在新生儿先天性心房阻塞中,心脏起器管理和住院结果
Matthew F Mikulski1, Andrew Well1, Daniel Shmorhun2
1Texas Center for Pediatric and Congenital Heart Disease, UT Health Austin/Dell Children's Medical Center, Austin, Texas, USA; Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, Texas, USA.
JACC. Clinical electrophysiology
|June 24, 2023
概括
新生儿先天性心房阻塞 (nCAVB) 是一种罕见的疾病,死亡率高. 心脏起器安置与nCAVB患者的死亡率降低有关,特别是那些没有先天性心脏病 (CHD) 的患者.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 新生儿医学 新生儿医学
- 电力生理学 电力生理学
背景情况:
- 新生儿先天性心房阻塞 (nCAVB) 是一种罕见的疾病,与高死亡率和频繁需要节拍相关.
- 关于nCAVB.的住院结果和心脏起器管理的数据有限.
研究的目的:
- 分析患有nCAVB.B.的新生儿的心脏起器管理和住院结果.
- 为了比较患有和没有先天性心脏病 (CHD) 的nCAVB患者之间的结果.
主要方法:
- 2004年至2022年被诊断患有nCAVB的31天以下患者的多中心数据库审查.
- 使用统计模型分析节奏调节干预和住院死亡率.
- 纳入标准排除了除了心脏起器插入外的心脏手术的患者.
主要成果:
- 患有心脏病的nCAVB患者的住院死亡率为36.2%,没有心脏病的nCAVB患者的死亡率为8.4%.
- 心脏起器插入与住院死亡率的降低有关,特别是当放置在2-7天之间时.
- 临时的节奏电线与增加的死亡风险有关.
结论:
- 在nCAVB中,先天性心脏病和早产与增加的住院死亡率有关.
- 心脏起器的安置与nCAVB的死亡率降低有关.
- 未来的注册表对于更好的表征和nCAVB的标准化管理至关重要.
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