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Assessing the Association between Heart Attack, High Blood Pressure, and Heart Disease Mortality Rates and Particulate Matter and Socioeconomic Status Using Multivariate Geostatistical Model 被引量:2
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作者 Faye Anderson 《Occupational Diseases and Environmental Medicine》 2016年第1期8-15,共8页
This study addresses the public concerns of potential adverse health effects from ambient fine particulate matter as well as socioeconomic factors. Heart attack, high blood pressure, and heart disease mortality rates ... This study addresses the public concerns of potential adverse health effects from ambient fine particulate matter as well as socioeconomic factors. Heart attack, high blood pressure, and heart disease mortality rates were investigated against fine particulate matter and socioeconomic status, for all counties in the United States in 2013. Multivariate multiple regressions as well as multivariate geostatistical predictions show that these are significant factors towards assessing the causal inferences between exposure to air pollution and socioeconomic status and the three mortality rates. 展开更多
关键词 heart attack High Blood Pressure heart Disease MORTALITY United States Multivariate Geostatistics COREGIONALIZATION Multivariate Multiple Linear
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State level correlations between high heart attack and stroke symptomology knowledge scores and CVD risk factors and mortality rates
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作者 Mary Nawal Lutfiyya Krista L. Huot +2 位作者 Maria L. Amaro Michael F. Akers Michael Swanoski 《Health》 2013年第10期1634-1640,共7页
Introduction: In 2008, cardiovascular disease (CVD) accounted for one in three deaths in the United States. Epidemiological analyses suggest that two or more risk factors are the indicator of high risk and/or poor CVD... Introduction: In 2008, cardiovascular disease (CVD) accounted for one in three deaths in the United States. Epidemiological analyses suggest that two or more risk factors are the indicator of high risk and/or poor CVD outcomes. Knowledge of heart attack and stroke symptomology has been the focus of much research based on the assumption that accurate identification of an event is critical to reducing time to treatment. There is a paucity of research showing a clear association between knowledge of heart attack and stroke symptomology, risk factors, and mortality rates. In this study, we hypothesized that high stroke and heart attack symptomology knowledge scores would correspond to lower stroke or CVD mortality rankings as well as to a lower prevalence of two or more CVD risk factors. Methods: State was the unit of analysis used to examine data from two different sources and combined into a customized database. The first source was a multiyear Behavioral Risk Factor Surveillance Survey (BRFSS) heart attack and stroke symptom knowledge module database. CVD and stroke mortality data used came from the American Heart Association’s (AHA) 2012 Heart Disease and Stroke Statistics Update. Spearman’s Rho was the test statistic. Results: A moderate negative correlation was found between high heart attack and stroke symptom knowledge scores and the percentage of adults with two or more CVD or stroke risk factors. Likewise, a similar correlation resulted from the two variables, high heart attack and stroke symptoms knowledge score and CVD mortality rank. Conclusions: This study demonstrated a significant relationship between high heart attack and stroke symptom knowledge and lower CVD mortality rates and lower prevalence of two or more CVD risk factors at the state level. Our findings suggest that it is important to continue education efforts regarding heart attack and stroke symptom knowledge. Pharmacists are one group of health care providers who could enhance the needed public health education efforts. 展开更多
