{"title":"心肌梗死的急性触发因素:一项病例交叉研究","authors":"Maryam Ghiasmand , Mohammad Taghi Moghadamnia , Majid Pourshaikhian , Ehsan Kazemnejad Lili","doi":"10.1016/j.ehj.2017.03.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Acute myocardial infarction (AMI) is one of the most preventable non-communicable diseases in human. Identifying triggers of myocardial infarction (MI) and prevention ways of exposure-induced complications can reduce morbidity and mortality in people at risk.</p></div><div><h3>Aim</h3><p>The aim of this study was to identify the emotional, environmental, physical and chemical dimensions of acute triggers in patients with AMI.</p></div><div><h3>Methods</h3><p>This case-crossover study was conducted on 269 patients with AMI, hospitalized at two remedial centers in Rasht in 2015. The study samples were selected by convenient sampling method. Data were collected using researcher-made questionnaire through interviews. Hazard and control periods for each trigger and its effects on the development of MI were studied. The collected data were analyzed using descriptive and analytical statistical methods, Cochran test, and generalized estimating equation (GEE) model with logistics function default in SPSS version 21, and <em>p</em> <!--><<!--> <!-->0.05 was considered statistically significant.</p></div><div><h3>Results</h3><p>The results showed that quarrel (<em>P</em> <!-->=<!--> <!-->0.008, OR<!--> <!-->=<!--> <!-->2.01) and hearing the sudden news (<em>P</em> <!-->=<!--> <!-->0.001, OR<!--> <!-->=<!--> <!-->2.19) were the most common emotional triggers. Respiratory infections (<em>P</em> <!-->=<!--> <!-->0.0001, OR<!--> <!-->=<!--> <!-->6.78) and exposure to hot or cold weather (<em>P</em> <!-->=<!--> <!-->0.005, OR<!--> <!-->=<!--> <!-->2.19) were the most frequent environmental triggers. Doing heavy activities (<em>P</em> <!-->=<!--> <!-->0.005, OR<!--> <!-->=<!--> <!-->1.66) and sexual activities (<em>P</em> <!-->=<!--> <!-->0.003, OR<!--> <!-->=<!--> <!-->2.36) were among the most common physical triggers. High-fat foods consumption and overeating (<em>P</em> <!-->=<!--> <!-->0.0001, OR<!--> <!-->=<!--> <!-->3.79) were the most frequent chemical triggers of AMI.</p></div><div><h3>Conclusion</h3><p>It seems that given the importance of the triggers in the incidence of AMI, planning is necessary to train vulnerable individuals to reduce exposure to triggers.</p></div>","PeriodicalId":44962,"journal":{"name":"Egyptian Heart Journal","volume":"69 4","pages":"Pages 223-228"},"PeriodicalIF":1.4000,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ehj.2017.03.003","citationCount":"13","resultStr":"{\"title\":\"Acute triggers of myocardial infarction: A case-crossover study\",\"authors\":\"Maryam Ghiasmand , Mohammad Taghi Moghadamnia , Majid Pourshaikhian , Ehsan Kazemnejad Lili\",\"doi\":\"10.1016/j.ehj.2017.03.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Acute myocardial infarction (AMI) is one of the most preventable non-communicable diseases in human. Identifying triggers of myocardial infarction (MI) and prevention ways of exposure-induced complications can reduce morbidity and mortality in people at risk.</p></div><div><h3>Aim</h3><p>The aim of this study was to identify the emotional, environmental, physical and chemical dimensions of acute triggers in patients with AMI.</p></div><div><h3>Methods</h3><p>This case-crossover study was conducted on 269 patients with AMI, hospitalized at two remedial centers in Rasht in 2015. The study samples were selected by convenient sampling method. Data were collected using researcher-made questionnaire through interviews. Hazard and control periods for each trigger and its effects on the development of MI were studied. The collected data were analyzed using descriptive and analytical statistical methods, Cochran test, and generalized estimating equation (GEE) model with logistics function default in SPSS version 21, and <em>p</em> <!