伴有或不伴有 SCAD 的急性心肌梗死女性患者的发病率和院内死亡率。

IF 3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Problems in Cardiology Pub Date : 2024-11-09 DOI:10.1016/j.cpcardiol.2024.102921

Chayakrit Krittanawong, Yusuf Kamran Qadeer, Song Peng Ang, Zhen Wang, Mahboob Alam, Samin Sharma, Hani Jneid

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引用次数: 0

摘要

背景：在过去几十年中，自发性冠状动脉夹层（SCAD）已被越来越多的人所认识。自发性冠状动脉夹层（SCAD）患者会出现急性心肌梗死（AMI），尤其是没有传统危险因素的年轻健康女性。然而，有关 SCAD 患者发生急性心肌梗死后的预后或在发生急性心肌梗死的情况下对 SCAD 进行 PCI 治疗的益处的数据尚无定论：我们利用2016年至2019年期间的全国住院患者样本（NIS）数据库，评估了急性心肌梗死（AMI）女性患者中伴有或不伴有SCAD的患病率、近期趋势、发病率和院内死亡率，并通过基于人群的分析评估了PCI对院内死亡率的影响：2016年至2019年期间，共有1527555例女性出现AMI。其中，12125 例为 SCAD。SCAD 组和非 SCAD 组的死亡率趋势相当。SCAD-STEMI的发病率逐年上升：2016-2019年，被发现患有SCAD或未患有SCAD的心肌梗死患者的死亡率并无差异。然而，SCAD-MI病例似乎每年都在逐渐增加。需要开展更多研究，以更好地阐明这些患者的治疗效果。

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Incidence and in-hospital mortality among women with acute myocardial infarction with or without SCAD.

Background: Spontaneous coronary artery dissection (SCAD) has been increasingly recognized in the past decades. SCAD patients can present with acute myocardial infarction (AMI), particularly in young healthy women without conventional risk factors. However, data on the outcomes of SCAD patients presenting with AMI or benefit of PCI for SCAD in the setting of AMI is inconclusive.

Methods: We evaluated the prevalence, recent trends, the incidence and in-hospital mortality among women with acute myocardial infarction (AMI) who presented with or without SCAD, and to evaluate the impact of PCI on in-hospital mortality from a population-based analysis, using the National Inpatient Sample (NIS) database between 2016 and 2019.

Results: From 2016-2019, there were 1,527,555 cases of females presenting with AMI. Of that number, there were 12,125 cases of SCAD. Mortality trends in the SCAD and non-SCAD group were comparable. There was a gradual increase in incidence each year for SCAD-STEMI.

Conclusion: Mortality did not differ from 2016-2019 in patients with MI found to have SCAD or not. However, it seems that the SCAD-MI cases are gradually increasing each year. More research needs to be performed to better elucidate treatment outcomes in these patients.

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来源期刊

Current Problems in Cardiology 医学-心血管系统

CiteScore

4.80

自引率

2.40%

发文量

392

审稿时长

6 days

期刊介绍： Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.