877, content=研究结果显示惊人, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:26 CST 2019, time=2019-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376117, encodeId=758e3e6117e8, content=研究结果显示惊人, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:23 CST 2019, time=2019-12-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376116, encodeId=87393e6116f7, content=研究结果显示非常惊人, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7b005228115, createdName=14794e5bm67(暂无昵称), createdTime=Sun Dec 01 17:05:14 CST 2019, time=2019-12-01, status=1, ipAttribution=)]
    2019-12-01 14794e5bm67(暂无昵称)

    研究结果显示惊人

    0

  8. 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    2019-12-01 14794e5bm67(暂无昵称)

    研究结果显示惊人

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  9. 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    2019-12-01 14794e5bm67(暂无昵称)

    研究结果显示惊人

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  10. 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    2019-12-01 14794e5bm67(暂无昵称)

    研究结果显示非常惊人

    0

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