病前心电回声和COVID-19住院的风险
Harsh Goel1,2, Kashyap Shah3, Janish Kothari4
1Department of Medicine, St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA, USA, 18015.
The international journal of cardiovascular imaging
|September 19, 2023
概括
左心房扩大独立预测COVID-19住院风险. 心声图的发现可以帮助确定需要更密切监测的患者,并为疫苗讨论提供信息.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 作为一种流行病的COVID-19带来了心血管疾病的风险.
- 临床因素预测严重的结果,但心声回声数据可能会改进风险评估.
研究的目的:
- 为了调查基线心声学异常是否预测COVID-19患者住院治疗.
- 评估心脏成像在临床因素之外的风险分层中的作用.
主要方法:
- 对192名COVID-19患者的回顾性分析,这些患者在诊断前进行过胸腔心声扫描 (TTE).
- 排除了患有严重的膜疾病或最近心脏事件的患者.
- 后勤回归确定了住院治疗的预测因素.
主要成果:
- 住院治疗发生在45.3%的患者中;严重疾病发生在17.7%的患者中.
- 左心房直径≥4.0厘米独立预测住院治疗 (OR2.379).
- 年龄,冠状动脉疾病和COPD也预测了住院治疗.
结论:
- 基线左心房扩大是COVID-19住院治疗的独立风险因素.
- 心声图的发现可以指导患者的管理和咨询.
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