The burden of cardiovascular risk factors among seniors with congenital heart disease: a single tertiary centre experience.
The burden of cardiovascular risk factors among seniors with congenital heart disease: a single tertiary centre experience.
复制标题
先天性心脏病老年人心血管危险因素的负担：单一三级中心的经验。
作者：
Anna Kwiatek;E. Kowalik;M. Kowalski;P. Hoffman
背景
全球范围内，患有先天性心脏病（ACHD）的成年人存活到老年的人数正在增加。获得性心血管合并症可能会使潜在先天性疾病的病程和治疗复杂化，并使预后恶化。
目标管理系统
该研究的目的是评估老年 ACHD 患者心血管 (CV) 危险因素的负担。
方法
对 2013 年 7 月至 2020 年 3 月期间在一家三级诊所因 ACHD 住院的所有 60 岁以上患者的数据进行回顾性分析。我们收集了有关吸烟状况、体重指数以及血脂异常、全身性高血压和糖尿病的信息。
结果
在 322 名 ≥ 60 岁患者（中位年龄 66 岁；34% 男性）中，最常见的 CV 危险因素是：超重/肥胖 (65.5%)、血脂异常 (64.9%) 和动脉高血压 (60.6%)。超过21%的患者患有糖尿病，25.8%是吸烟者。超过 54% 的患者有两种或三种心血管危险因素。 70岁以上的患者在超重/肥胖、血脂异常和吸烟状况方面更健康。与具有复杂缺陷的个体相比，轻度 ACHD 患者更可能患有高血压。患有轻度 ACHD 的年轻男性的心血管负担最高。
结论
我们证明患有 ACHD 的老年人有很高的心血管危险因素负担。应特别注意识别和控制典型的心血管危险因素，以预防该人群获得性心血管疾病。
BACKGROUND
The number of adults with congenital heart disease (ACHD) surviving to old age is increasing worldwide. Acquired cardiovascular comorbidities may complicate the course and treatment of the underlying congenital disease and worsen the prognosis.
AIMS
The aim of the study was to assess the burden of cardiovascular (CV) risk factors among elderly patients with ACHD.
METHODS
A retrospective analysis of data on all patients ≥60 years of age hospitalized in a single tertiary clinic for ACHD between July 2013 and March 2020 was performed. We collected information on smoking status, body mass index, and the presence of dyslipidaemia, systemic hypertension, and diabetes.
RESULTS
The most common CV risk factors among 322 patients ≥60 years of age (median age 66 years; 34% men) were: overweight/obesity (65.5%), dyslipidaemia (64.9%) and arterial hypertension (60.6%). Over 21% of patients suffered from diabetes and 25.8% were smokers. Over 54% of patients had two or 3 CV risk factors. Patients above 70 years of age were healthier in terms of overweight/obesity, dyslipidaemia, and smoking status. Patients with mild ACHD were more likely hypertensive compared to individuals with complex defects. The highest CV burden was noted in younger men with mild ACHD.
CONCLUSIONS
We demonstrated a high burden of CV risk factors in seniors with ACHD. Special attention should be paid to identification and control of classical CV risk factors in order to prevent acquired CV disease in this population.