Heart:心衰发病率有明显种族差异

2012-02-04 MedSci MedSci原创

 英国学者进行的苏格兰健康和种族区域相关研究(SHELS)结果表明,心衰发病率的种族差异较为显著,并且对最高学历进行校正之后上述差异仍存在。论文于2012年1月27日在线发表于《心脏》(Heart)。   心衰的种族变异较为显著,但相关资料有限并且相互矛盾。此项回顾性队列研究对456万苏格兰人群的社区死亡、出院和院内死亡资料进行了分析。利用泊松回归计算年龄标准化年发病率(/100,000)、发

 英国学者进行的苏格兰健康和种族区域相关研究(SHELS)结果表明,心衰发病率的种族差异较为显著,并且对最高学历进行校正之后上述差异仍存在。论文于2012年1月27日在线发表于《心脏》(Heart)。

  心衰的种族变异较为显著,但相关资料有限并且相互矛盾。此项回顾性队列研究对456万苏格兰人群的社区死亡、出院和院内死亡资料进行了分析。利用泊松回归计算年龄标准化年发病率(/100,000)、发病率比率(RR)和危险比。对危险比进行年龄和最高学历校正。

  结果显示,在男性中,其他英国裔白人(RR 86.4)和华人(RR 54.2)的心衰发病率低于苏格兰裔白人(100),但巴基斯坦裔男性(RR 134.9)则较高。女性的发病率模式与男性相似。对最高学历进行校正之后,其他英国裔男性和女性的危险比差异有所降低,但巴基斯坦裔男性和女性的差异无明显变化,印度裔男性的差异反而增加。

  链接:

  Ethnic variations in heart failure: Scottish Health and Ethnicity Linkage Study (SHELS)

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (4)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1823139, encodeId=093f182313953, content=<a href='/topic/show?id=b2873e9220e' target=_blank style='color:#2F92EE;'>#发病率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37922, encryptionId=b2873e9220e, topicName=发病率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aa0e14, createdName=lifestar, createdTime=Wed Sep 19 17:07:00 CST 2012, time=2012-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1353533, encodeId=7210135353396, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1355677, encodeId=9f2313556e7f6, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562102, encodeId=d00615621021f, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1823139, encodeId=093f182313953, content=<a href='/topic/show?id=b2873e9220e' target=_blank style='color:#2F92EE;'>#发病率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37922, encryptionId=b2873e9220e, topicName=发病率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aa0e14, createdName=lifestar, createdTime=Wed Sep 19 17:07:00 CST 2012, time=2012-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1353533, encodeId=7210135353396, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1355677, encodeId=9f2313556e7f6, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562102, encodeId=d00615621021f, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1823139, encodeId=093f182313953, content=<a href='/topic/show?id=b2873e9220e' target=_blank style='color:#2F92EE;'>#发病率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37922, encryptionId=b2873e9220e, topicName=发病率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aa0e14, createdName=lifestar, createdTime=Wed Sep 19 17:07:00 CST 2012, time=2012-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1353533, encodeId=7210135353396, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1355677, encodeId=9f2313556e7f6, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562102, encodeId=d00615621021f, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=)]
    2012-02-05 zhaojie88
  4. [GetPortalCommentsPageByObjectIdResponse(id=1823139, encodeId=093f182313953, content=<a href='/topic/show?id=b2873e9220e' target=_blank style='color:#2F92EE;'>#发病率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37922, encryptionId=b2873e9220e, topicName=发病率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aa0e14, createdName=lifestar, createdTime=Wed Sep 19 17:07:00 CST 2012, time=2012-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1353533, encodeId=7210135353396, content=<a href='/topic/show?id=29e1e4781f1' target=_blank style='color:#2F92EE;'>#种族差异#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74781, encryptionId=29e1e4781f1, topicName=种族差异)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1355677, encodeId=9f2313556e7f6, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562102, encodeId=d00615621021f, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sun Feb 05 16:07:00 CST 2012, time=2012-02-05, status=1, ipAttribution=)]
    2012-02-05 slcumt

相关资讯

评述2010 ESC心衰器械治疗指南

心衰治疗:药物与器械比翼双飞   药物治疗取得重大突破   上世纪90年代心力衰竭(HF)机制研究取得突破,证实肾素血管紧张素醛固酮系统/交感神经系统过度兴奋为主的神经内分泌因子激活致使心肌重构,最终导致HF发生发展。据此,临床应用血管紧张素转换酶抑制剂(ACEI)(SOLVD试验)、血管紧张素受体拮抗剂(ARB)(CHARM和 Val-HeFT试验)、β受体阻滞剂(CIBISⅡ试验)及醛

CRT治疗心衰,新证据引发新思考

  南京医科大学第一附属医院 黄峻   自上世纪90年代,一系列临床试验即已证实心脏再同步化治疗(CRT)可改善慢性心力衰竭(心衰)患者的临床状况[生活质量、运动耐力和左室射血分数(LVEF)]与预后。RAFT试验的公布,为CRT在心衰患者中的应用提供了新的依据。   指南建议   本世纪初,欧洲心脏病学会(ESC)、美国心脏学会和美国心脏病学会(AHA/ACC)相关指南积极推荐对心衰

Heart:美发现心衰危险分层的新生物标志物

12月22日,美国研究者在Heart杂志发表的一项研究"Serial measurements of midregion proANP and copeptin in ambulatory patients with heart failure: incremental prognostic value of novel biomarkers in heart failure "表明,连续性监测M

心脏再同步化治疗还能一定程度改善心衰患者舒张功能

来源:医学论坛网   心脏再同步化治疗(CRT)是利用心脏起搏技术使心脏失同步达到再同步化,多个临床试验证实 CRT 能提高患者心脏收缩功能,但目前 CRT 对左室舒张功能的疗效尚有争议。沈阳军区总院全军心血管病研所评价了22例接受CRT治疗病例,认为心脏再同步化治疗在一定程度上能够改善心衰患者左房大小及左室舒张末容积进而改善心衰患者的舒张功能。    目前评价左室舒张功能较常用的方

脑血流量有助预测收缩性心衰长期转归

  晚期收缩性心力衰竭(心衰)患者的脑血流量(CBF)降低,但对其预后特点知之甚少。   韩国研究者Min-Seok Kim等9月5日在线发表在《欧洲心脏杂志》(Eur Heart J)的研究表明,CBF与收缩性心衰患者的长期转归有关,也可能有助于确定患者是否适宜进行心脏移植。此发现尤适于不能充分实施运动试验的患者。   研究者对224例收缩性心衰患者(左室射血分

治疗心衰药物地高辛可抑制乳腺癌扩散

 MedSci点评:     老药新用,一直是热门话题。如地高辛能抑制肿瘤增殖和转移、异博定能够逆转肿瘤细胞耐药、乌司他丁可能对三阴性乳腺癌具有治疗价值、利多卡因对脓毒血症具有保护作用等。原因在于这些老药均有一些新的机制,只要机制相近,就可能会产生相应的药理学价值。地高辛具有抑制HIF1α作用,而HIF1α是肿瘤生长和转移的关键因子之一。我们通过文