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Heart:急性和慢性心肌损伤远期预后的比较

2019-12-16 不详 MedSci原创

本研究的目的旨在分析和比较急性和慢性心肌损伤的远期预后。本研究纳入了2011-2014在急诊接受了高敏肌钙蛋白T(hs-cTnT)检测的22589名患者, 并将hs-cTnT>14ng/L的患者挑出来,分成急性心肌损伤、1型心梗(T1MI)、2型心梗(T2MI)或慢性心肌损伤,主要终点事件是全因死亡率。最终,共纳入分析了3853名患者,经过平均3.9年时间的随访,急性心肌损伤、1型心梗、2型心梗和

本研究的目的旨在分析和比较急性和慢性心肌损伤的远期预后。

本研究纳入了2011-2014在急诊接受了高敏肌钙蛋白T(hs-cTnT)检测的22589名患者, 并将hs-cTnT>14ng/L的患者挑出来,分成急性心肌损伤、1型心梗(T1MI)、2型心梗(T2MI)或慢性心肌损伤,主要终点事件是全因死亡率。最终,共纳入分析了3853名患者,经过平均3.9年时间的随访,急性心肌损伤、1型心梗、2型心梗和慢性心肌损伤患者分别有48%, 24%, 44%和49%死亡。与对照组相比,急性心肌损伤患者的死亡和心衰风险明显更高,但是心梗风险相似。T1MI患者的死亡风险更低,但是心梗风险更高,T2MI患者的死亡和心衰风险更高。

研究结果显示,与慢性心肌损伤患者相比,急性心肌损伤和T2MI患者的远期的绝对死亡风险相似,调整后的死亡风略高。远期死亡率最低的是1型心梗。

原始出处:

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    2019-12-18 苏小雨

    学习了,谢谢分享

    0

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    2019-12-18 zhaojie88
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    2019-12-18 slcumt

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