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JAMA Otolaryngol Head Neck Surg:老年人中心血管并发症与听力损失相关性研究

2018-06-17 AlexYang MedSci原创

最近,有研究人员调查了心血管疾病(CVD)相关风险因子与听觉功能在老年人(>80岁)中的相关性。研究发现,在433名患者中(67%为女性;平均(SD)年龄:89 [5.8] 岁)。与平均(SD)低频率纯音均值(LFPTA)为36.9(3.5)分贝听力损失(dB HL)相比,至少存在一种心血管并发症的患者与提高的LFPTA 42.4(1.6)相关,两者的LFPTA差异为5.47(95% CI,

最近,有研究人员调查了心血管疾病(CVD)相关风险因子与听觉功能在老年人(>80岁)中的相关性。

研究发现,在433名患者中(67%为女性;平均(SD)年龄:89 [5.8] 岁)。与平均(SD)低频率纯音均值(LFPTA)为36.9(3.5)分贝听力损失(dB HL)相比,至少存在一种心血管并发症的患者与提高的LFPTA 42.4(1.6)相关,两者的LFPTA差异为5.47(95% CI, 4.15-9.49)dB HL。在年龄不小于80岁且具有2种听力图的96名患者中,他们的听力损失比例可以进行计算,其中,32名患者患有CVD或者具有相关风险因子,64名为健康的对照。研究发现,那些至少具有1种心血管疾病的患者表现为加速的听力损失。患有心血管并发症的患者LFPTA均值(SD)减少速度更快1.90 (0.27) vs 1.18 (0.42) dB HL/y,两者的差异为 0.72 (95% CI, 0.08-1.36) dB HL/y。在条件研究中,冠状动脉疾病具有与听力阈值最高的相关性,并且在所有测试的频率中与听力损失相关,且语言认知评分低。另外,听力损失与CVD的相关性在男性中要比女性更强。

最后,研究人员指出,在老年人中,心血管风险因子和疾病与更差的听力和听力恶化更快的速度相关。在女性中,听力损失与CVD的相关性较弱,可能由于雌性激素对心血管的影响。听力损失与CVD严重程度和治疗的相关性还需要进一步的研究。

原始出处:

Wattamwar K, Qian ZJ, Otter J et al. Association of Cardiovascular Comorbidities With Hearing Loss in the Older Old. JAMA Otolaryngol Head Neck Surg. 14 June 2018.

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    2018-09-27 丁鹏鹏
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  5. 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    2018-06-20 flysky120

    老年人患心血管疾病概率

    0

  6. 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style='color:#2F92EE;'>#血管并发症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89630, encryptionId=a803896303f, topicName=血管并发症)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b67913724176, createdName=ms3892185887221420, createdTime=Tue Jun 19 01:56:00 CST 2018, time=2018-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324926, encodeId=02933249268c, content=阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/fhZdOu27e88Voqh19n8eF8cLplo8L4nicKtH0WnE3KFELXns5XDu8rsiceK2HHDZc2SEStia5VV3Pia2QLMVqlWbHw/0, createdBy=6e012139475, createdName=神功盖世, createdTime=Sun Jun 17 11:34:11 CST 2018, time=2018-06-17, status=1, ipAttribution=), 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    2018-06-19 ysjykql
  7. 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  8. 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  9. 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    2018-06-17 神功盖世

    0

  10. 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    2018-06-17 1ddf0692m34(暂无匿称)

    学习了.长知识

    0

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西班牙巴塞罗那当地时间2018年6月9日上午,在ESH 2018年会最新研究专场上,来自英国伦敦玛丽女王大学的A.Gupta教授分享了ASCOT LEGACY研究16年随访的最新结果,揭秘了高血压患者长期全因死亡率及心血管死亡率的决定因素。

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老尚未被我们完全了解;器官功能的衰退将在生命周期中逐渐发生。由此带来的储备减少可能并不会对老年人的日常生活产生影响;然而在重症监护(应激)状态下老年患者更易产生不良事件。衰老所致的各种各样合并症将在治疗过程中如影随形。本文将概述重症实践中心血管系统与年龄相关的重要变化。

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患者男性,78岁,因“反复胸闷、胸痛10年”于2015年11月20日入院。入院前10年,患者开始逐渐出现活动后胸闷、胸痛、无心悸,无咳嗽咳痰,无头晕黑矇,无反酸烧心等不适。患者在当地医院多次行心电图检查均提示“前壁心肌缺血”,给予硝酸酯类治疗后,患者自觉症状有所好转,但仍时有发作。入院前1周,患者胸痛症状再发,并伴有心悸,为求治疗患者转成都中医药大学附属医院就诊,入院查体提示心脏相对浊音界向右扩大

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