关键词 KNOWLEDGE of heart attack and STROKE Symptomology CVD Risk Factors STROKE MORTALITY CVD MORTALITY
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Posture Detection of Heart Disease Using Multi-Head Attention Vision Hybrid(MHAVH)Model
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作者 Hina Naz Zuping Zhang +3 位作者 Mohammed Al-Habib Fuad A.Awwad Emad A.A.Ismail Zaid Ali Khan 《Computers, Materials & Continua》 SCIE EI 2024年第5期2673-2696,共24页
Cardiovascular disease is the leading cause of death globally.This disease causes loss of heart muscles and is also responsible for the death of heart cells,sometimes damaging their functionality.A person’s life may ... Cardiovascular disease is the leading cause of death globally.This disease causes loss of heart muscles and is also responsible for the death of heart cells,sometimes damaging their functionality.A person’s life may depend on receiving timely assistance as soon as possible.Thus,minimizing the death ratio can be achieved by early detection of heart attack(HA)symptoms.In the United States alone,an estimated 610,000 people die fromheart attacks each year,accounting for one in every four fatalities.However,by identifying and reporting heart attack symptoms early on,it is possible to reduce damage and save many lives significantly.Our objective is to devise an algorithm aimed at helping individuals,particularly elderly individuals living independently,to safeguard their lives.To address these challenges,we employ deep learning techniques.We have utilized a vision transformer(ViT)to address this problem.However,it has a significant overhead cost due to its memory consumption and computational complexity because of scaling dot-product attention.Also,since transformer performance typically relies on large-scale or adequate data,adapting ViT for smaller datasets is more challenging.In response,we propose a three-in-one steam model,theMulti-Head Attention Vision Hybrid(MHAVH).Thismodel integrates a real-time posture recognition framework to identify chest pain postures indicative of heart attacks using transfer learning techniques,such as ResNet-50 and VGG-16,renowned for their robust feature extraction capabilities.By incorporatingmultiple heads into the vision transformer to generate additional metrics and enhance heart-detection capabilities,we leverage a 2019 posture-based dataset comprising RGB images,a novel creation by the author that marks the first dataset tailored for posture-based heart attack detection.Given the limited online data availability,we segmented this dataset into gender categories(male and female)and conducted testing on both segmented and original datasets.The training accuracy of our model reached an impressive 99.77%.Upon testing,the accuracy for male and female datasets was recorded at 92.87%and 75.47%,respectively.The combined dataset accuracy is 93.96%,showcasing a commendable performance overall.Our proposed approach demonstrates versatility in accommodating small and large datasets,offering promising prospects for real-world applications. 展开更多
关键词 Image analysis posture of heart attack(PHA)detection hybrid features VGG-16 ResNet-50 vision transformer advance multi-head attention layer
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Public knowledge of heart attack symptoms in Beijing residents 被引量:10
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作者 ZHANG Qing-tan HU Da-yi YANG Jin-gang ZHANG Shou-yan ZHANG Xin-quan LIU Shu-shan 《Chinese Medical Journal》 SCIE CAS CSCD 2007年第18期1587-1591,共5页
