全球纵向菌株预测了心力衰竭患者的临床结果,其中心脏衰竭患者保留了喷射分数
Alison Brann1, James Miller2, Emily Eshraghian1
1Division of Cardiology, University of California San Diego, La Jolla, CA, USA.
European journal of heart failure
|June 27, 2023
概括
异常的全球纵向应变 (GLS) 是常见的心力衰竭与保存的喷射率 (HFpEF) 和预测不良临床事件和恶化的左心室喷射率 (LVEF). 这一发现有助于对HFpEF患者的风险分层.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 心脏衰竭研究研究
背景情况:
- 保存喷射分数 (HFpEF) 的心力衰竭存在住院和死亡的重大风险.
- 在HFpEF患者中,左心室喷射分数 (LVEF) 可以随着时间的推移而恶化.
- 全球纵向应变 (GLS) 是心肌功能障碍的敏感指标.
研究的目的:
- 评估GLS是否可以预测HFpEF患者的不良临床结果.
- 确定GLS是否预测HFpEF中LVEF的未来恶化.
- 评估GLS在HFpEF中的预后价值.
主要方法:
- 对311名HFpEF患者进行了回顾性队列研究.
- 患者按正常 (<-15.8%) 或异常 (>-15.8%) 的GLS分组.
- 主要结局:结合心血管死亡率或HF住院,LVEF恶化到<40%.
主要成果:
- 异常的GLS在59%的患者中存在.
- 患有异常GLS的患者的复合结局率 (62%vs44%) 和LVEF恶化率 (19%vs10%) 较高.
- 增加的GLS与更高的不良结果的几率有关.
结论:
- 异常的GLS在HFpEF中很普遍.
- 在HFpEF中,GLS是临床事件的强有力的预测因素.
- GLS有效地预测了HFpEF的未来LVEF恶化.
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