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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

  2. [GetPortalCommentsPageByObjectIdResponse(id=1853892, encodeId=b855185389241, content=<a href='/topic/show?id=48351020537' target=_blank style='color:#2F92EE;'>#JACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10205, encryptionId=48351020537, topicName=JACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Sat May 19 23:04:00 CST 2018, time=2018-05-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1325656, encodeId=0b6b1325656d0, content=<a href='/topic/show?id=96c71804b7' target=_blank style='color:#2F92EE;'>#ACC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1804, encryptionId=96c71804b7, topicName=ACC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1e452500029, createdName=12498568m50暂无昵称, createdTime=Wed Jan 03 23:04:00 CST 2018, time=2018-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1484985, encodeId=b6cd14849855d, content=<a href='/topic/show?id=4bbe5902ed2' target=_blank style='color:#2F92EE;'>#无症状#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59027, encryptionId=4bbe5902ed2, topicName=无症状)], attachment=null, authenticateStatus=null, createdAvatar=Bioon/avatar/20180429/70baad2aa5a046c5aa2914d262de7d37.jpg, createdBy=bd077990475, createdName=12498da4m34(暂无昵称), createdTime=Wed Jan 03 23:04:00 CST 2018, time=2018-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274793, encodeId=c4952e4793a8, content=好文章.认认真真学习吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo61WAV0ROeLAoicPxPKoKaogwLWLL8STv86qplbdOibN2YR4KxkJicqNectCXGR8gPJhGLc7yYLSdnpx4kaVXndTfu/0, createdBy=a6962042337, createdName=1391e9f2a7m, createdTime=Tue Jan 02 16:58:39 CST 2018, time=2018-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274706, encodeId=7b962e47066b, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmhead/Q3auHgzwzM6P57Bs8gOPaY1cQP9lIia0lmZOEXraGaoicqNToIslXDKw/0, createdBy=7a041951742, createdName=衣带渐宽, createdTime=Tue Jan 02 09:51:16 CST 2018, time=2018-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274690, encodeId=3b3e2e4690cd, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Tue Jan 02 09:36:10 CST 2018, time=2018-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=274669, encodeId=e7cc2e466953, content=学习谢谢分享, 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/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Tue Jan 02 08:42:33 CST 2018, time=2018-01-02, status=1, ipAttribution=)]
    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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