Background Definitive treatment for heart attack is early reperfusion with either angioplasty or thrombolytic therapy, and the benefit is strictly time-dependent. Patient outcomes are improved with either therapy when... Background Definitive treatment for heart attack is early reperfusion with either angioplasty or thrombolytic therapy, and the benefit is strictly time-dependent. Patient outcomes are improved with either therapy when initiated as soon as possible. Recognition of heart attack symptoms is logically tied to taking action to receive prompt emergency care. Inadequate knowledge of heart attack symptoms may prolong delay. The purpose of this study was to document knowledge about heart attack symptoms in Beijing residents and to identify the characteristics associated with increased knowledge of heart attack. Methods A structured survey was conducted in 18 communities in Beijing from March 1 through June 10 in 2006. Addresses and participants were selected randomly following a stratification. The survey was designed to collect knowledge of heart attack symptoms from sampled adults in each community. Results A total of 4627 respondents completed the questionnaires correctly, and 50.29% of them were female. Totally 64.15% of the respondents reported chest pain or discomfort (common symptoms) as a symptom of heart attack; 75.38% reported at least one of the following eight symptoms as a symptom of heart attack: back pain, shortness of breath, arm pain or numbness, nausea or vomiting, neck, jaw or shoulder pain, epigastric pain, sweating, weakness (less common symptoms); 20.36% correctly reported four or more heart attack symptoms, only 7.4% knew all the correct heart attack symptoms, and 28.94% knew about reperfusion therapy for heart attack; 31.7% reported to call 120 or 999 while having a heart attack themselves; however 89.6% reported to call 120 or 999 when someone else is suffering from a heart attack. Very old persons and those with health insurance coverage, high education level, high household income, longer living in Beijing and previous experience with heart disease had greater knowledge of heart attack symptoms. Conclusions Public knowledge of common heart attack symptoms as well as less common heart attack symptoms is deficient in Beijing residents. But their knowledge of calling emergency medical services when someone is having a heart attack is relatively adequate. Public health efforts are needed to increase the recognition of the major heart attack symptoms in both the general public and groups at high risk for an acute cardiac event, especially in socioeconomically disadvantaged subgroups, including persons with low education level, low household income, and no health insurance coverage. 展开更多
关键词 heart attack SYMPTOMS KNOWLEDGE
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Heart attack pervasiveness along with associated risk factors in District Headquarter Hospital in Karak,Khyber Pakhtunkhwa,Pakistan
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作者 Zareen Shehzad Ur Rehman Hameed +10 位作者 Zareen Hira Ghaffar Sadia Khattak Nayab Shafi Saira Noreen Sadia Subhan Mutahira Azra Bibi Fatima Faiza Saeed Rifat Waqar Ahmad Raqeebullah 《Journal of Coastal Life Medicine》 2016年第11期896-897,共2页
Objective:To investigate the possible risk factors among heart patients of Karak District.Methods:Different questions were asked from the respondents regarding their educational level,stress taking,smoking,mode of med... Objective:To investigate the possible risk factors among heart patients of Karak District.Methods:Different questions were asked from the respondents regarding their educational level,stress taking,smoking,mode of medication and diabetic history.A total of 72 heart patients were included in this study with the confirmed medical history of myocardial disorder/heart attack either once or twice.Results:It was revealed in this study that