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Int J Cardiol：原籍对急性心肌梗死短期和长期预后的影响！

2018-03-01 xing.T MedSci原创

原籍急性心肌梗死短期长期预后
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由此可见，移民会增加AMI出院后的风险，但AMI后住院死亡率不高。这些病人需要进行适当的有针对性的预防计划。

来自许多国家的报告显示急性心肌梗死（AMI）的发病率和死亡率存在出生地相关的差异。近日，心血管领域权威杂志International Journal of Cardiology上发表了一篇研究文章，这项研究的目的是根据出生地确定和比较AIM后患者的短期和长期死亡率。

研究人员采用2002-2012年期间来自于以色列南部三级医疗中心的AIM患者进行回顾性分析。数据来源于医院的计算机系统。根据出生地（以色列、南欧/巴尔干、北非、东欧/中欧、印度/巴基斯坦、中东、也门和埃塞俄比亚）对患者进行分类。研究结局为住院和出院后10年内的全因死亡率。

该研究包含了11143例患者，年龄为67.4 ± 13.9岁，67.5%的男性。与移民相比，以色列出生的患者明显较年轻，糖尿病和高血压患病率较低，但肥胖、吸烟、冠状动脉疾病发病率和男性显著增高。STEMI和经皮冠状动脉血运重建术的患者比例较高，在以色列出生的患者中冠状动脉严重程度和严重左心室功能障碍发生率较低。以色列出生的患者住院和出院后1年以及10年内死亡率要比移民低约65%。对潜在的混杂因素进行调整后，出院后死亡率的不均衡降低（对于10年死亡率，也门OR = 2.3[95%可信区间为1.4-3.6]，欧洲南部巴尔干半岛为1.75 [1.2-2.5]，北非为1.5[1.3-1.8]，东欧/中欧为1.4[1.2-1.7]和印度/巴基斯坦为1.4[1.1-1.9]，所有P<0.05）。

由此可见，移民会增加AMI出院后的风险，但AMI后住院死亡率不高。这些病人需要进行适当的有针对性的预防计划。

原始出处：

Rachel Shvartsur,et al. Short and long-term prognosis following acute myocardial infarction according to the country of origin. Soroka acute myocardial infarction II (SAMI II) project.International Journal of Cardiology.2018. https://doi.org/10.1016/j.ijcard.2018.02.079

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    2018-10-17 仁者大医

    #Cardiol#

    0

  2. 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    2018-09-25 ymljack

    #长期预后#

    0

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content=以色列阴暗的调查研究花瓶, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:08 CST 2018, time=2018-03-01, status=1, ipAttribution=)]
    2018-03-01 明月清辉

    谢谢分享.学习了

    0

  4. 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level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:32 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291919, encodeId=69442919191c, content=出生的特点还是比较明显, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:20 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291918, encodeId=d8af2919187e, content=以色列阴暗的调查研究花瓶, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:08 CST 2018, time=2018-03-01, status=1, ipAttribution=)]
    2018-03-01 龙胆草

    学习谢谢分享

    0

  5. 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content=以色列阴暗的调查研究花瓶, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:08 CST 2018, time=2018-03-01, status=1, ipAttribution=)]
    2018-03-01 sunfeifeiyang

    阅

    0

  6. 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content=以色列阴暗的调查研究花瓶, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:08 CST 2018, time=2018-03-01, status=1, ipAttribution=)]
    2018-03-01 雾夜芭蕾

    不均衡地降低如何了解

    0

  7. 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createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Thu Mar 01 09:14:42 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291925, encodeId=b45929192511, content=阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/07/a9772c74ffd6edc03a7f9af07b4747f6.jpg, createdBy=b3722138742, createdName=sunfeifeiyang, createdTime=Thu Mar 01 07:21:04 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291922, encodeId=b10d2919229b, content=不均衡地降低如何了解, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, 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level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:32 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291919, encodeId=69442919191c, content=出生的特点还是比较明显, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:20 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291918, encodeId=d8af2919187e, content=以色列阴暗的调查研究花瓶, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:08 CST 2018, time=2018-03-01, status=1, ipAttribution=)]
    2018-03-01 雾夜芭蕾

    混杂因素的影响也是普遍

    0

  8. 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level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:32 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291919, encodeId=69442919191c, content=出生的特点还是比较明显, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:20 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291918, encodeId=d8af2919187e, content=以色列阴暗的调查研究花瓶, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:08 CST 2018, time=2018-03-01, status=1, ipAttribution=)]
    2018-03-01 雾夜芭蕾

    多例病例表明了这一观点

    0

  9. 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level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:32 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291919, encodeId=69442919191c, content=出生的特点还是比较明显, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:20 CST 2018, time=2018-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=291918, encodeId=d8af2919187e, content=以色列阴暗的调查研究花瓶, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:08 CST 2018, time=2018-03-01, status=1, ipAttribution=)]
    2018-03-01 雾夜芭蕾

    出生的特点还是比较明显

    0

  10. 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content=以色列阴暗的调查研究花瓶, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLBkyaelI9ia3n9SbuKmBdaY0PqCOzd0nhRUstroXmUmXZ5EBTmibtLEvCCIpyHAqxQXGfZz49ibrwjkg/0, createdBy=39781652829, createdName=雾夜芭蕾, createdTime=Thu Mar 01 07:16:08 CST 2018, time=2018-03-01, status=1, ipAttribution=)]
    2018-03-01 雾夜芭蕾

    以色列阴暗的调查研究花瓶

    0

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