Background: The objective of this pilot study was to describe clinical profile, electric, echocardiographic and angiographic caracteristics with procedural outcome of congolease patients undergoing coronarography in t...Background: The objective of this pilot study was to describe clinical profile, electric, echocardiographic and angiographic caracteristics with procedural outcome of congolease patients undergoing coronarography in the first and only one cardiac catheterization center opened in Kinshasa. Methods: An analytical cross-sectional study was carried out over a period from October 2019 (date of establishment of the first coronary angiography unit in DR Congo) to March 2021. We proceeded to a serial sampling of the consecutive cases of all the patients who have an angiographic exploration of coronary arteries. Clinical, ECG and cardiac ultrasound data were collected in all patients. The indications for the coronary angiography examination were set by differents cardiologists on the basis of repolarization troubles in the electrocardiogram, cinetic troubles in echocardiography, positive stress test and chest pain in patients with cardiovascular risq factors. Results: The serie (47 patients) was predominantly male with a sex ratio M/W of 2.6. The average age was 59.8 ± 10.5 years. Arterial hypertension (HBP) was the main risk factor (89.4%);followed by diabetes mellitus (14.9%). Chest pain was the main functional sign with an atypical character in 44.7%. The ECG showed ST segment depression (17%) and T wave inversion (17%), the anterior region being the most affected. Hypokinesia was the most common echocardiographic abnormality (34%), followed by akinesia (10.6%). The anteroseptal and apical territories were affected in 12.8%. Dilated myocardiopathy (DMC) was significantly predominant in the male sex (29.4% vs 7.7%;p = 0.011). With radial puncture as the main approach, coronary angiography was pathological in 44% revealing mono-truncal lesions. The left coronary network was the most affected: the middle inter ventricular artery (12.8%), the proximal interventricular artery (10.6%) and the proximal circonflex artery (10.6%). In multivariate logistic regression analysis, age (for age > 50 years for men and >60 years for w展开更多
目的探索海军某部队基层官兵健康相关生活质量(health-related quality of life,HRQoL)的潜在类别及人群特征。方法2023年5-7月,采用便利抽样法选取海军某部队基层官兵1056名,使用患者报告结局测量信息系统(patient-reported outcomes m...目的探索海军某部队基层官兵健康相关生活质量(health-related quality of life,HRQoL)的潜在类别及人群特征。方法2023年5-7月,采用便利抽样法选取海军某部队基层官兵1056名,使用患者报告结局测量信息系统(patient-reported outcomes measurement information system,PROMIS)对基层官兵的HRQoL进行调查,并进行潜在剖面分析,使用Logistic回归识别不同HRQoL类别官兵人群特征。结果官兵分为无症状困扰与功能受损组[894(84.66%)]和轻度症状困扰与功能受损组[162(15.34%)]两个类别,两个类别官兵在入伍前生活地、文化程度、饮食规律情况、核心力量训练频率、球类运动频率、慢性病、服药情况、慢性疼痛、自觉健康状况上均有显著差异(均P<0.05)。结论根据HRQoL可官兵分为两个类别,应针对性制订护理方案,以改善其HRQoL。展开更多
文摘Background: The objective of this pilot study was to describe clinical profile, electric, echocardiographic and angiographic caracteristics with procedural outcome of congolease patients undergoing coronarography in the first and only one cardiac catheterization center opened in Kinshasa. Methods: An analytical cross-sectional study was carried out over a period from October 2019 (date of establishment of the first coronary angiography unit in DR Congo) to March 2021. We proceeded to a serial sampling of the consecutive cases of all the patients who have an angiographic exploration of coronary arteries. Clinical, ECG and cardiac ultrasound data were collected in all patients. The indications for the coronary angiography examination were set by differents cardiologists on the basis of repolarization troubles in the electrocardiogram, cinetic troubles in echocardiography, positive stress test and chest pain in patients with cardiovascular risq factors. Results: The serie (47 patients) was predominantly male with a sex ratio M/W of 2.6. The average age was 59.8 ± 10.5 years. Arterial hypertension (HBP) was the main risk factor (89.4%);followed by diabetes mellitus (14.9%). Chest pain was the main functional sign with an atypical character in 44.7%. The ECG showed ST segment depression (17%) and T wave inversion (17%), the anterior region being the most affected. Hypokinesia was the most common echocardiographic abnormality (34%), followed by akinesia (10.6%). The anteroseptal and apical territories were affected in 12.8%. Dilated myocardiopathy (DMC) was significantly predominant in the male sex (29.4% vs 7.7%;p = 0.011). With radial puncture as the main approach, coronary angiography was pathological in 44% revealing mono-truncal lesions. The left coronary network was the most affected: the middle inter ventricular artery (12.8%), the proximal interventricular artery (10.6%) and the proximal circonflex artery (10.6%). In multivariate logistic regression analysis, age (for age > 50 years for men and >60 years for w
文摘目的探索海军某部队基层官兵健康相关生活质量(health-related quality of life,HRQoL)的潜在类别及人群特征。方法2023年5-7月,采用便利抽样法选取海军某部队基层官兵1056名,使用患者报告结局测量信息系统(patient-reported outcomes measurement information system,PROMIS)对基层官兵的HRQoL进行调查,并进行潜在剖面分析,使用Logistic回归识别不同HRQoL类别官兵人群特征。结果官兵分为无症状困扰与功能受损组[894(84.66%)]和轻度症状困扰与功能受损组[162(15.34%)]两个类别,两个类别官兵在入伍前生活地、文化程度、饮食规律情况、核心力量训练频率、球类运动频率、慢性病、服药情况、慢性疼痛、自觉健康状况上均有显著差异(均P<0.05)。结论根据HRQoL可官兵分为两个类别,应针对性制订护理方案,以改善其HRQoL。
