在患者中缺血或冠状动脉评估单态静脉风电风暴接受静脉除术的患者
Feras Alkhalaileh1, Oussama M Wazni1, Alan Kiang1
1Section of Cardiac Pacing and Electrophysiology, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
JACC. Clinical electrophysiology
|August 5, 2023
概括
在没有急性冠状动脉综合征 (ACS) 的患者中,针对单形心室性心力衰竭 (VT) 电风暴 (ES) 的切除前的常规缺血评估没有改善结果. 这些评估显示,在识别急性问题方面,产量很低,并且没有影响消去后的死亡率.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 干预心脏病学 干预心脏病学
背景情况:
- 在冠状动脉疾病 (CAD) 患者中,单形心室性心力衰竭 (VT) 电风暴 (ES) 与心肌痕有关.
- 在没有急性冠状动脉综合征 (ACS) 的静脉风暴中,是否需要进行切除前缺血或冠状动脉评估是不清楚的.
研究的目的:
- 评估缺血或冠状动脉评估对单态静脉风暴患者手术成功和长期死亡率的影响.
- 在这个特定的患者群体中确定常规心脏评估的有用性.
主要方法:
- 从2014年至2020年分析了97名连续接受单态静脉风暴 (没有ACS) 静脉除术的患者的注册表.
- 评估了缺血评估 (冠状动脉血管学,心肌 perfusion 影像) 和切除结果/死亡率之间的关联.
主要成果:
- 该队列患有严重的LV静脉缩功能障碍和中度心力衰竭.
- 缺血性评估没有发现急性冠状动脉封闭,也没有显示与急性废除结果或死亡率的关联.
- 这些评估的收益率很低,即使在已知的冠心病患者中也是如此.
结论:
- 在没有ACS的单态静脉风患者中进行切除前缺血性评估可能不会提高程序结果或降低死亡率.
- 进一步的研究可能会澄清常规冠状动脉评估在管理静脉风中的作用.
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