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首页> 外文期刊>The American Journal of Cardiology >Ethnic Differences Among Implantable Cardioverter Defibrillators Recipients in Israel
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Ethnic Differences Among Implantable Cardioverter Defibrillators Recipients in Israel

机译：以色列的植入式心脏复律除颤器接受者的种族差异

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摘要

Heart failure is an increasingly common condition arising from a variety of different pathophysiological processes. Little is known about the unique features of Israeli Arabs who present with heart failure and who undergo cardiac device implantation. The study population comprised of 4,671 patients who were enrolled in the national Israeli Implantable Cardioverter Defibrillator registry. We compared demographic, clinical, and echocardiographic characteristics; device-related indications; and outcomes between Israeli Arabs (n = 733) and Jews (n = 3,938), who were enrolled in the registry from July 2010 through December 2013. Israeli Arabs constituted 15.7% of the study population. They were younger at presentation compared with Jews (57 +/- 15 vs 66 +/- 12 years, respectively; p < 0.001), with a greater burden of co-morbidities, including diabetes mellitus and chronic obstructive lung disease and smoking. In addition, Arab patients had a greater frequency of non-ischemic cardiomyopathy (40.2% vs 24.6%, respectively; p < 0.001), which was associated with a greater frequency of familial history of sudden cardiac death. During 15 +/- 9 month follow-up, the mortality rates and appropriate device therapy were similar in both ethnic groups. In conclusion, Israeli Arab patients implanted with implantable cardioverter defibrillators display unique clinical features with greater prevalence of non-ischemic cardiomyopathy characterized by an early-onset and rapid deterioration. (C) 2015 Elsevier Inc. All rights reserved.
机译：心力衰竭是由多种不同的病理生理过程引起的越来越普遍的疾病。对于出现心力衰竭并接受心脏装置植入的以色列阿拉伯人的独特特征，鲜为人知。该研究人群包括4,671名患者，他们参加了以色列国家植入式心脏复律除颤器注册表。我们比较了人口统计学，临床和超声心动图特征;设备相关的指示;以及从2010年7月至2013年12月注册的以色列阿拉伯人（n = 733）和犹太人（n = 3,938）之间的结果。以色列阿拉伯人占研究人口的15.7％。与犹太人相比，他们的年龄较年轻（分别为57 +/- 15岁和66 +/- 12岁; p <0.001），合并症的负担更大，包括糖尿病，慢性阻塞性肺病和吸烟。此外，阿拉伯患者发生非缺血性心肌病的频率更高（分别为40.2％和24.6％; p <0.001），这与家族性心脏猝死史的发生频率更高有关。在15 +/- 9个月的随访期间，两个族裔的死亡率和适当的器械治疗相似。总之，植入了植入式心脏复律除颤器的以色列阿拉伯患者表现出独特的临床特征，非缺血性心肌病的患病率更高，其特点是早发和快速恶化。 （C）2015 Elsevier Inc.保留所有权利。

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