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使用平板运动试验对也门患者的冠状动脉疾病进行诊断和风险分层。

Diagnosis and risk stratification of coronary artery disease in Yemeni patients using treadmill test.

作者信息

Aljaber Nouradden N, Shanei Shanei A, Alshoabi Sultan Abdulwadoud, Alsultan Kamal D, Gameraddin Moawia B, Al-Sayaghi Khaled M

机构信息

Department of Medicine, Faculty of Medicine, Sana'a University, Sana'a, Republic of Yemen.

Cardiac Center, Althawra Modern General Hospital, (TMGH), Sana'a, Republic of Yemen.

出版信息

J Family Med Prim Care. 2020 May 31;9(5):2375-2378. doi: 10.4103/jfmpc.jfmpc_1231_19. eCollection 2020 May.

DOI:10.4103/jfmpc.jfmpc_1231_19
PMID:32754504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7380750/
Abstract

BACKGROUND

Coronary artery disease (CAD) is a common medical problem that remains a great cause of morbidity and mortality. Based on clinical manifestation, CAD span from chronic stable angina to acute coronary syndrome (ACS), which encompasses (1) unstable angina (UA), (2) non-ST-elevation myocardial infarction (NSTEMI), and (3) ST-elevation myocardial infarction (STEMI).

OBJECTIVE

This study was conducted to describe the risk stratification and prognosis of CAD in Yemeni patients undergoing an exercise stress test.

METHOD

A retrospective descriptive study involved the records of 302 patients who undergoing exercise stress testing by the Bruce protocol of Treadmill (TMT).

RESULTS

Out of 302 patients, the mean age was 43.29 years, (range, 22-70 years), and 79.80% were males. The majority of patients (86.75%) were normal. Most of the affected patients (82.50%) were males. All of the affected peoples were more than 30 years old with predominance in more than 50 years old. Results showed that 45% of the positive (+ve) patients were in high-risk group, and 55% were in intermediate and low-risk groups.

CONCLUSIONS

CAD affects males more than females. It affects patients older than 30 years and predominates in elderly patients. Most of the affected patients were in the high, intermediate, and low-risk groups and rarely were in the very high-risk group.

摘要

背景

冠状动脉疾病(CAD)是一个常见的医学问题,仍然是发病和死亡的重要原因。基于临床表现,CAD涵盖从慢性稳定型心绞痛到急性冠状动脉综合征(ACS),后者包括(1)不稳定型心绞痛(UA)、(2)非ST段抬高型心肌梗死(NSTEMI)和(3)ST段抬高型心肌梗死(STEMI)。

目的

本研究旨在描述也门患者在进行运动负荷试验时CAD的风险分层和预后。

方法

一项回顾性描述性研究涉及302例通过布鲁斯跑步机运动试验方案(TMT)进行运动负荷测试的患者记录。

结果

302例患者中,平均年龄为43.29岁(范围22 - 70岁),男性占79.80%。大多数患者(86.75%)正常。大多数受影响患者(82.50%)为男性。所有受影响人群均超过30岁,以50岁以上者为主。结果显示,45%的阳性(+ve)患者处于高危组,55%处于中低危组。

结论

CAD对男性的影响大于女性。它影响30岁以上的患者,且在老年患者中占主导。大多数受影响患者处于高、中、低风险组,极少处于极高风险组。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a5/7380750/c03682bb1502/JFMPC-9-2375-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a5/7380750/c03682bb1502/JFMPC-9-2375-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a5/7380750/c03682bb1502/JFMPC-9-2375-g001.jpg

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