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JAMA Psychiatry:神经性贪食症与女性长期心血管事件风险

2019-10-21 MedSci MedSci原创

研究证实,神经性贪食症与任何心血管疾病的长期风险有关,包括缺血性心脏事件和传导障碍以及死亡。

神经性贪食症与女性短期心血管并发症风险有关,近日研究人员考察了其对心血管健康的长期影响。

2006年至2018年,加拿大魁北克省416709名因神经性贪食症住院妇女参与研究,随访12年,研究的主要终点为心血管疾病和死亡的发生率。

研究包括因神经性贪食症住院的818名妇女(平均年龄28.3岁)和因妊娠相关事件住院的415891名(平均年龄28.3岁)患者,随访2957677患者年。与妊娠住院患者相比,神经性贪食症患者的心血管疾病风险增加(10.34 vs 1.02例每1000患者年),而后继心血管疾病风险增加近3倍(25.13例每1000患者年)。神经性贪食症患者因心血管疾病住院风险增加4.25倍,死亡风险增加4.72倍。神经性贪食症与缺血性心脏病(HR,6.63)、动脉粥样硬化(HR,6.94)和心脏传导缺陷(HR,2.99)风险有关。2年随访时,神经性贪食症患者的心肌梗死增加21.93倍,5年时风险增加14.13倍。

研究证实,神经性贪食症与任何心血管疾病的长期风险有关,包括缺血性心脏事件和传导障碍以及死亡。

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    2019-10-25 147612bem32暂无昵称

    写的真好

    0

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在SCOT-HEART临床试验中,冠脉CTA的运用可以减少稳定型胸痛患者的心源性死亡率。本研究的目的旨在评估该临床试验的五年临床结局及可能机制。本研究将4146名患者随机分成标准治疗组和标准治疗联合冠脉CTA组。在未被诊断为冠心病心绞痛的患者中,冠脉CTA可以降低主要终点事件发生率(p < 0.001)。在接受冠脉CTA检测患者中,第一年的冠脉血运重建率更高( [HR]: 1.21; 95%

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