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首页> 外文期刊>The American heart journal >Incidence, timing, and type of first and recurrent ischemic events in patients with and without peripheral artery disease after an acute coronary syndrome
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Incidence, timing, and type of first and recurrent ischemic events in patients with and without peripheral artery disease after an acute coronary syndrome

机译:在急性冠状动脉综合征后患者和不经常发生的缺血事件的发病率,时序和类型的第一和复发性缺血事件

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BackgroundPatients with peripheral artery disease (PAD) are known to have an increased risk of ischemic cardiovascular events. However, the influence of concomitant PAD on first and subsequent recurrent ischemic events after an acute coronary syndrome (ACS) remains poorly characterized. MethodsWe analyzed the combined data set from 4 randomized trials (PLATO, APPRAISE-2, TRA-CER, and TRILOGY ACS) in ACS for a follow-up length of 1?year. Using multivariable regression, we examined the association between PAD and major adverse cardiovascular events, a composite of cardiovascular death, myocardial infarction, and stroke. Among patients with a nonfatal first event, we evaluated the incidence and type of a second recurrent event. ResultsA total of 4,098 of 48,094 (8.5%) post-ACS patients had a history of PAD. The unadjusted frequency of major adverse cardiovascular events was 2-fold higher in patients with PAD (14.3% vs 7.5%) over a median (25th-75th) follow-up of 353 (223-365) days with an adjusted hazard ratio of 1.63 (95% CI: 1.48-1.78;P?
机译:背景包括外周动脉疾病(垫)的背景,已知具有缺血性心血管事件的风险增加。然而,伴随垫在急性冠状动脉综合征(ACS)后的第一和随后的复发性缺血事件的影响仍然是特征差。方法在ACS中分析了从4个随机试验(柏拉图,评估-2,TRA-CER和TRILOGY ACS)的组合数据集,以进行后续长度为1?一年。使用多变量回归,我们检查了垫和主要不良心血管事件之间的关联,心血管死亡,心肌梗死和中风的复合材料。在患者中,患有非常规事件的患者中,我们评估了第二次复发事件的发病率和类型。结果总共4,098名,共48,094名(8.5%)ACS患者的患者患者。在353(223-365)天的中位数(25th-75th)的危险比为1.63的危险比为1.63的危险比(223-365)天中位(25-75℃)的患者,主要不良心血管事件的未调节频率为2倍。 (95%CI:1.48-1.78; p?<001)。在第一个非患者中复发性缺血事件的频率在垫子中的那些患者中较高(40.0%vs 27.7%)。在第一和随后的缺血事件中,每种事件类型(心血管死亡,非仪器死亡,心肌梗死或中风)的相对频率是相似的,无论基线是否在基线上。结论垫在后ACS设置中具有明显更高的第一和复发性缺血事件的风险。这些调查结果突出了改进患者患者患者的患者治疗ACS的机会。

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