在扩张性心肌病中,左心室壁厚度对死亡率的预测值
Jing Li1, Yue-Yue Feng1, Chun-Ai Hu2
1Graduate School of Bengbu Medical College, Bengbu, Anhui, China.
ESC heart failure
|September 22, 2023
概括
心脏磁共振 (CMR) 测量后壁厚度 (PWT) 预测扩张性心肌病 (DCM) 患者的死亡率. 较低的PWT和相对PWT (RWTPW) 与增加全因死亡风险有关.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 预测分析是一种预测分析.
背景情况:
- 扩张性心肌病 (DCM) 是心力衰竭的重要原因之一.
- 在DCM中准确的预后对于患者管理至关重要.
- 心脏磁共振 (CMR) 提供了详细的心脏结构和功能评估.
研究的目的:
- 评估心脏磁共振 (CMR) 测量壁厚对扩张性心肌病 (DCM) 患者全因死亡率的预测能力.
主要方法:
- 对接受CMR的161名DCM患者的回顾性分析.
- 测量左心室尺寸,壁厚 (PWT,IVST) 和质量.
- 计算相对壁厚 (RWTPW,RWTIVS) 的方法.
- 对晚期加多增强 (LGE) 的评估.
- 随访所有原因的死亡率.
主要成果:
- 在死亡的患者中,后壁厚度 (PWT) 和相对后壁厚度 (RWTPW) 显著降低.
- 通过多变Cox回归,PWT和RWTPW被确定为所有原因死亡率的独立预测因素.
- 腹腔间隔膜厚度 (IVST),RWTIVS和LGE存在没有显著的独立预测价值.
结论:
- 心脏磁共振 (CMR) 衍生后壁厚度 (PWT) 是DCM患者全因死亡率的有价值的独立预测指标.
- 隔膜壁厚度测量没有显示出这一队列中与死亡率的显著相关性.
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