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【每周三句半,一起讀文獻】急性缺血性卒中心肌梗死發(fā)生率和結(jié)局

【每周三句半,一起讀文獻】

Incidence and Outcomes of Myocardial Infarction in Patients Admitted With Acute schemic Stroke

急性缺血性卒中心肌梗死發(fā)生率和結(jié)局

1.  

Data on the incidence and outcomes of acute myocardial infarction (AMI) complicating acute ischemic stroke (AIS) are limited. We aim to evaluate the incidence, treatment patterns, and outcomes of AMI in patients with AIS using a nationwide database.


詞匯:

  • acute myocardial infarction (AMI):急性心肌梗死

例句:Patients receiving an acute intervention, for example in myocardial infarction, need anticoagulants and antiplatelet drugs but these increase the risk of bleeding. 


譯文:

急性缺血性卒中合并急性心肌梗死的發(fā)生率和結(jié)局的數(shù)據(jù)很有限。我們的目標是用全國性的數(shù)據(jù)來評估急性缺血性卒中患者中急性心肌梗死的發(fā)生率、治療方案和結(jié)局。


2.  

The National Inpatient Sample was used to identify patient with AIS between 2003 and 2014. Trends of incidence of AMI and its associated in-hospital mortality were evaluated. Univariate and multivariate logistic regressions were used to evaluate predictors of AMI. The impact of AMI on in-hospital outcomes was assessed in a comparative analysis of propensity-matched groups of patients with and without AMI.


詞匯:

  • multivariate logistic regressions:多元logistic回歸分析

例句:Univariate and multivariate logistic regression was used to determine which factors had a statistically significant effect on mortality.


譯文:

我們用2003年指2014年間國家住院病例的樣本來確定AIS患者,評估了AMI發(fā)病率及其相關住院死亡率的趨勢。 我們用單變量和多變量邏輯回歸評估AMI的預測因子。 在AMI患者和未發(fā)生AMI患者的對照組的比較分析中評估了AMI對住院結(jié)局的影響。


3.  

In a multivariate logistical regression analysis, the strongest predictors of having AMI after AIS were older age, history of coronary artery disease, chronic renal insufficiency, undergoing mechanical thrombectomy, and rhythm and conduction abnormalities.


詞匯:

  • mechanical thrombectomy:機械血栓切除術(shù)。

例句:In a retrospective single centre cohort of 176 consecutive patients focusing on complications of mechanical thrombectomy it was shown that prolonged endovascular procedure beyond one hour was associated with higher complication rates.


譯文:

在多變量邏輯回歸分析中,急性缺血性卒中后發(fā)生急性心肌梗死最強的預測因素是年齡大、冠狀動脈疾病史、慢性腎功能不全、經(jīng)歷機械性血栓切除術(shù)、節(jié)律和傳導異常。


?你來翻譯一句吧:

AMI complicating stroke carries a substantial in-hospital mortality and cost of care. Patients who underwent coronary angiography with or without intervention may have improved survival although it was only utilized in a minority of patients. Further studies needed to discern the ideal approach in AMI in patients with AIS.



上期譯文:

The most important baseline predictors for early CED are National Institutes of Health Stroke Scale, hyperdense artery sign, higher blood glucose, decreased level of consciousness, and signs of infarct at baseline. The findings can be used to improve selection and monitoring of patients for drug or surgical treatment.

基線里,最能提示可能發(fā)生早期腦水腫的因素為:NIHSS、動脈高密度征、高血糖、意識障礙加重、基線時梗塞的跡象。這些發(fā)現(xiàn)可以用來改進對藥物或手術(shù)病人的選擇和監(jiān)測。


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