我们能预测POAF与一个简单的门诊振荡计评估大动脉硬?
Ziya Apaydin1, Semi Ozturk2, Ali Yasar Kilinc3
1Department of Cardiology, Haseki Training and Research Hospital, Istanbul, Turkey.
Brazilian journal of cardiovascular surgery
|October 5, 2023
概括
通过脉冲压 (PP) 和脉冲波速度 (PWV) 测量的大动脉硬度增加,预测冠状动脉旁路移植 (CABG) 后的术后心房动 (POAF). 这些非侵入性措施可以识别高风险患者.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 心脏外科手术 心脏外科手术
背景情况:
- 手术后心房动 (POAF) 是冠状动脉旁路移植 (CABG) 后的一个常见并发症.
- 大动脉硬是心血管事件的新兴风险因素.
- 大动脉硬与POAF之间的关系需要进一步调查.
研究的目的:
- 为了研究大动脉硬与POAF发生率之间的关系,在接受CABG的患者中.
- 在对大动脉硬度的测量中确定POAF的预测因素.
主要方法:
- 一项前性研究,涉及110名接受选择性隔离CABG的患者.
- 术前评估大动脉硬度使用非侵入性振荡计测量,包括脉冲波速度 (PWV) 和脉冲压力 (PP).
- 患者的特征和结果,包括POAF的发展,在各组之间进行了比较.
主要成果:
- 在29.1%的患者中发生POAF.
- 患有POAF的患者年龄较大,患慢性阻塞性肺病 (COPD) 的患病率较高.
- 升高的外周和中心脉冲压力 (PP) 和更高的脉冲波速度 (PWV) 与POAF有显著的关联. PWV和PP是POAF的独立预测因素.
结论:
- 通过PWV和PP量化的大动脉硬是CABG后POAF的显著预测因素.
- 这些易于测量的参数可以帮助识别患有POAF风险增加的患者,促进及时干预.
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