--><<!--> <!-->0.05 was considered statistically significant.</p></div><div><h3>Results</h3><p>The results showed that quarrel (<em>P</em> <!-->=<!--> <!-->0.008, OR<!--> <!-->=<!--> <!-->2.01) and hearing the sudden news (<em>P</em> <!-->=<!--> <!-->0.001, OR<!--> <!-->=<!--> <!-->2.19) were the most common emotional triggers. Respiratory infections (<em>P</em> <!-->=<!--> <!-->0.0001, OR<!--> <!-->=<!--> <!-->6.78) and exposure to hot or cold weather (<em>P</em> <!-->=<!--> <!-->0.005, OR<!--> <!-->=<!--> <!-->2.19) were the most frequent environmental triggers. Doing heavy activities (<em>P</em> <!-->=<!--> <!-->0.005, OR<!--> <!-->=<!--> <!-->1.66) and sexual activities (<em>P</em> <!-->=<!--> <!-->0.003, OR<!--> <!-->=<!--> <!-->2.36) were among the most common physical triggers. 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引用次数: 13
摘要
背景急性心肌梗死(AMI)是人类最容易预防的非传染性疾病之一。确定心肌梗死(MI)的触发因素和预防暴露引起的并发症的方法可以降低高危人群的发病率和死亡率。目的本研究的目的是确定AMI患者急性触发因素的情绪、环境、物理和化学维度。方法对2015年在拉希特两家治疗中心住院的269例AMI患者进行病例交叉研究。采用方便抽样法选取研究样本。通过访谈，采用研究者自行制作的问卷收集数据。研究了各种诱发因素的危险期、控制期及其对心肌梗死发展的影响。收集的数据采用描述性和分析性统计方法、Cochran检验和SPSS 21版中具有物流功能默认的广义估计方程(GEE)模型进行分析，p <0.05认为有统计学意义。结果争吵(P = 0.008, OR = 2.01)和突发新闻(P = 0.001, OR = 2.19)是最常见的情绪触发因素。呼吸道感染(P = 0.0001, OR = 6.78)和暴露于炎热或寒冷的天气(P = 0.005, OR = 2.19)是最常见的环境诱发因素。剧烈运动(P = 0.005, OR = 1.66)和性活动(P = 0.003, OR = 2.36)是最常见的身体诱因。高脂肪食物和暴饮暴食(P = 0.0001, OR = 3.79)是AMI最常见的化学诱因。结论考虑到诱发因素在AMI发病率中的重要性，有必要对易感人群进行培训，以减少诱发因素的暴露。
Acute triggers of myocardial infarction: A case-crossover study
Background
Acute myocardial infarction (AMI) is one of the most preventable non-communicable diseases in human. Identifying triggers of myocardial infarction (MI) and prevention ways of exposure-induced complications can reduce morbidity and mortality in people at risk.
Aim
The aim of this study was to identify the emotional, environmental, physical and chemical dimensions of acute triggers in patients with AMI.
Methods
This case-crossover study was conducted on 269 patients with AMI, hospitalized at two remedial centers in Rasht in 2015. The study samples were selected by convenient sampling method. Data were collected using researcher-made questionnaire through interviews. Hazard and control periods for each trigger and its effects on the development of MI were studied. The collected data were analyzed using descriptive and analytical statistical methods, Cochran test, and generalized estimating equation (GEE) model with logistics function default in SPSS version 21, and p < 0.05 was considered statistically significant.
Results
The results showed that quarrel (P = 0.008, OR = 2.01) and hearing the sudden news (P = 0.001, OR = 2.19) were the most common emotional triggers. Respiratory infections (P = 0.0001, OR = 6.78) and exposure to hot or cold weather (P = 0.005, OR = 2.19) were the most frequent environmental triggers. Doing heavy activities (P = 0.005, OR = 1.66) and sexual activities (P = 0.003, OR = 2.36) were among the most common physical triggers. High-fat foods consumption and overeating (P = 0.0001, OR = 3.79) were the most frequent chemical triggers of AMI.
Conclusion
It seems that given the importance of the triggers in the incidence of AMI, planning is necessary to train vulnerable individuals to reduce exposure to triggers.
期刊介绍：
The Egyptian Heart Journal is the official journal of the Egyptian Society of Cardiology. It is an international journal that publishes peer-reviewed articles on all aspects of cardiovascular disease, including original clinical studies and translational investigations. The journal publishes research, review articles, case reports and commentary articles, as well as editorials interpreting and commenting on the research presented. In addition, it provides a forum for the exchange of information on all aspects of cardiovascular medicine, including educational issues.
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