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约旦年轻人群中心脏缺血性疾病患者的患病率、临床特征及风险

Prevalence, Clinical Characteristics, and Risk Among Patients with Ischemic Heart Disease in the Young Jordanian Population.

作者信息

Raffee Liqaa A, Alawneh Khaled Z, Ibdah Rashid K, Rawashdeh Sukaina I, Zoghoul Sohaib, Ewais Abdel Salam, Al-Mistarehi Abdel-Hameed

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

Open Access Emerg Med. 2020 Nov 16;12:389-397. doi: 10.2147/OAEM.S272961. eCollection 2020.

DOI:10.2147/OAEM.S272961
PMID:33235526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7678703/
Abstract

PURPOSE

This study aims to evaluate the prevalence of ischemic heart disease (IHD) among the young population in Jordan. We examined the risk factors that might be involved in disease incidence. Clinical characteristics, patients' living standards, and various other risk factors were considered to conduct the study.

METHODS

A retrospective study was conducted at King Abdullah University Hospital. Data were collected from patients who visited this hospital between January 2013 and December 2017. Only young Jordanian adults of age <50 years were included in this study. The data of 358 patients were purposively collected and analyzed (as per the determined inclusion criteria), where information related to their baseline characteristics, clinical characteristics, and related biochemical assays was reviewed.

RESULTS

This study showed a high prevalence of IHD among young males in Jordan. It also revealed that increased age, smoking, hypertension, unfavorable lipid profile, and obesity were the major possible risk factors for the occurrence of disease. These patients were initially diagnosed with either unstable angina or acute myocardial infarction. Initial WBCs count, particularly monocytes differential, was high in about one-third of patients, besides cardiac biomarkers.

CONCLUSION

The high incidence of IHD was noticed among young individuals. We suggest that more efforts should be instigated for reducing the high prevalence of IHD by adopting a healthy lifestyle, preventive attitude, and nutritious food intake.

摘要

目的

本研究旨在评估约旦年轻人群中缺血性心脏病(IHD)的患病率。我们研究了可能与疾病发病率相关的危险因素。研究中考虑了临床特征、患者生活水平以及各种其他危险因素。

方法

在阿卜杜拉国王大学医院进行了一项回顾性研究。收集了2013年1月至2017年12月期间到该医院就诊患者的数据。本研究仅纳入年龄小于50岁的约旦年轻成年人。按照既定的纳入标准,有目的地收集并分析了358例患者的数据,其中回顾了与他们的基线特征、临床特征以及相关生化检测有关的信息。

结果

本研究表明约旦年轻男性中IHD患病率较高。研究还显示,年龄增长、吸烟、高血压、不良血脂谱和肥胖是该疾病发生的主要可能危险因素。这些患者最初被诊断为不稳定型心绞痛或急性心肌梗死。除心脏生物标志物外,约三分之一患者的初始白细胞计数,尤其是单核细胞分类计数较高。

结论

在年轻人中发现IHD发病率较高。我们建议应通过采取健康的生活方式、预防态度和摄入营养食品,加大力度降低IHD的高患病率。

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