不确定的和确定的病因的含义导致小左心
Zach Rozenbaum1, Orly Sapir2, Yoav Granot2
1Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, Department of Cardiology, Tulane University, New Orleans, Louisiana, USA.
The Israel Medical Association journal : IMAJ
|July 18, 2023
概括
小左心房 (LA) 表示死亡风险较高. 即使原因不明,这种情况也表明预后不佳,敦促医生意识到这一点.
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.
- 临床结果 临床结果
背景情况:
- 小左心房 (LA) 是增加死亡率的已知的危险因素.
- 了解潜在病因对这种风险的影响至关重要.
研究的目的:
- 调查与左小心脏 (LA) 相关的死亡风险是否受到心脏体积减少的具体原因的影响.
- 分析LA体积,病因和患者结果之间的关系.
主要方法:
- 在2011年至2016年期间,通过心声学识别的288名小LA患者 (LAVI <16毫升/米2) 的回顾性分析.
- 根据小LA的确定的或未确定的病因来对患者进行分类.
- 评估了病因特异性结果和1年死亡率.
主要成果:
- 在84%的患者中发现了小LA的病因.
- 一年内整体死亡率为20.5%.
- 占用空间的病变是唯一独立与1年死亡率增加相关的病因 (OR 3.26,P=0.045).
结论:
- 小左心房 (LA) 是不良结果和死亡风险升高的重要标志物.
- 即使小LA的病因不明,预后仍然很差.
- 医生应该认识到小LA作为高死亡风险的关键指标,不管是什么根本原因.
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