Prevalence of Heart Failure and Atrial Fibrillation in Minority Ethnic Subjects The Ethnic-Echocardiographic Heart of England Screening Study (E-ECHOES) 英文参考文献.docVIP

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Prevalence of Heart Failure and Atrial Fibrillation in Minority Ethnic Subjects The Ethnic-Echocardiographic Heart of England Screening Study (E-ECHOES) 英文参考文献.doc

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Prevalence of Heart Failure and Atrial Fibrillation in Minority Ethnic Subjects The Ethnic-Echocardiographic Heart of England Screening Study (E-ECHOES) 英文参考文献

PrevalenceofHeartFailureandAtrialFibrillationin MinorityEthnicSubjects:TheEthnic-Echocardiographic HeartofEnglandScreeningStudy(E-ECHOES) ParamjitS.Gill1*,MelanieCalvert1,RussellDavis2,MichaelK.Davies3,NickFreemantle4, GregoryY.H.Lip2 1PrimaryCareClinicalSciences,UniversityofBirmingham,Birmingham,UnitedKingdom,2UniversityofBirminghamCentreforCardiovascularSciencesCityHospital, Birmingham,UnitedKingdom,3UniversityHospitalsBirminghamNHSFoundationTrust,Birmingham,UnitedKingdom,4PrimaryCareandPopulationHealth,University CollegeLondon,London,UnitedKingdom Abstract Background:LimiteddataexistsontheprevalenceofheartfailureamongstminoritygroupsintheUK.Todocumentthe communityprevalenceandseverityofleftventricularsystolicdysfunction,heartfailure,andatrialfibrillation,amongstthe SouthAsianandBlackAfrican-CaribbeangroupsintheUK. MethodssandResults:Weconductedacross-sectionalstudyrecruitingfromSeptember2006toJuly2009from20primary carecentresinBirmingham,UK.10,902eligiblesubjectsinvited,5,408participated(49.6%)and5,354hadcompletedata (49.1%).Subjectshadmedianage58.2years(interquartilerange51.0to70.0),and2544(47.5%)weremale.Ofthese,1933 (36.3%) had BMI.30kg/m2, 1,563 (29.2%) had diabetes, 2676 (50.0%) had hypertension, 307 (5.7%) had a history of myocardialinfarction,and104(1.9%)hadhistoryofarrhythmia.Overall,59(1.1%)hadanEjectionFraction,40%,andof these 40 (0.75%) were NYHA class $2; 51 subjects (0.95%) had atrial fibrillation. Of the remaining 19 patients with an EF,40%, only 4 patients were treated with furosemide. A further 54 subjects had heart failure with preserved ejection fraction. Conclusions: This is the largest study of the prevalence of left ventricular systolic dysfunction, heart failure and atrial fibrillation in under-researched minority communities in the UK. The prevalence of heart failure in these minority communities appears comparable to that of the general population but less than anticipated given the high rates of cardiovasculardiseaseinthesegroups.Heartf