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具有或没有圆孔的潜水员的减压疾病:一项队列研究
Hyun-Jong Lee1, Dal Soo Lim1, Juneyoung Lee2
1Division of Cardiology, Department of Internal Medicine, Bucheon Sejong Hospital, Bucheon, South Korea (H.L., D.S.L., J.P., C.K., J.J.).
Annals of internal medicine
|July 10, 2023
概括
高风险的面孔 (PFO) 显著增加了潜水员减压疾病 (DCI) 的风险. 患有高风险PFO的潜水员应该考虑避免潜水或采用保守的协议.
科学领域:
- 心脏病学 心脏病学
- 潜水医学是一门潜水医学.
- 心血管研究研究心血管研究
背景情况:
- 之前的研究表明,在经历过减压疾病 (DCI) 的潜水员中,形孔 (PFO) 的患病率更高.
- 潜水员中PFO和DCI之间的关联需要进一步调查.
研究的目的:
- 评估经验丰富的潜水员中形孔 (PFO) 和减压疾病 (DCI) 之间的关联.
- 为了确定PFO是否在这个人群中是DCI的独立风险因素.
主要方法:
- 一项前性队列研究,涉及100名经验丰富的潜水员.
- 用盐水泡测试进行过食道回声心脏学,用于检测PFO并分类风险.
- 潜水员被跟踪了平均28.7个月,对DCI事件进行了盲目判断.
主要成果:
- 在68%的参与者中 (37名高风险,31名低风险) 发现了卵孔 (PFO).
- 与PFO相关的DCI的发生率在高风险PFO组 (每10,000次潜水中8.4) 与非PFO (0) 和低风险PFO (2.0) 组 (P=0.001) 相比显著更高.
- 高风险的PFO独立地与DCI风险增加有关 (OR,9.34).
结论:
- 高风险专利卵孔 (PFO) 是潜水员减压疾病 (DCI) 的重要独立风险因素.
- 患有高风险PFO的潜水员对DCI的敏感性增加,需要谨慎的潜水实践或完全避免.
- 需要进一步的研究来评估低风险PFO在DCI中的作用.
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