系统性免疫炎症指数作为预测非膜性心房动中左心室血栓的预测指标
Abdullah Kadir Dolu1, Filiz Akyıldız Akçay1, Murat Atalay1
1Department of Cardiology, Izmir Katip Çelebi University Ataturk Education and Research Hospital, Izmir, Turkey.
The journal of Tehran Heart Center
|August 28, 2023
概括
系统性免疫炎症指数 (SII) 可以预测患有非膜性心房动 (NVAF) 的患者的左心房血栓 (LAT). 较高的SII水平表明LAT风险更高,有助于心血管事件的风险分层.
科学领域:
- 心脏病学 心脏病学
- 炎症标志物的炎症标志物
- 血栓形成的研究研究
背景情况:
- 系统性免疫炎症指数 (SII) 是心血管疾病的新兴生物标志物.
- 左心房血栓 (LAT) 是非膜心房动 (NVAF) 患者的显著并发症.
- 在NVAF患者中SII对LAT的预测值需要进一步调查.
研究的目的:
- 评估系统性免疫炎症指数 (SII) 与左心房血栓瘤 (LAT) 的存在之间的关联.
- 确定SII是否可以作为诊断为非膜性心房动 (NVAF) 的患者中LAT的独立预测因子.
主要方法:
- 一项回顾性病例控制研究,涉及403名患有NVAF的患者,接受过食道心声扫描 (TEE).
- 根据TEE发现,患者被分为LAT阳性 (LAT+) 和LAT阴性 (LAT-) 组.
- 分析包括人口统计数据,并发病症,实验室参数 (包括SII,NLR,PLR),心声学发现和临床分数 (CHADS2,CHA2DS2-VASc).
主要成果:
- 高白细胞计数,高SII和低射出分数被确定为LAT (+) 的独立预测因素.
- 超过693.6的SII值显示了71.6%的灵敏度和71.7%的特异性来预测LAT (+).
- 对于LAT,SII的预测性能与NLR相比,优于PLR和WBC.
结论:
- 系统性免疫炎症指数 (SII) 是左心房血栓症 (LAT) 的一个重要的独立预测因子,在患有非膜性心房动 (NVAF) 的患者中.
- SII提供了有价值的预后信息,用于识别LAT风险较高的患者,并可能指导临床管理策略.
相关概念视频
Myocarditis II: Clinical Features and Diagnostic Tests
12
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
12
Endocarditis II: Clinical Features of Infective Endocarditis
14
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
14
Myocarditis I: Introduction
9
Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
9
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
Acute Coronary Syndrome III: Diagnostic Studies
10
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
10
Endocarditis IV: Nursing Management
16
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
16


