约旦患者急性冠状动脉综合征（ACS）发生率的观察性研究：确定斋月禁食的影响。

An observational study of the occurrence of acute coronary syndrome (ACS) among jordanian patients: Identifying the influence of Ramadan Fasting.

作者信息

Raffee Liqaa A, Alawneh Khaled Z, Al Suleiman Mohammad Khaled, Ibdah Rashid K, Rawashdeh Sukaina I, Al-Mistarehi Abdel-Hameed W

机构信息

Department of Accident and Emergency Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

Department of Diagnostic Radiology and Nuclear Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Ann Med Surg (Lond). 2020 Oct 2;59:171-175. doi: 10.1016/j.amsu.2020.09.042. eCollection 2020 Nov.

DOI:10.1016/j.amsu.2020.09.042

PMID:33082945

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7554320/

Abstract

INTRODUCTION

Patients with Acute Coronary Syndrome (ACS) tend to face several health issues during the Holy month of Ramadan, due to the change in dietary patterns. This study aims to investigate the influence of fasting during Ramadan on the occurrence of ACS.

METHODS

The study followed a retrospective observational design, and was conducted in King Abdullah University Hospital (KAUH) of Jordan, during the period of June 06, 2016 to Aug 08, 2016 and May 27, 2017 to July 27, 2017. Data was collected from a sample of 226 male and female patients, aged between 20 and 80 years with major diagnosis of acute coronary syndrome. Therefore, this is a case series of ACS patients.

RESULTS

Findings of the study indicated that, Ramadan fasting is insignificantly related to the occurrence of ACS, since no significant difference was found in the incidence of hypertension (65%), diabetes (51.7%), unstable angina (56.6%) and coronary artery disease (CAD) (57.6%) findings during and after Ramadan respectively. Similar, findings were attained for patients' final diagnosis which had normal Kidney Function Test (KFT) (72.5%), platelets (91.5%), and Ejection Fraction (EF) (64.6%). Also, no significant difference was found between patients' smoking status (61.0%), hospital stay (89.8%) and discharge rate (96.9%).

CONCLUSION

The study concluded that there is an insignificant association of Ramadan fasting on the cardiac patients and occurrence of acute coronary syndrome.

摘要

引言

由于饮食模式的改变，急性冠脉综合征（ACS）患者在斋月期间往往会面临一些健康问题。本研究旨在调查斋月期间禁食对ACS发生的影响。

方法

该研究采用回顾性观察设计，于2016年6月6日至2016年8月8日以及2017年5月27日至2017年7月27日在约旦阿卜杜拉国王大学医院（KAUH）进行。从226名年龄在20至80岁之间、主要诊断为急性冠脉综合征的男性和女性患者样本中收集数据。因此，这是一组ACS患者的病例系列研究。

结果

研究结果表明，斋月禁食与ACS的发生无显著相关性，因为在斋月期间和斋月之后，高血压（65%）、糖尿病（51.7%）、不稳定型心绞痛（56.6%）和冠状动脉疾病（CAD）（57.6%）的发病率分别未发现显著差异。同样，在患者最终诊断方面，肾功能测试（KFT）正常（72.5%）、血小板（91.5%）和射血分数（EF）（64.6%）的患者也得到了类似结果。此外，患者的吸烟状况（61.0%）、住院时间（89.8%）和出院率（96.9%）之间也未发现显著差异。