Non Clinical Risk Factors of Myocardial Infarction: A Meta-AnalysisApproach

M. Sajid, A. Ansar, A. Hanif, K. Waheed, S. Tufail, T. Ashraf, A. Butt
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引用次数: 2

Abstract

Background: Myocardial Infarction (MI) is a coronary heart disease that is one of the main causes of the mortality over the globe. There are various clinical and non-clinical risk factors that can be further classified as modifiable and non-modifiable. This study has explored the role of the some Non Clinical factors like; Gender, Education and Family History with MI using Meta-analysis approach. Methods: The published literature from 1990 to 2015 on MI was collected by using several databases and search engines. A review of the collected literature (28 studies) showed that the studies under analysis were of different origins and had different objectives. For each study, Odds Ratio and 95% confidence intervals was extracted and pooled with a random effect model, weighting for the inverse of the variance. Meta-analysis software version 2.0 was used to analyze heterogeneity analysis and estimate pooled estimates through random effect model. Results: The study has showed that gender (OR=1.391 and 95% C.I.: 1.140, 1.697), family history of heart diseases (OR=3.206 95% C.I.:2.064, 4.981) and low education level or illiteracy (OR=1.552 and 95%C.I.: 1.132, 2.128) are the significant risk factors in developing Myocardial Infarction. Conclusion: This study has concluded that included factors in this study are significantly related to the Myocardial Infarction. Gender difference, family history of heart disease and low education are the important risk factors in causing this fatal disease.
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心肌梗死的非临床危险因素:Meta分析方法
背景:心肌梗死(MI)是一种冠心病,是全球死亡的主要原因之一。有各种临床和非临床风险因素可以进一步分为可改变和不可改变。本研究探讨了一些非临床因素的作用,如:;使用荟萃分析方法的性别、教育和MI家族史。方法:使用多个数据库和搜索引擎收集1990年至2015年发表的MI文献。对收集的文献(28项研究)的回顾表明,所分析的研究来源不同,目标也不同。对于每项研究,提取比值比和95%置信区间,并与随机效应模型合并,对方差的倒数进行加权。荟萃分析软件2.0版用于分析异质性分析,并通过随机效应模型估计合并估计值。结果:性别(OR=1.391,95%CI:1.40,1.697)、有心脏病史(OR=3.06,95%CI:2.064,4.981)、文化程度低或文盲(OR=1.552,95%CI=1.132.128)是发生心肌梗死的重要危险因素。结论:本研究的纳入因素与心肌梗死有显著相关性。性别差异、心脏病家族史和低教育程度是导致这种致命疾病的重要危险因素。
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