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Patients with cardiac disease: Changes observed through last decade in out-patient clinics

World Journal of Cardiology 2013年第8期5卷 288-294页

作者： Alberto Cordero vicente bertomeu-martínez Pilar Mazón Lorenzo Fácila Juan Cosín vicente bertomeu-González Moisés Rodriguez Eva Andrés Enrique Galve Iaki Lekuona Jose R González-Juanatey Cardiology Department Hospital Universitario de San Juan Cardiology Department Hospital General de Valencia Cardiology Department Hospital Arnau de Vilano-va Cardiology Department Hospital Complejo Universitario de Santiago de Compostela Research Unit Hospital Universitario 12 de Octu-bre Instituto de investigación 12 de Octubre (imas12) Ciber de Epidemiología y Salud Pública Cardiology Department Clínica Universitaria de Navarra Cardiology Department Hospital Valle Hebrón Cardiology Department Hospital Galdakano

AIM: To describe current profile of patients with cardio-vascular disease(CVD) and assessing changes through last ***: Comparison of patients with established CVD from two similar cross-sectional registries performed in 1999(n = 6194) and 2009(n = 4639).The types of CVD were coronary heart disease(CHD),heart failure(HF) and atrial fibrillation(AF).Patients were collected from outpatient *** were 80% cardiologist and 20% primary care *** antecedents,major diagnosis,blood test results and medical treatments were collected from all ***: An increase in all risk factors,except for smoking,was observed;a 54.4% relative increase in BP control was *** was the most prevalent CVD but HF and AF increased significantly,41.5% and 33.7%,respectively.A significant reduction in serum lipid levels was *** use of statins increased by 141.1% as did all cardiovascular ***,the use of angiotensin-renin system inhibitors in patients with HF,beta-blockers in CHD patients or oral anticoagulants in AF patients increased by 83.0%,80.3% and 156.0%,respectively(P < 0.01).CONCLUSION: The prevalence of all cardiovascular risk factors has increased in patients with CVD through last *** and AF have experienced the largest increases.

关键词： Cardiovascular disease Trends Heart failure Coronary heart disease Atrial fibrillation

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在与心肌的梗塞介绍的就医的病人的心率的预示的意义

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World Journal of Cardiology 2012年第1期4卷 15-19页

作者： Lorenzo Fácila Pedro Morillas Juan Quiles Federico Soria Alberto Cordero Pilar Mazón Manuel Anguita Cándido martín-Luengo Jose Ramón Gonzalez-Juanatey vicente bertomeu Department of Cardiology Consorcio Hospitalario General de Valencia Department of Cardiology Hospital Universitario de San Juan Department of Cardiology Hospital Virgen de la Arrixaca Department of Cardiology Hospital Clínico Universitario Santiago de Compostela Department of Cardiology Hospital Reina Sofía Department of Cardiology Hospital Universitario de Salamanca

AIM: To investigate the prognostic significance of resting heart rate in patients with acute coronary syndrome (ACS), independent of other known factors. METHODS: Patients 40 years of age or older who had been admitted with acute coronary syndrome (ACS) to one of the 94 hospitals participating in the Prevalence of Peripheral Arterial Disease in Patients with Acute Coronary Syndrome (PAMISCA) study were included. Patients were divided into two groups based on their resting heart rate (HR ≥ or < 70 bpm). Complications were recording during a follow-up period of 1 year. RESULTS: There were 1054 ACS patients analyzed (43.5% with ST segment elevation and 56.5% without elevation). Mean age was 66.6 ± 11.7 years, 70.6% were male and 29.4% of subjects were female. During follow-up, more patients in the HR ≥ 70 bpm group were hospitalized for heart failure and they also had a higher mortality rate. In the multivariate analysis, a heart rate of ≥ 70 bpm was independently related to overall mortality during the follow-up period (hazard ratio 2.5; 95% confidence interval, 1.26-4.97, P = 0.009). CONCLUSION: A resting heart rate ≥ 70 bpm in patients who survive an ACS is an indicator of a high risk of suffering cardiovascular events during follow-up.

关键词： Heart rate Myocardial infarction Prognosis

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