在接受大动脉干预的妇女中改善了早期结果
Pietro Giorgio Malvindi1, Olimpia Bifulco1, Paolo Berretta1
1Cardiac Surgery Unit, Lancisi Cardiovascular Center, Ospedali Riuniti delle Marche, Polytechnic University of Marche, 60126 Ancona, Italy.
Journal of clinical medicine
|September 9, 2023
概括
通过导管的大动脉干预 (TAVI) 和外科大动脉置换 (SAVR) 在严重的大动脉狭窄的女性和男性中显示出类似的结果. 现代的大动脉干预措施为所有患者提供安全有效的治疗.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 临床结果研究研究
背景情况:
- 手术性大动脉置换 (SAVR) 从历史上看,女性患者的死亡率和并发症率高于男性患者.
- 过导管大动脉植入 (TAVI) 已经成为女性潜在的更有益的替代方案.
研究的目的:
- 评估和比较当代大动脉干预 (SAVR和TAVI) 在女性和男性患者的早期结果,严重的症状大动脉狭窄.
- 评估患者人口统计和并发症对两性结果的影响.
主要方法:
- 在2018年至2022年间,955名连续接受隔离性大动脉干预 (SAVR或TAVI) 的患者的回顾性分析.
- 包括手术前,手术内和手术后的变量,包括预测的假肢患者不匹配风险.
- 女性和男性患者群体之间的死亡率和重大术后并发症率的比较.
主要成果:
- 在接受SAVR或TAVI的女性和男性患者之间没有观察到死亡率或重大术后并发症的显著差异.
- 女性年龄较大,预测的手术风险更高 (EuroSCORE II),而男性患心血管相关疾病的比例更高.
- 很大一部分患者,特别是女性,接受了TAVI治疗,反映了当代的做法.
结论:
- 现代的大动脉干预,包括TAVI和SAVR,在患有严重症状大动脉狭窄症的女性和男性患者中显示出相似的安全性和有效性.
- 多种治疗选择的可用性允许进行定制和有效的管理,减轻基于性别的结果差异.
更多相关视频
相关概念视频
Aortic Regurgitation IV: Nursing Management
30
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
30
Aortic Regurgitation III: Medical Management
24
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
24
Mitral Valve Prolapse II: Assessment and Management
20
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
20
Mitral Stenosis III: Medical Management
12
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
12
Mitral Valve Prolapse III: Nursing Management
16
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
16
Aortic Regurgitation I: Introduction
10
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
10