a high prevalence of heart attack was observed in respondents at secondary level of education i.e.73.33%.This was followed by the respondents at primary level of education having 63.64%heart patients and then respondents at postgraduate educational level having 61.11%heart patients.Least number of heart patients were found at graduate group i.e.27.78%heart patients.This study revealed that stress takers were at a higher risk of heart attack,while nonstress takers were comparatively healthier than stress takers.About 83.33%stress taker respondents were heart patients,while 76.67%healthy respondents were nonstress takers.Current study also revealed that smoking was a leading cause of cardiovascular diseases as 88.10%heart patients were either occasional smokers or chain smokers,while 66.67%nonsmokers were healthy with no symptoms of heart disease.Self-medication was found an elevated cause of heart diseases as 76.19%heart patients had a history of self-medication.Conclusions:This practice was found low in healthy respondents where only 23.81%respondents had self-medication in their past history.Diabetes was found the associated disease with the heart patients. 展开更多
关键词 heart attack Myocardial disorder Educational groups Karak
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Aspirin Helped Reduce Heart Attack Death Rate
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作者 柳青 《当代外语研究》 2001年第4期1-2,共2页
本刊曾经多次刊登文章盛赞百年老药阿斯匹林。去年第10期就载文称阿斯匹林能抗前列腺癌,今又消息文称,阿斯匹林能减少心脏病人的死亡率。百年老药.青春犹在,至今仍能让人们不断发现其新的功效!本文除了传递了有关阿斯匹林的新信息之外... 本刊曾经多次刊登文章盛赞百年老药阿斯匹林。去年第10期就载文称阿斯匹林能抗前列腺癌,今又消息文称,阿斯匹林能减少心脏病人的死亡率。百年老药.青春犹在,至今仍能让人们不断发现其新的功效!本文除了传递了有关阿斯匹林的新信息之外,以下观点,也让我们耳目一新: Even as we live and practice medicine in an era of high technology,we mustalways remember that widespread application of relatively low technology,efficacious(有效的;灵验的),and cost-effective(有成本效益的,值得花费的)therapies is often the way we help most of our patients and provide the greatestaggregate(集合的;聚合的)benefit for the broader population. 上句是否可以这样译: 即使我们生活、就医在一个高科技的时代,但是,我们仍必须一直牢记:科技含量相对较低却又广为应用的东西,其灵验而又具有成本效益的治疗常常是我们帮助大多数患者,为广大群众提供最大利益的途径。 上句的难点在于:如何理解provide the greatest aggregate benefit for thebroader population的主语。 展开更多
关键词 阿斯匹林 Aspirin Helped Reduce heart attack Death Rate
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Alcohol Cuts Heart Attack Risk in Men
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作者 Gene Emery 方笑丰 《当代外语研究》 2003年第2期3-4,共2页
选注者言:本文的主题句开门见山地告诉读者:frequent tippling(少喝常饮,常饮少量烈酒)of beer,wine or even spirits lowers a man’s risk of heart attack(心脏病发作)。但是,让我们感到不解的是文中的另一句话:alcohol affects wome... 选注者言:本文的主题句开门见山地告诉读者:frequent tippling(少喝常饮,常饮少量烈酒)of beer,wine or even spirits lowers a man’s risk of heart attack(心脏病发作)。但是,让我们感到不解的是文中的另一句话:alcohol affects womendifferently than men and that it would be"premature and unwise"to extrapolate(推断)the results beyond men。现代科技尚不能揭开这个谜:男性每日少量饮酒能降低心脏病的风险,而女性经常喝酒,却会增加得乳腺癌的机会。此句中的premature and unwise可以学用,而extrapolate一词则用得太文绉绉了。 展开更多
关键词 Alcohol Cuts heart attack Risk in Men 心脏病
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BNP联合miRNA-21对冠心病心肌缺血的诊断价值
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作者 苏陶涛 汪春妹 袁昌梅 《现代科学仪器》 2024年第3期193-196,共4页
目的:脑钠肽(BNP)联合血浆微小核糖核酸-21(miRNA-21)对冠心病(CHD)心肌缺血的诊断价值。方法:纳入2020年4月至2022年3月于我院进行诊治的141例疑似CHD心肌缺血患者,根据检查结果分为冠状动脉造影(CAG)阳性组(69例)和CAG阴性组(72例)。... 目的:脑钠肽(BNP)联合血浆微小核糖核酸-21(miRNA-21)对冠心病(CHD)心肌缺血的诊断价值。方法:纳入2020年4月至2022年3月于我院进行诊治的141例疑似CHD心肌缺血患者,根据检查结果分为冠状动脉造影(CAG)阳性组(69例)和CAG阴性组(72例)。分析血清BNP、血浆miRNA-21联合对CHD心肌缺血的诊断价值。结果:与CAG阴性组比较,CAG阳性组患者血清BNP、血浆miRNA-21显著升高,P均=0.001。经ROC曲线结果显示,BNP、miRNA-21及三项联合检测诊断CHD心肌缺血的曲线下面积(AUC)分别为0.692、0.726、0.731、0.874。三项联合检测的AUC显著高于各项单独检测(P均=0.001)。结论:BNP、miRNA-21联合能够显著提高对冠心病心肌缺血的诊断价值。 展开更多
关键词 冠心病 脑钠肽 血浆微小核糖核酸-21
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真武汤与葶苈大枣泻肺汤在肺心病急性发作期中的应用效果
