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合并症和人口统计学因素对射血分数的影响。

The Impact of Comorbidities and Demographic Factors on Ejection Fraction.

作者信息

Soysaler Cezara Andreea, Andrei Cătălina Liliana, Ceban Octavian, Sinescu Crina Julieta

机构信息

Department of Cardiology, University of Medicine and Pharmacy "Carol Davila", Emergency Hospital "Bagdasar-Arseni", 050474 Bucharest, Romania.

Economic Cybernetics and Informatics Department, The Bucharest University of Economic Studies, 010374 Bucharest, Romania.

出版信息

Medicines (Basel). 2023 Dec 19;11(1):1. doi: 10.3390/medicines11010001.

Abstract

Heart failure (HF) presents an increasingly significant problem as the population ages. The cause of HF plays a significant role in determining treatment options and outcomes. It is worth noting that several studies have identified gender disparities in both morbidity and mortality, which may suggest differing causes of HF. The purpose of this research is to investigate the influence of various factors, including demographics and comorbidities, on ejection fraction (EF). The objectives of this study involve implementing preventive measures, ensuring timely diagnosis, and implementing interventions that target risk factors and specific comorbidities. These efforts aim to improve the prognosis for individuals affected by heart failure. The main method consists of linear regression. The demographic factors under scrutiny are gender and education, while the comorbidities of interest encompass valvulopathy, ischemia, smoking, obesity, high cholesterol, and diabetes. The main results consist of the fact that high education is associated with a 12.8% better EF on average, while among the factors with a negative role analyzed, ischemia is the most harmful, being 12.8% lower on average. Factors with a smaller impact are smoking, obesity, and high cholesterol. Diabetes does not seem to affect EF.

摘要

随着人口老龄化,心力衰竭(HF)成为一个日益严重的问题。心力衰竭的病因在决定治疗方案和预后方面起着重要作用。值得注意的是,多项研究已经确定了发病率和死亡率方面的性别差异,这可能表明心力衰竭的病因有所不同。本研究的目的是调查包括人口统计学和合并症在内的各种因素对射血分数(EF)的影响。本研究的目标包括实施预防措施、确保及时诊断以及实施针对风险因素和特定合并症的干预措施。这些努力旨在改善心力衰竭患者的预后。主要方法是线性回归。所研究的人口统计学因素是性别和教育程度,而关注的合并症包括瓣膜病、缺血、吸烟、肥胖、高胆固醇和糖尿病。主要结果包括,高学历平均与射血分数提高12.8%相关,而在所分析的具有负面作用的因素中,缺血危害最大,平均降低12.8%。影响较小的因素是吸烟、肥胖和高胆固醇。糖尿病似乎不影响射血分数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c2/10819511/a69ffc1c1431/medicines-11-00001-g001.jpg

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