在患有先天性心脏病的年轻患者中,心房的负担
Zacharias Mandalenakis1, Annika Rosengren2, Georg Lappas2
1Institute of Medicine, Department of Molecular and Clinical Medicine/Cardiology, Sahlgrenska Academy, University of Gothenburg, Sweden. zacharias.mandalenakis@gu.se.
Circulation
|November 3, 2017
概括
患有先天性心脏病 (CHD) 的患者患上心房动 (AF) 的风险显著增加. 这种增加的风险,特别是复杂的缺陷,需要针对AF及其心力衰竭等并发症进行有针对性的监测.
科学领域:
- 心脏病学
- 儿童心脏病学
- 电生理学
背景情况:
- 由于解剖学和手术因素,先天性心脏病 (CHD) 患者的心房动风险较高.
- 之前的研究未能充分比较儿科和年轻成年人心血管疾病患者群体与对照群体的AF发展和并发症.
研究的目的:
- 对患有先天性心脏病 (CHD) 的儿童和年轻人的心房动 (AF) 发生率进行调查和比较.
- 在患有心血管疾病的患者中识别与AF相关的并发症.
主要方法:
- 使用瑞典患者和死亡原因登记册,用于1970年至1993年出生的心脏病患者.
- 根据出生年份,性别和地区对每个心脏病患者进行了匹配.
- 追踪数据收集直到2011年.
主要成果:
- 与对照组相比,患心脏病的风险增加了22倍 (21. 99倍).
- 干缺陷呈现出最大的AF风险 (HR 84.27).
- 在42岁时,8. 3% 的心脏病患者患有肌肉功能障碍;心脏衰竭是主要并发症 (10. 7% 的心脏病患者患有肌肉功能障碍).
结论:
- 患有冠状动脉疾病的儿童和年轻人具有显著的AF风险.
- 复杂的先天性心脏缺陷与最大的AF风险有关,因此需要有针对性的监测.
- 心脏衰竭是患有心脏衰竭的患者的一个重要并发症.
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