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作者 王宏基 《智慧健康》 2024年第12期77-79,共3页
目的研究在肺心病急性发作期中使用真武汤与葶苈大枣泻肺汤的效果。方法选取2022年1—12月本院收治的70例肺心病急性发作期患者进行研究,并按照随机分组法分为对照组和研究组,每组35例。其中,对照组在治疗中使用常规西药治疗,研究组在... 目的研究在肺心病急性发作期中使用真武汤与葶苈大枣泻肺汤的效果。方法选取2022年1—12月本院收治的70例肺心病急性发作期患者进行研究,并按照随机分组法分为对照组和研究组,每组35例。其中,对照组在治疗中使用常规西药治疗,研究组在常规治疗的基础上加用真武汤与葶苈大枣泻肺汤,治疗后,对比两组治疗效果。结果研究组治疗效果明显更高,血气分析结果均明显更优,组间差异有统计学意义(P<0.05)。结论在肺心病急性发作期,应用真武汤与葶苈大枣泻肺汤联合治疗,疗效显著。 展开更多
关键词 真武汤 葶苈大枣泻肺汤 肺心病 急性发作期
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川芎嗪联合阿托伐他汀治疗冠心病心绞痛患者的效果
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作者 袁敏 高海军 +2 位作者 查远琼 吴琴 娄国梁 《中外医学研究》 2024年第17期17-20,共4页
目的:探讨川芎嗪联合阿托伐他汀治疗冠心病心绞痛的效果。方法:选取2020年12月—2022年12月贵州省人民医院邮电医院收治的86例冠心病心绞痛患者作为研究对象,按照随机数表法分为两组,各43例。对照组给予阿托伐他汀钙片口服治疗,观察组... 目的:探讨川芎嗪联合阿托伐他汀治疗冠心病心绞痛的效果。方法:选取2020年12月—2022年12月贵州省人民医院邮电医院收治的86例冠心病心绞痛患者作为研究对象,按照随机数表法分为两组,各43例。对照组给予阿托伐他汀钙片口服治疗,观察组在对照组基础上给予磷酸川芎嗪注射液治疗,两组均连续治10 d。比较两组治疗前后心绞痛发作情况、心功能指标、脂代谢指标、生活质量变化情况,并记录两组不良反应发生情况。结果:治疗前,两组心绞痛发作持续时间、心绞痛发作频率、视觉模拟评分法(VAS)、全血高切黏度、血浆黏度、全血低切黏度、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、甘油三酯(TG)、总胆固醇(TC)、脑钠肽(BNP)、C反应蛋白(CRP)及健康状况调查问卷(SF-36)评分比较,差异无统计学意义(P>0.05);治疗10 d后,观察组心绞痛发作持续时间短于对照组,心绞痛发作频率、VAS评分、全血高切黏度、血浆黏度、全血低切黏度、LDL-C、TG、TC、BNP、CRP均低于对照组,HDL-C及SF-36中各项评分均高于对照组,差异有统计学意义(P<0.05)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论:川芎嗪联合阿托伐他汀治疗冠心病心绞痛的效果显著,能够有效改善患者心绞痛情况,改善血液流变学,调节脂代谢水平,提高生活质量,且安全性高。 展开更多
关键词 冠心病心绞痛 川芎嗪 阿托伐他汀 脂代谢 心绞痛发作 血液流变学
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丹参注射液辅助治疗对冠心病心绞痛患者心绞痛发作情况及血管内皮功能的影响
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作者 陈旭 章玲 《药品评价》 CAS 2024年第3期356-359,共4页
目的 探讨丹参注射液辅助治疗对冠心病心绞痛患者心绞痛发作情况及血管内皮功能的影响。方法 择取2021年5月至2023年5月于上饶市中心医院接受治疗的93例冠心病心绞痛患者,用随机数字表法分成对照组(n=46)、试验组(n=47)。对照组予常规... 目的 探讨丹参注射液辅助治疗对冠心病心绞痛患者心绞痛发作情况及血管内皮功能的影响。方法 择取2021年5月至2023年5月于上饶市中心医院接受治疗的93例冠心病心绞痛患者,用随机数字表法分成对照组(n=46)、试验组(n=47)。对照组予常规西药治疗,在其基础上,试验组予丹参注射液辅助治疗,对比两组临床疗效、心绞痛发作情况、心功能、血管内皮功能、炎症因子水平和不良反应情况。结果 试验组临床有效率较对照组高(P<0.05)。治疗后,两组心绞痛持续时间均缩短,心绞痛发作频次均减少,且试验组较对照组改善更优(P<0.05);两组心输出量(CO)、每博输出量(SV)、左心室射血分数(LVEF)均增加,且试验组较对照组高(P<0.05);两组内皮素-1(ET-1)均降低,一氧化氮(NO)均增加,且试验组较对照组改善更优(P<0.05);两组CRP与IL-6均降低,且试验组较对照组低(P<0.05)。治疗期间两组均未出现明显不良反应。结论 丹参注射液辅助治疗冠心病心绞痛疗效确切,可改善血管内皮功能,拮抗炎性反应,减少心绞痛发作情况,改善心功能,且安全性较高。 展开更多
关键词 冠心病心绞痛 丹参注射液 心绞痛发作 血管内皮功能
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曲美他嗪联合氯吡格雷治疗冠心病心绞痛患者的效果
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作者 乔丽萍 《中国民康医学》 2024年第11期15-18,共4页
目的:观察曲美他嗪联合氯吡格雷治疗冠心病心绞痛患者的效果。方法:选取2020年1月至2023年1月该院收治的100例冠心病心绞痛患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各50例。对照组采用氯吡格雷治疗,研究组在对照组... 目的:观察曲美他嗪联合氯吡格雷治疗冠心病心绞痛患者的效果。方法:选取2020年1月至2023年1月该院收治的100例冠心病心绞痛患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各50例。对照组采用氯吡格雷治疗,研究组在对照组基础上联合盐酸曲美他嗪治疗,比较两组临床疗效,治疗前后心绞痛发作指标(心绞痛发作持续时间、心绞痛发作次数)水平、心功能指标[左心室射血分数(LVEF)、左心室收缩期末内径(LVESD)、左心室舒张期末内径(LVEDD)]水平、心肌损伤标志物[肌酸激酶同工酶(CK-MB)、生长分化因子-15(GDF-15)、和肽素(CPP)、N-末端脑钠肽前体(NT-proBNP)]水平和不良反应发生率。结果:研究组治疗总有效率为96.00%(48/50),高于对照组的84.00%(42/50),差异有统计学意义(P<0.05);治疗后,两组心绞痛发作持续时间均短于治疗前,且研究组短于对照组,两组心绞痛发作次数均少于治疗前,且研究组少于对照组,差异有统计学意义(P<0.05);治疗后,两组LVEF水平均高于治疗前,且研究组高于对照组,两组LVESD、LVEDD水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组CPP、GDF-15、CK-MB、NT-proBNP水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:曲美他嗪联合氯吡格雷治疗冠心病心绞痛患者可提高治疗总有效率,改善心功能指标水平,降低心肌损伤标志物和心绞痛发作指标水平,其效果优于单纯氯吡格雷治疗。 展开更多
关键词 曲美他嗪 氯吡格雷 冠心病心绞痛 心功能 心肌损伤 心绞痛发作 不良反应
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General awareness of symptoms of myocardial infarction and the need for urgent treatment:A cross-sectional,street survey in Chennai,Tamil Nadu
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作者 Thirumurugan E Gomathi K +4 位作者 Swathy P Syed Ali Afrin Ponduri Lakshmi Alekhya Jishnu B Banashree Das 《Journal of Acute Disease》 2023年第2期51-56,I0001-I0003,共9页
