肺高血压和左心室几何类型在状细胞贫血
Opeyemi Olalekan Oni1, Abiona Oluwadamilola Odeyemi2, Yetunde Toyin Olasinde3
1Department of Medicine, LAUTECH University, Ogbomoso, Nigeria.
The American journal of cardiology
|July 27, 2023
概括
状细胞病患者的肺高血压 (PHT) 与特定的心脏变化有关. 集中左心室缩是关键因素,突出了改善结果的早期干预的必要性.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 肺部病理学 肺部病理学
背景情况:
- 肺高血压 (PHT) 是状细胞病 (SCD) 的一个重要并发症.
- 在SCD中,PHT和左心室 (LV) 几何之间的关系尚未得到充分证实.
- 了解这些关联对于管理与SCD相关的发病率和死亡率至关重要.
研究的目的:
- 为了调查PHT在状细胞贫血 (SCA) 患者的患病率.
- 确定SCA中PHT和左心室几何图案之间的相关性.
- 在这个人群中确定PHT的独立预测因子.
主要方法:
- 一项涉及111名SCA患者的横截面研究.
- 数据收集包括问卷,血液学/生物化学分析,螺旋计,心电图和心声回声.
- 使用SPSS进行的统计分析,p ≤0.05显著程度.
主要成果:
- 在SCA患者中,PHT的患病率为8.1%.
- 患有PHT的患者年龄较大,血压高,BMI高,EGFR低.
- 集中左心室缩 (LVH) 在66.7%的PHT患者中存在;古怪的LVH与PHT无关.
结论:
- 集中性LVH,全身高血压,胸痛和呼吸率是SCA中PHT的独立相关物.
- PHT与集中性LVH和高血压的关联强调了早期治疗的必要性,以减少死亡率.
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