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4760例老年慢性心力衰竭住院患者病因变迁的调查 |
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and inhospital mortality in a cohort of 1790 patients with chronic heart failure early (1993-1998) in comparison to 2970 patients with chronic heart failure later (1999-2004). Results Of the 4760 patients in the analysis， the percentage of rheumatic valve heart disease， cor pulmonale， cardiomyopathy and arrhythmia among all hospitalized patients with chronic heart failure decreased by 12.6%， 10.9%， 6.8% and 44.9%， respectively in 1993-1988 versus 9.4%， 8.1%， 4.2% and 36.1%， respectively in 1999-2004 (P<0.01). The rate of hypertension and diabetes in patients with chronic heart failure increased from 41.6% and 23.5% to 54% and 29.15%， respectively. The presence of previous myocardial infarction and pneumonia were not changed significantly and the inhospital mortality decreased from 13.1% to 10.5%(P<0.01) over the study period. Conclusions It is demonstrated that the rates of hypertension and diabetes increase and rheumatic heart disease， cor pulmonale， cardiomyopathy and arrhythmia decrease among all hospitalized patients with chronic heart failure. The presence of previous myocardial infarction and pneumonia was not changed significantly and the in 上一页 [1] [2] [3] [4] [5] 下一页
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