纽约心脏协会心功能分级论文-Ahmed,A.,杜媛

纽约心脏协会心功能分级论文-Ahmed,A.,杜媛

导读:本文包含了纽约心脏协会心功能分级论文开题报告文献综述及选题提纲参考文献,主要关键词:心功能分级,心力衰竭,心脏协会,患者

纽约心脏协会心功能分级论文文献综述

Ahmed,A.,杜媛[1](2007)在《一项关于心力衰竭患者纽约心脏协会心功能分级和自然病史终点的倾向匹配研究》一文中研究指出众所周知,较高的纽约心脏协会(NYHA)心功能分级与心力衰竭(HF)预后不良有关。但是,尚不清楚这种相关性在多大程度上受到年龄、疾病严重性和共病负荷等协变因素的混杂影响。洋地黄研究组(DIG)试验中入选的7788例慢性HF患者中有2441例为NYHA心功(本文来源于《世界核心医学期刊文摘(心脏病学分册)》期刊2007年07期)

Ahmed,A.,Aronow,W.S.,Fleg,J.L.,高登峰[2](2006)在《纽约心脏协会心功能分级增高与左心室功能尚存的心力衰竭患者死亡率和入院率增加的关系》一文中研究指出Background: The association between higher New York Heart Association(NYHA) class and outcomes in patients with heart failure and preserved systolic function is not well known. Methods: We performed a retrospective follow- up study of 988 patients with heart failure with ejection fraction >45% who participated in the DIG trial. Using Cox proportional hazard models, we estimated risks of all- cause mortality, heart failure mortality, all- cause hospitalization, and hospitalization due to worsening heart failure during a median follow- up of 38.5 months. Results: Patients had a median age of 68 years; 41.2% were women and 13.9% , nonwhites. Overall, 23.4% of patients died, and 19.9% were hospitalized because of worsening heart failure. Proportion of patients with NYHA classes I, II, III, and IV were 19.9% , 58.0% , 20.9% , and 1.2% , respectively, and 14.7% , 21.1% , 35.9% , and 58.3% , respectively, died of all causes(P< .001 for trend). Respective rates for heart failure related hospitalizations were 14.2% , 17.1% , 32.5% , and 33.3% (P< .001 for trend). Compared with NYHA class I patients, adjusted hazard ratios(HRs) for all- cause mortality for class II, III, and IV patients were 1.54(95% CI 1.02- 2.32, P=.042), 2.56(95% CI 1.64- 24.01, P< .001), and 8.46(95% CI 3.57- 20.03, P< .001), respectively. Respective adjusted HRs(95% CI) for hospitalization due to heart failure for class II, III, and IV patients were 1.16(0.76- 1.77)(P=.502), 2.27(1.45- 3.56)(P< .001), and 3.71(1.25- 11.02)(P=.018). New York Heart Association classes II through IV were also associated with higher risk of all- cause hospitalization. Conclusion: Higher NYHA classes were associated with poorer outcomes in patients with heart failure and preserved systolic function.(本文来源于《世界核心医学期刊文摘(心脏病学分册)》期刊2006年Z1期)

严毓勤[3](1999)在《房颤病人生活健康质量量表与纽约心脏协会心功能分级的比较》一文中研究指出30多年来,纽约心脏协会(NYHA)心功能分级一直是指导临床医生评价心功能不全程度的标准,但由于缺乏客观性以及结果的 重复性,难以确定其准确性,用NYHA分级来评价临床试验的治疗结果,难免会得出错误的结论。该文在预防房颤病人中风的临床试验中,测试并比较了NYHA分级与生活健康质量量表,以探讨NYHA分级对结果评价的合理性。(本文来源于《国外医学.心血管疾病分册》期刊1999年03期)

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Background: The association between higher New York Heart Association(NYHA) class and outcomes in patients with heart failure and preserved systolic function is not well known. Methods: We performed a retrospective follow- up study of 988 patients with heart failure with ejection fraction >45% who participated in the DIG trial. Using Cox proportional hazard models, we estimated risks of all- cause mortality, heart failure mortality, all- cause hospitalization, and hospitalization due to worsening heart failure during a median follow- up of 38.5 months. Results: Patients had a median age of 68 years; 41.2% were women and 13.9% , nonwhites. Overall, 23.4% of patients died, and 19.9% were hospitalized because of worsening heart failure. Proportion of patients with NYHA classes I, II, III, and IV were 19.9% , 58.0% , 20.9% , and 1.2% , respectively, and 14.7% , 21.1% , 35.9% , and 58.3% , respectively, died of all causes(P< .001 for trend). Respective rates for heart failure related hospitalizations were 14.2% , 17.1% , 32.5% , and 33.3% (P< .001 for trend). Compared with NYHA class I patients, adjusted hazard ratios(HRs) for all- cause mortality for class II, III, and IV patients were 1.54(95% CI 1.02- 2.32, P=.042), 2.56(95% CI 1.64- 24.01, P< .001), and 8.46(95% CI 3.57- 20.03, P< .001), respectively. Respective adjusted HRs(95% CI) for hospitalization due to heart failure for class II, III, and IV patients were 1.16(0.76- 1.77)(P=.502), 2.27(1.45- 3.56)(P< .001), and 3.71(1.25- 11.02)(P=.018). New York Heart Association classes II through IV were also associated with higher risk of all- cause hospitalization. Conclusion: Higher NYHA classes were associated with poorer outcomes in patients with heart failure and preserved systolic function.

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纽约心脏协会心功能分级论文参考文献

[1].Ahmed,A.,杜媛.一项关于心力衰竭患者纽约心脏协会心功能分级和自然病史终点的倾向匹配研究[J].世界核心医学期刊文摘(心脏病学分册).2007

[2].Ahmed,A.,Aronow,W.S.,Fleg,J.L.,高登峰.纽约心脏协会心功能分级增高与左心室功能尚存的心力衰竭患者死亡率和入院率增加的关系[J].世界核心医学期刊文摘(心脏病学分册).2006

[3].严毓勤.房颤病人生活健康质量量表与纽约心脏协会心功能分级的比较[J].国外医学.心血管疾病分册.1999

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