在患有左心室功能障碍,心力衰竭或两者的患者心肌梗塞后的机械失调
Sung-Hee Shin1, Chung-Lieh Hung, Hajime Uno
1Cardiovascular Division, Brigham and Women's Hospital, Boston, MA 02115, USA.
Circulation
|February 24, 2010
概括
机械失调预测心力衰竭患者的结果会更差. 这项研究表明,左心室失调独立增加了心肌梗塞后死亡或心力衰竭的风险.
科学领域:
- 心脏病学 心脏病学
- 心血管成像 - 心血管成像
- 心脏衰竭研究研究
背景情况:
- 机械失调是心力衰竭中心血管不良结果的已知预测因素.
- 心肌梗塞后机械失同症的预后意义需要进一步定义.
研究的目的:
- 为了研究机械失调对心肌梗塞后患者的临床结果的影响.
- 确定左心室失调是否是心肌梗塞后死亡或心力衰竭的独立风险因素.
主要方法:
- 利用B模式斑点跟踪与速度向量成像来评估来自VALIANT心声成像研究的381名患者的心室同步.
- 在12个左心室段中测量到区域峰值速度的时间和延展率的时间.
- 计算了这些测量的标准偏差 (SD) 作为异步指数.
主要成果:
- 在多变量考克斯模型中,达到峰值速度的SD时间 (HR每10毫秒: 1.10) 和达到应变率的SD时间 (HR每10毫秒: 1.16) 是死亡或心力衰竭的显著独立预测因素.
- 这些发现根据临床和心声学变量进行了调整.
结论:
- 左心室失调是心肌梗塞后死亡率增加和心力衰竭事件的独立风险因素.
- 收缩模式可能会影响心肌梗塞后期的预后.
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