基线内手术内左心室扩张功能与心脏手术后的术后心房动有关
Lisa Q Rong1, Antonino Di Franco2, Mohammed Rahouma2
1Department of Anesthesiology, Weill Cornell Medicine, New York, New York.
Anesthesiology
|August 8, 2023
概括
基线左心室透静功能障碍,而不是左心房功能,独立预测术后心房动. 在手术期间优化腹痛功能可能会降低这种风险.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 手术后心房动 (POAF) 是心脏手术后的一个常见并发症.
- 术后心脏功能和POAF之间的关联需要进一步阐明.
- 经食道心声学 (TEE) 可以在手术期间评估心脏功能.
研究的目的:
- 为了调查手术内左心房和左心室透静功能与POAF的关联.
- 为了确定手术前心脏功能是否预测心脏手术患者的POAF.
主要方法:
- 在心脏外科手术 (PALACS) 后预防心房动后,对后侧左侧心脏外皮切除术进行特设分析.
- 包括402名具有可用的手术内TEE数据的患者.
- 使用横向e'速度和E/e'比率评估左心室透缩功能.
主要成果:
- 57.2%的患者患有手术期间的透析功能障碍.
- 在24.6%的患者中发生POAF.
- 基线异常的左心室透静功能 (OR 2.02) 和心周切除术干预 (OR 0.46) 独立地与POAF相关.
结论:
- 手术前的左心室扩张功能障碍是POAF的重要独立预测因素.
- 左心房的大小和功能与POAF没有独立相关.
- 进一步的研究应该探索优化手术内左心室扩张功能以减少POAF风险的干预措施.
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