Objective:To investigate the golden-time-awareness of and the necessary actions in response to acute myocardial infarction among the general public.Methods:This study was conducted with the use of a descriptive resear... Objective:To investigate the golden-time-awareness of and the necessary actions in response to acute myocardial infarction among the general public.Methods:This study was conducted with the use of a descriptive research design and convenience sampling.A sample of 800 subjects,using self-structured knowledge questionnaires,was selected for data collection and analysis.The study was conducted at Dr.M.G.R.Educational and Research Institute,India,from February to November 2022.Awareness of myocardial infarction symptoms and intervention timeline(the golden time)was investigated.A multivariate logistic regression analysis was performed to identify the demographic factors affecting the recognition of the golden time of acute myocardial infarction.Results:A total of 800 subjects were included.Among the subjects,367(45.8%)were male,433(54.2%)were female,and 443(55.3%)participants failed to recognize the golden time.Our multivariate logistic regression analysis showed that people with a bachelor’s degree(OR=0.41,95%CI:0.23-0.74,P=0.03)and a high school level diploma(OR=0.55,95%CI:0.31-0.97,P=0.03)are more likely to know about myocardial infarction(golden time)than illiterate people.Additionally,people who are employed(OR=0.59,95%CI:0.41-0.85,P=0.05)are more likely to know about myocardial infarction(golden time)than those who are not.Conclusions:The majority of people in the awareness group realize that taking myocardial infarction patients to the hospital would be the best course of action.The unawareness of the ideal treatment window for myocardial infarction may cause a delay in seeking medical attention,which can lead to an increase in mortality and morbidity. 展开更多
关键词 heart attack Intervention timeline SYMPTOMS TREATMENT Myocardial infarction Percutaneous coronary interven­tion
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COVID-19 and Cardiovascular Disease—Two Pandemics, One Success
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作者 Robert Philip Eaton Barry Ramo +1 位作者 Martin Hickey David S. Schade 《World Journal of Cardiovascular Diseases》 CAS 2023年第4期236-242,共7页
Background: COVID-19 has had a major impact on all facets of life in the United States. Its devastating effects have resulted in the mobilization of major resources, both at the national, state, and individu... Background: COVID-19 has had a major impact on all facets of life in the United States. Its devastating effects have resulted in the mobilization of major resources, both at the national, state, and individual levels. This mobilization has resulted in vaccination, personal preventive measures, and new therapies to combat this illness. As a result, the rates of new infections, hospitalizations, and deaths have greatly diminished, minimizing the associated morbidity and mortality. Purpose: What has not been appreciated is that a more serious epidemic has continued unabated in the United States and the Western world. This article emphasizes the importance of a national effort to eradicate cardiovascular disease. Methods: Cardiovascular disease has caused more deaths than COVID-19 in almost all months since the COVID-19 epidemic was first recognized in December 2020. In fact, cardiovascular disease has caused more deaths than either all cancers combined or infections for the last two decades. The tragedy of this truth is that effective therapy is currently available for preventing and reversing cardiovascular disease at a very low cost. What is required is a concerted effort and commitment by all legislative and medical organizations to allocate the resources to abolish asymptomatic cardiovascular