在无症状的严重额头骨反中,警觉等待的结果
Raphael Rosenhek1, Florian Rader, Ursula Klaar
1Department of Cardiology, Medical University of Vienna, Vienna, Austria. raphael.rosenhek@meduniwien.ac.at
Circulation
|May 3, 2006
概括
一个警的等待策略是安全的管理无症状的严重腹. 患者可以被监测,直到症状或特定的手术标准得到满足,确保良好的结果.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 临床医学 临床医学
背景情况:
- 无症状的严重额头骨吐的管理是有争议的.
- 警等待策略包括监测,直到症状或特定标准得到满足.
研究的目的:
- 评估严重的退行性 mitrale 吐的警等待策略的结果.
- 确定监测无症状患者的安全性和有效性,直到满足手术标准.
主要方法:
- 预期对132名无症状患者的随访,这些患者患有严重的退行性部吐.
- 连续的临床和心声回声检查.
- 根据症状,左心室 (LV) 扩大/功能障碍,肺高血压或心房动进行手术转诊.
主要成果:
- 总体存活率与预期存活率相当.
- 38名患者 (29%) 在平均62个月的随访期内满足了接受手术的标准.
- 在8年后,无需手术的生存率为55+/-6%.
- 没有观察到手术死亡率和良好的术后结果.
结论:
- 无症状的重度退行性 mitrales 吐患者可以安全监测.
- 随访直到症状或已确定的LV/肺高血压标准达到为止是可行的.
- 这一策略需要勤奋的患者监测,以获得最佳的结果.
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