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格陵兰岛心力衰竭的患病率和临床特征。

Prevalence and clinical features of heart failure in Greenland.

机构信息

Greenland Center for Health Research, Institute of Health and Nature, University of Greenland, Nuuk, Greenland.

Medical Department, Queen Ingrid's Hospital, Nuuk, Greenland.

出版信息

Int J Circumpolar Health. 2023 Dec;82(1):2178068. doi: 10.1080/22423982.2023.2178068.

Abstract

Heart Failure (HF) constitutes a significant burden for healthcare around the world. In Greenland, risk factors like smoking, diabetes, and obesity are prevalent. Yet, the prevalence of HF remains unexplored. This register-based cross-sectional study uses data from the national medical record in Greenland to estimate the age- and gender-specific prevalence of HF and to describe the characteristics of patients with HF in Greenland. A total of 507 patients (26% women) with a mean age of 65 years were included based on a diagnosis of HF. The overall prevalence was 1.1% and higher among men compared to women (1.6% vs. 0.6%, < 0.05). The highest prevalence was among men above 84 years (11.1%). More than half (53%) had a body mass index above 30 kg/m2 and 43% were current daily smokers. The proportion diagnosed with ischaemic heart disease (IHD) was 33%. The overall prevalence of HF in Greenland is consistent with that in other high-income countries, yet high among men in some age groups, compared to Danish men. Almost half the patients were obese and/or smokers. A low prevalence of IHD was observed indicating that other factors may play a role in developing HF among Greenlanders.

摘要

心力衰竭(HF)在全球范围内给医疗保健带来了重大负担。在格陵兰,吸烟、糖尿病和肥胖等危险因素很普遍。然而,HF 的患病率仍未得到探索。这项基于登记的横断面研究利用来自格陵兰国家医疗记录的数据,估计 HF 的年龄和性别特异性患病率,并描述格陵兰 HF 患者的特征。共有 507 名(26%为女性)平均年龄为 65 岁的患者根据 HF 诊断纳入研究。总体患病率为 1.1%,男性高于女性(1.6%比 0.6%,<0.05)。年龄在 84 岁以上的男性患病率最高(11.1%)。超过一半(53%)的人体重指数(BMI)超过 30kg/m2,43%为当前每日吸烟者。诊断为缺血性心脏病(IHD)的比例为 33%。格陵兰 HF 的总体患病率与其他高收入国家一致,但与丹麦男性相比,某些年龄组的男性患病率较高。几乎一半的患者肥胖和/或吸烟。IHD 的患病率较低表明,在格陵兰人中,其他因素可能在 HF 的发展中起作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0546/9946303/0bafb68ab99c/ZICH_A_2178068_F0001_OC.jpg

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