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JACC：无症状的心梗发生心衰的风险就低了吗？

2018-01-02 MedSci MedSci原创

心血管心梗心衰
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尽管寂静型心肌梗死（SMI）占了心梗患者的近一半，但是目前对于SMI患者发生心衰的风险如何尚属未知。本研究的目的旨在比较评估SMI患者与有临床症状的心梗（CMI）患者发生心衰的相关性。本研究纳入了ARIC临床研究中的9243名无基础心血管疾病的研究对象，寂静型心梗定义为超声心动图提示有心梗但是无临床症状。在ARIC随访1期和4期期间，共有305名SMI患者和331CMI患者，ARIC4期临床研究之

尽管寂静型心肌梗死（SMI）占了心梗患者的近一半，但是目前对于SMI患者发生心衰的风险如何尚属未知。本研究的目的旨在比较评估SMI患者与有临床症状的心梗（CMI）患者发生心衰的相关性。

本研究纳入了ARIC临床研究中的9243名无基础心血管疾病的研究对象，寂静型心梗定义为超声心动图提示有心梗但是无临床症状。在ARIC随访1期和4期期间，共有305名SMI患者和331CMI患者，ARIC4期临床研究之后的13年随访期间，共有976个心衰事件发生，与无心梗的参与对象相比，SMI和CMI患者发生心衰的风险均更高，经多变量分析调整后，这种增高同样明显。此外，在寂静型心梗患者中，心衰发生风险高的群体更年轻。

研究结果显示，无症状的寂静型心梗患者发生心衰的风险同样更高，且年龄更小。

原始出处：

The ARIC Study.JACC.2018 Jan.

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    2018-05-19 hbwxf

    #JACC#

    0

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    2018-01-03 12498568m50暂无昵称

    #ACC#

    0

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    2018-01-03 12498da4m34(暂无昵称)

    #无症状#

    0

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    2018-01-02 1391e9f2a7m

    好文章.认认真真学习吧

    0

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    2018-01-02 衣带渐宽

    学习

    0

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    2018-01-02 明月清辉

    谢谢分享.学习了

    0

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    2018-01-02 龙胆草

    学习谢谢分享

    0

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