JAHA：缺血性心脏病心理因素的性别分层风险

2019-04-30 xing.T 网络

由此可见，心理因素与女性和男性的IHD事件有关，但女性和男性之间没有显著差异。IHD主要为阻塞性冠状动脉疾病，其在男性中更普遍。心理预测因子和IHD的其他表现需要额外的数据证明，如冠状动脉微血管疾病，这在女性中更为常见。

心理因素与发生缺血性心脏病（IHD）的风险增加有关。在IHD的女性中更多地报告了心理因素和性别差异。近日，心血管疾病领域权威杂志JAHA上发表了一篇研究文章，在这项荟萃分析中，研究人员分析了女性和男性IHD发病的心理因素风险。研究人员假设大量的心理因素与发生IHD的风险较高有关，对于女性风险更高。

研究人员检索了PubMed、EMBASE和PsycINFO等数据库，以评估心理因素和IHD之间的关系。心理因素包括抑郁、焦虑或恐慌症、社会支持、敌意、愤怒、性格（D型）、A型行为模式、创伤后应激障碍和心理困扰。

在初步分析中，研究人员纳入了62项研究（77份单独报告），其中包含2145679名妇女和3119879名男子，并报告了混杂因素调整后的风险比或相对风险。随机效应模型的混合效应混杂因素调整后的估计显示，女性（风险比：1.22; 95％CI为1.14-1.30）和男性（风险比：1.25; 95％CI为1.19-1.31）心理因素（所有组合）与IHD有关。这些汇总效应估计没有发现性别差异（P=0.547）。

由此可见，心理因素与女性和男性的IHD事件有关，但女性和男性之间没有显著差异。IHD主要为阻塞性冠状动脉疾病，其在男性中更普遍。心理预测因子和IHD的其他表现需要额外的数据证明，如冠状动脉微血管疾病，这在女性中更为常见。

原始出处：

Veerle R. Smaardijk.et al.Sex‐ and Gender‐Stratified Risks of Psychological Factors for Incident Ischemic Heart Disease: Systematic Review and Meta‐Analysis.JAHA.2019.https://www.ahajournals.org/doi/full/10.1161/JAHA.118.010859

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2019-11-25 guihongzh

#缺血性#

68 0
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2019-05-06 zwjnj2

学习学习努力学习

0 0
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2019-05-04 小豁牙

哈哈

89 0
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2019-05-04 小豁牙

好文章，学习了

93 0
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2019-05-02 天地飞扬

了解一下，谢谢分享！

103 0
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2019-05-02 仁心济世

#AHA#

43 0
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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=650f104372, createdName=gcwu82, createdTime=Wed May 01 17:34:49 CST 2019, time=2019-05-01, status=1, ipAttribution=)]
2019-05-02 ylz8403

#缺血性心脏病#

55 0
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level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/iaAVWEsIJUkA1ITy3uL0lhHUhyaJibWgFtH4KbJuaLbY2WUK33jgCFyoZ8Eqx7eE7hCuZhytc1C5GRrfjVXN8lYg/0, createdBy=fcb82149579, createdName=183****7028, createdTime=Thu May 02 07:26:38 CST 2019, time=2019-05-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=365593, encodeId=dfd336559353, content=谢谢了，学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=30331616752, createdName=txqjm, createdTime=Thu May 02 05:05:58 CST 2019, time=2019-05-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=365575, encodeId=21963655e589, content=不错值得学习推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=650f104372, createdName=gcwu82, createdTime=Wed May 01 17:34:49 CST 2019, time=2019-05-01, status=1, ipAttribution=)]
2019-05-02 183****7028

学习

92 0
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topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=650f104372, createdName=gcwu82, createdTime=Wed May 01 17:34:49 CST 2019, time=2019-05-01, status=1, ipAttribution=)]
2019-05-02 txqjm

谢谢了，学习

44 0
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2019-05-01 gcwu82

不错值得学习推荐

46 0