三管吐:与心房动相关的中风的隐藏风险因素?
Yong Soo Kim1,2, Han-Gil Jeong3, In-Chang Hwang4
1Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Frontiers in cardiovascular medicine
|August 7, 2023
概括
三管吐 (TR) 与中风患者的心房动 (AF) 有关. 这种关联无论TR的严重程度或类型如何,都适用,TR可以预测中风后新的AF诊断.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 膜心脏疾病 膜心脏疾病
背景情况:
- 三回 (TR) 是一种普遍但经常被低估的膜疾病.
- 对于TR与缺血性中风的特定原因,如心房动 (AF) 之间的关系仍然不完全理解.
研究的目的:
- 研究急性缺血性中风患者的三腹吐和心房动之间的关联.
- 为了确定TR是否预测中风患者的AF新诊断.
主要方法:
- 从中风登记册中对6,886名急性缺血性中风患者进行了回顾性分析.
- 通过胸腔心声学来评估TR,多变量逻辑回归模型分析了与AF的关联,并调整了临床和心声学因素.
主要成果:
- 在12.7%的患者中出现了三管吐,并且与AF显著相关 (aOR 4.87).
- 这种关联在所有TR严重程度和亚型中都存在.
- 此外,TR与新诊断的AF在先前没有AF的患者住院和随访期间的AF有关 (aOR2.68).
结论:
- 在急性缺血性中风患者中,tricuspid regurgitation与心房动独立相关.
- TR的存在和特征并没有改变它与AF的联系.
- 三管吐可能是缺血性中风后新发性心房动的预测因素.
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