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在评估老年人腹功能时,左心室结构异常:2009年和2016年标准之间的差异来源
Vinícius Leite Gonzalez1,2, Angela Barreto Santiago Santos1,2, Luis Eduardo Paim Rohde1,2
1Postgraduate Program in Cardiology, School of Medicine, Universidade Federal do Rio Grande do Sul., Porto Alegre, RS, Brazil.
The international journal of cardiovascular imaging
|August 2, 2023
概括
2016年扩张功能障碍 (DD) 指南与2009年老年患者指南的一致性较差. 左心室结构异常显著影响重新分类,可能影响心力衰竭诊断和预后.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 医疗成像医学成像
背景情况:
- 扩张性功能障碍 (DD) 对于心力衰竭管理至关重要,特别是在老年人中.
- 从2009年开始,DD分类的心声指南于2016年更新,以改善标准化.
- 在DD评估中的差异可能会影响患者的诊断和预后.
研究的目的:
- 在老年人群中比较2009年和2016年心声回声指南之间的腹筋功能障碍分类.
- 调查左心室结构异常 (LVSA) 对DD重新分类的影响.
- 评估指导方针变更对高填充压力的流行影响.
主要方法:
- 分析了308个60岁以上患者的胸前回声心电图.
- 使用2009年和2016年的指导方针进行DD流行和分类的比较.
- 评估左心室结构异常 (LVSA) 在重新分类DD等级中的作用.
主要成果:
- 2016年的指导方针发现,与2009年 (91%) 相比,DD的患病率较低 (64%),协议较差 (kappa=0.21).
- 超过三分之二的患者 (67.2%) 在指南版本之间重新分类.
- 左心室结构异常显著影响了重新分类,特别是在I级DD病例中.
结论:
- 2016年对腹筋功能障碍的指导方针与2009年老年人指导方针的一致性不佳.
- 左心室结构异常在DD重新分类中起着关键作用,特别是在较轻的形式中.
- 指南之间的差异可能会影响透支功能障碍作为老年人诊断和预后工具的可靠性.
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