作为心血管事件的新型预测因子在左心室非紧缩患者中
Yan Gao1, Mengxiao Liu2, Zhiguo Ju3
1Department of Radiology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong 250021, China; Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong 250021, China.
International journal of cardiology
|August 20, 2023
概括
左心室 (LV) ,一种新的心肌异质性的测量方法,有效预测左心室非紧缩 (LVNC) 患者的主要不良心血管事件 (MACE). 这种新的指标提供了宝贵的预后信息,超出了传统的措施,如LV喷射率.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 生物医学工程 生物医学工程
背景情况:
- 左心室非紧缩 (LVNC) 的风险分层具有挑战性.
- 从心磁共振 (CMR) 中的晚期加多增强 (LGE) 中获得的LVV,量化了心肌异质性.
- 这种异质性可能是LVNC患者主要不良心血管事件 (MACE) 的基础.
研究的目的:
- 在被诊断为LVNC的患者中调查MACE的LV的预测值.
- 评估LV能否提供超出既定标记的增量预后信息.
主要方法:
- 连续接受CMR的LVNC患者的回顾性分析.
- 从LGE信号强度分布计算LV.
- 对MACE的随访包括心脏死亡,心室节律失常和心力衰竭住院治疗.
主要成果:
- 在143名LVNC患者中,有42人经历了MACE,平均随访时间为3.2年.
- LV独立预测的MACEs (HR:4.76,p < 0.001) 的时间.
- 即使在没有LGE的患者中,LV也显示出预后值 (HR:3.06,p = 0.013).
结论:
- 在LVNC患者中,LV是MACE的显著预测因子.
- LV提供了超越LV射出分数和LGE的增量预测值.
- LV可能有助于风险分层,特别是在LGE负LVNC的情况下.
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