disease. Results: Recognition and mobilization of resources to combat this epidemic are much overdue with the resultant savings of lives and billions of dollars. It is past time for the medical establishment to support the national identification of asymptomatic cardiovascular disease and initiate treatment before patients become symptomatic with this deadly disease. Conclusion: The national experience with COVID-19 has demonstrated what can be accomplished when a national concerted effort is made to address a devastating medical epidemic. This commitment is not only feasible for cardiovascular disease, but is also necessary for the benefit of all people in the world. 展开更多
关键词 EPIDEMIC CARDIOVASCULAR COVID-19 heart attack Death Rate
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Awareness of the Importance of Cardiopulmonary Resuscitation Skills Following the Sudden Cardiac Arrest of Damar Hamlin during a Buffalo Bills Game
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作者 Puja Sengupta Mariana Adieb +1 位作者 Simona Maksimyan Maxim Crasta 《Journal of Biosciences and Medicines》 2023年第6期161-170,共10页
Background: Cardiopulmonary resuscitation (CPR) is a life-saving skill that is often overlooked until a tragic event occurs. A popular NFL player, Damar Hamlin, safety for the Buffalo Bills, suffered a cardiac arrest ... Background: Cardiopulmonary resuscitation (CPR) is a life-saving skill that is often overlooked until a tragic event occurs. A popular NFL player, Damar Hamlin, safety for the Buffalo Bills, suffered a cardiac arrest on January 2, 2023. Due to prompt intervention and CPR, Hamlin survived the arrest and is playing again. This research sought to understand how people respond to this event on the internet. It also seeks to understand how this response can be used to raise CPR awareness. Design and Methods: Using Google Trends and Twitter data, we searched, downloaded, and retrospectively analyzed search interests relative to Hamlin’s cardiac arrest for a one-year duration. We searched for related keywords in the United States from March 2022 to March 2023, including “Damar Hamlin”, “sudden cardiac death”, “heart attack”, and “CPR”. Results: There was a significant rise in post-event Google searches that combined the terms “Damar Hamlin” and “SCD” (M = -28898.88, SE = 1537.66;t = 1.62, p Conclusion: Based on the analytics of these platforms, it can be concluded that there were active discussions and an awareness of life-saving skills such as CPR along with Hamlin’s cardiac event by his fans, as demonstrated by the data gathered from these platforms. This can provide us with valuable insight into human behavior and help us leverage this knowledge to promote health. 展开更多
关键词 Sudden Cardiac Death CPR heart attack Damar Hamlin
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加服通阳安神汤治疗老年慢性心力衰竭 水饮凌心证临床观察
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作者 王艳 黄兆龙 黄菀益 《广西中医药》 2023年第6期1-4,共4页
目的:观察加用通阳安神汤治疗老年慢性心力衰竭水饮凌心证患者的临床疗效。方法:选取老年慢性心力衰竭水饮凌心证患者126例,按随机数字表法分为两组,常规组63例患者予常规治疗,观察组63例患者加服通阳安神汤,两组疗程均为8周,观察比较... 目的:观察加用通阳安神汤治疗老年慢性心力衰竭水饮凌心证患者的临床疗效。方法:选取老年慢性心力衰竭水饮凌心证患者126例,按随机数字表法分为两组,常规组63例患者予常规治疗,观察组63例患者加服通阳安神汤,两组疗程均为8周,观察比较两组疗效、中医证候积分、心功能指标(左室舒张末期容积、左室收缩末期容积、每搏输出量、左室射血分数)、心肌保护指标(一氧化氮、乳酸盐脱氢酶、肌酸激酶水平)及不良反应情况。结果:观察组总有效率为90.48%,常规组总有效率为76.19%,观察组高于常规组(P<0.05)。治疗后,两组中医证候积分、乳酸盐脱氢酶水平、肌酸激酶水平、左室舒张末期容积、左室收缩末期容积均低于治疗前,左室射血分数、每搏输出量及一氧化氮水平高于治疗前,且观察组改善较常规组明显(P<0.05);两组不良反应情况比较差异无统计学意义(P>0.05)。结论:通阳安神汤联合常规方案治疗老年慢性心力衰竭水饮凌心证患者效果显著,能有效防止心肌重构,促进心功能改善,具有较好的安全性。 展开更多
关键词 通阳安神汤 老年 慢性心力衰竭 水饮凌心证 内皮功能
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比较十二导联动态心电图与冠脉造影检查在冠心病心肌缺血发作患者诊断中的临床意义 被引量:1
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作者 崔文超 周桂花 陈丽 《罕少疾病杂志》 2023年第10期36-37,43,共3页
