酒精隔膜切除后的存活率,用于阻塞性多变性心肌病
Paul Sorajja1, Steve R Ommen, David R Holmes
1Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA. paul.sorajja@mayo.edu
Circulation
|October 19, 2012
概括
对于阻塞性多变性心肌病 (HCM) 的酒精隔膜切除后的长期存活是有利的. 存活率与一般人群和手术肌切除术相比,没有增加突然心脏死亡风险.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 超性心肌病研究 超性心肌病研究
背景情况:
- 酒精隔膜切除是一种阻塞性多变性心肌病 (HCM) 的治疗方法.
- 经过这种程序的长期结果和生存需要进一步调查.
研究的目的:
- 为了评估经过酒精隔膜切除治疗阻塞性HCM的患者的长期存活率.
- 为了比较生存率与一般人群和手术肌切除术.
主要方法:
- 在第三级HCM转诊中心进行隔膜切除的177名患者的回顾性分析.
- 随访时间为5.7年.
- 与年龄和性别匹配的一般人口和外科肌切除术队伍的生存数据进行比较.
主要成果:
- 没有所有死亡的生存率与一般人口的预期生存率相似.
- 存活率与接受隔离外科肌切除术的年龄和性别匹配的患者相似 (8年估计:79%与79%).
- 废弃后的左心室残留外流通道梯度独立预测了更好的长期生存率.
结论:
- 在经验丰富的操作人员精心挑选的患者中,酒精隔膜切除提供了有利的长期生存率.
- 生存结果与一般人群和手术肌切除术相似.
- 这种手术似乎不会增加心脏突然死亡的风险.
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