Stroke:心衰患者卒中风险如何?

2017-04-05 xing.T MedSci原创

由此可见,心衰与所有卒中亚型的短期和长期风险增加有关,提示心衰是缺血性卒中、ICH和SAH的一个有效且持久的危险因素。

心衰患者发生特异性卒中亚型的长期风险在很大程度上还是未知的。近日,卒中领域权威杂志Stroke上发表了一篇研究文章,研究人员评估了心衰患者和一般人群发生缺血性卒中、脑出血(ICH)和蛛网膜下腔出血(SAH)的短期和长期风险。

在这个全国性的队列研究(1980年-2012年)中,研究人员采用以丹麦人群为基础的的医疗注册来确定和随访(1)所有第一次因心衰而住院的患者和(2)出生年月、性别和日历年份匹配的一般人群对照队列。研究人员基于Cox回归分析来计算经年龄、性别和合并症调整后的卒中比值比。

该研究共纳入了289353例心力衰竭患者,1446765例来自普通人群。心衰患者1年和5年后发生缺血性脑卒中、ICH和SAH的风险分别为1.4%和3.9%、0.2%和0.5%、0.03%和5。30天调整后的卒中比值比显着增加,对于缺血性卒中(5.08;95%可信区间为4.58-5.63 ],发生ICH(2.13;95%可信区间为1.53-2.97)和SAH(3.52;95%可信区间为1.54-8.08)的比值比也升高。在31天到30年之间,所有卒中亚型的风险仍与心衰呈正相关(缺血性卒中为1.5-2.1倍,ICH为1.4至1.8倍,SAH为1.1-1.7倍)相比于一般人群队列。

由此可见,心衰与所有卒中亚型的短期和长期风险增加有关,提示心衰是缺血性卒中、ICH和SAH的一个有效且持久的危险因素。

原始出处:

Kasper Adelborg,et al. Risk of Stroke in Patients With Heart Failure A Population-Based 30-Year Cohort Study.Stroke. 2017.https://doi.org/10.1161/STROKEAHA.116.016022

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    2017-04-06 大爰

    好文章学习了!

    0

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    2017-04-06 shaosai

    好好学习,涨知识

    0

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    2017-04-06 jin321

    学习,要重视心衰卒中风险

    0

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    2017-04-05 1ddf0692m34(暂无匿称)

    涨知识,学习了

    0

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    2017-04-05 baihao215

    心衰和缺血性卒中关系符合简单逻辑,对出血性卒中呢?

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1281239, encodeId=4eb8128123946, content=<a href='/topic/show?id=455f36085f0' target=_blank style='color:#2F92EE;'>#卒中风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36085, encryptionId=455f36085f0, topicName=卒中风险)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Fri Apr 07 04:27:00 CST 2017, time=2017-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1373334, encodeId=6e1413e33347f, 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=26, 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=Fri Apr 07 04:27:00 CST 2017, time=2017-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185556, encodeId=e1e9185556e8, content=好文章学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu Apr 06 13:14:19 CST 2017, time=2017-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185482, encodeId=aa7a18548291, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Thu Apr 06 07:55:24 CST 2017, time=2017-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185408, encodeId=d8031854088b, content=学习,要重视心衰卒中风险, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xjZ9qh3bhXrJtUlmycKGfQKPuADVZQsdNAQj5IrHHlzbGsDwScictBgogYRk8KhicpgEKwTEfOHgqw/0, createdBy=bc931611963, createdName=jin321, createdTime=Thu Apr 06 00:08:36 CST 2017, time=2017-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185397, encodeId=c14518539e80, content=涨知识,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Wed Apr 05 22:37:21 CST 2017, time=2017-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185365, encodeId=140c185365b7, content=心衰和缺血性卒中关系符合简单逻辑,对出血性卒中呢?, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLCclExeQ6LOGMD4dTsia4Ty4HtZCxRmG5vO5XIKfKX3a3vusfhHSej4Iib517vmhFW7RQgh7bpDp1yw/0, createdBy=50951609779, createdName=baihao215, createdTime=Wed Apr 05 19:18:23 CST 2017, time=2017-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185319, encodeId=056518531997, content=签到学习了很多。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/A3E53E62691178E2F18D7B999FD22131/100, createdBy=f44d2003846, createdName=Chongyang Zhang, createdTime=Wed Apr 05 13:38:27 CST 2017, time=2017-04-05, status=1, ipAttribution=)]
    2017-04-05 Chongyang Zhang

    签到学习了很多。

    0

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