目的探究十二导联动态心电图与冠脉造影检查在冠心病心肌缺血发作患者诊断中的临床意义。方法选取安阳市人民医院2020年2月~2022年2月期间接诊的126例疑似冠心病患者开展研究,进行临床检查,对比诊断效果。结果经冠脉造影检查,心肌缺血... 目的探究十二导联动态心电图与冠脉造影检查在冠心病心肌缺血发作患者诊断中的临床意义。方法选取安阳市人民医院2020年2月~2022年2月期间接诊的126例疑似冠心病患者开展研究,进行临床检查,对比诊断效果。结果经冠脉造影检查,心肌缺血发作比例88.89%;常规心电图检查阳性、阴性检出分别为70、56,12导Holter阳性、阴性检出分别为107、19,相较于前者,后者的敏感度(93.75%)、诊断符合率(92.86%)更佳,P<0.05;12导Holter诊断心肌缺血的平均发作频次、压低幅度较常规心电图检查高,ST段压低持续时间长于常规心电图(P<0.05)。结论对于冠心病心肌缺血病人,12导Holter和冠状动脉造影检查有着相一致的诊断效果,可确定心肌缺程度,以进行针对性救治。 展开更多
关键词 冠心病 心肌缺血发作 十二导联动态心电图 冠脉造影检查
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PDCA与延续性护理相结合对急性心梗PCI围术期患者心理及自我管理能力的影响 被引量:3
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作者 张玉玲 《黑龙江医药科学》 2023年第2期61-63,共3页
目的:探讨PDCA与延续性护理相结合对急性心梗PCI围术期患者心理及自我管理能力的影响。方法:选取本院2020-03~2022-03收治的62例急性心梗PCI患者作为研究对象,按术后护理方式的不同将其分为对照组和观察组,各31例。两组均进行常规基础... 目的:探讨PDCA与延续性护理相结合对急性心梗PCI围术期患者心理及自我管理能力的影响。方法:选取本院2020-03~2022-03收治的62例急性心梗PCI患者作为研究对象,按术后护理方式的不同将其分为对照组和观察组,各31例。两组均进行常规基础护理干预,对照组采用延续性护理干预,观察组在对照组基础上采用PDCA循环护理模式。护理周期均为3个月。比较两组患者干预前后的心理状态、自我管理能力及干预后护理满意度、并发症情况。结果:干预后两组SAS评分、SDS评分均降低,观察组较对照组低;各项自我管理能力均升高,观察组较对照组高;干预后观察组护理满意度高于对照组、并发症发生率低于对照组(P<0.05)。结论:PDCA与延续性护理相结合可有效改善急性心梗PCI围术期患者不良心理状态,加强自我管理能力,提高生活质量。 展开更多
关键词 急性心梗 延续性护理 PDCA循环护理 PCI 自我管理能力
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糖脂代谢异常与慢性心力衰竭患者心功能分级及MACE发作风险的相关性
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作者 吴海琴 陈菊明 曾望远 《广东医学》 CAS 2023年第9期1126-1131,共6页
目的 探究糖脂代谢相关指标与慢性心力衰竭(心衰)患者心功能分级和主要心脏不良事件(MACE)发作的相关性。方法 选择2019年10月至2021年8月期间收治的220例慢性心衰患者作为研究对象。采用全自动生活分析仪测定总胆固醇(TC)、三酰甘油(TG... 目的 探究糖脂代谢相关指标与慢性心力衰竭(心衰)患者心功能分级和主要心脏不良事件(MACE)发作的相关性。方法 选择2019年10月至2021年8月期间收治的220例慢性心衰患者作为研究对象。采用全自动生活分析仪测定总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、脂蛋白a(Lpa)水平;酶联免疫吸附法测定血清脂蛋白相关磷脂酶A_(2)(Lp-PLA_(2))水平。采集末梢静脉血测定患者的空腹血糖(FPG)、糖化血红蛋白(glycated hemoglobin A_(1C),HbA_(1C))水平。随访MACE发作情况。Spearman方分析TC、TG、LDL-C、HDL-C、Lpa、Lp-PLA_(2)、FPG、HbA_(1C)与患者心功能分级及MACE发作的相关性。结果 不同心功能分级患者HDL-C、Lpa、Lp-PLA_(2)、FPG以及HbA_(1C)水平差异有统计学意义(P<0.05,P<0.01)。MACE发作组患者的TG、LDL-C、Lpa、FPG以及HbA_(1C)明显高于MACE未发作组,HDL-C、Lp-PLA_(2)水平明显低于MACE未发作组,差异有统计学意义(P<0.01)。将MACE发作情况作为因变量(1=发作,0=未发作),经非条件logistic回归分析结果得出,TG、LDL-C、HDL-C、Lpa、Lp-PLA_(2)、FPG及HbA_(1C)均是影响MACE发作的危险因素(OR>1,P<0.05)。经Spearman相关分析发现,Lpa以及HbA_(1C)水平与慢性心衰患者心功能分级呈正相关(P<0.01),Lp-PLA_(2)与慢性心衰患者心功能分级呈负相关(P<0.01);慢性心衰患者MACE发作与Lpa以及HbA_(1C)水平呈正相关(P<0.01),与HDL-C和Lp-PLA_(2)呈负相关(P<0.05或P<0.01)。HDL-C、Lpa、Lp-PLA_(2)、HbA_(1C)预测MACE发作的AUC分别为0.754、0.866、0.902、0.873。结论 糖脂代谢指标HDL-C、Lpa、Lp-PLA_(2)、HbA_(1C)水平与慢性心衰患者的心功能分级和MACE发作具有相关性,将其作为评估慢性心衰患者预后情况的辅助指标具有一定的临床价值。 展开更多
关键词 糖脂代谢指标 慢性心力衰竭 MACE发作 Pearson相关性
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NT-ProBNP、血清生长分化因子-15及和肽素水平变化与慢性心力衰竭急性发作的相关性 被引量:3
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作者 李楠楠 张晓东 张芹 《分子诊断与治疗杂志》 2023年第10期1812-1815,共4页
目的 分析NT-ProBNP、血清生长分化因子-15(GDF-15)及和肽素水平变化与慢性心力衰竭(CHF)急性发作的相关性,及其对病情评估、预后判断的价值。方法 选取2021年12月至2022年9月东营市东营区人民医院收治的入院后病情急性加重的CHF患者75... 目的 分析NT-ProBNP、血清生长分化因子-15(GDF-15)及和肽素水平变化与慢性心力衰竭(CHF)急性发作的相关性,及其对病情评估、预后判断的价值。方法 选取2021年12月至2022年9月东营市东营区人民医院收治的入院后病情急性加重的CHF患者75例作为研究对象,设为CHF组;根据CHF组治疗前后分为急性加重和稳定期;另匹配性选取同期本院健康体检部志愿者63名,设为对照组。两组均进行NT-ProBNP、血清GDF-15及和肽素水平检测,进行心脏彩色多普勒超声检查,测量左室收缩末期内径(LVESD)、左室舒张末期内径(LVEDD),计算左室射血分数(LVEF);采用Pearson相关性分析NT-proBNP水平、血清GDF-15、和肽素水平与CHF患者急性发作的关系;采用全模型多元Logistic回归分析上述因素与CHF急性发作的关系。结果 CHF组患者各时期NT-ProBNP、血清GDF-15、和肽素水平、及LVESD、LVEDD均高于对照组,差异有统计学意义(F=3327.143、3513.850、512.23、188.766、148.963,P<0.05),而LVEF低于对照组,差异有统计学意义(F=259.853,P<0.05);CHF患者稳定期LVEF高于急性加重期,NT-ProBNP、血清GDF-15、和肽素水平及LVESD、LVEDD均低于急性加重期,比较差异均有统计学意义(t=11.778、34.260、2.800、23.544、6.174、7.164,P<0.05);Pearson相关性分析显示,NT-ProBNP、血清GDF-15、和肽素水平与CHF急性发作呈正相关(r=0.43、0.38、0.52,P<0.05);Logistic回归分析显示,入院时NT-ProBNP、血清GDF-15、和肽素水平是CHF急性发作的独立预测因子(P<0.05)。结论 NT-ProBNP、血清生长分化因子-15、和肽素水平与慢性心力衰竭急性发作有关,同时是其发作的独立预测因子,检测上述实验室指标对于早期预测慢性心力衰竭急性发作进而实施针对性治疗具有重要意义。 展开更多
关键词 NT-PROBNP GDF-15 和肽素 慢性心力衰竭 急性发作
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