穿皮冠状动脉干预可以安全地使用左心室血栓进行,而不会增加中风风险:使用真实世界的数据进行5年后回顾
Mohanad Shehadeh1, Alaa Rahhal2, Khaled Shunnar1
1Cardiology Department, Heart Hospital, Hamad Medical Corporation, Doha, Qatar.
International journal of cardiology
|October 6, 2023
概括
在患有左心室血栓 (LVT) 的患者中,穿皮冠状动脉干预 (PCI) 不会增加中风风险. 这项研究发现,在接受PCI和没有接受PCI的患者之间,中风发生率或死亡率没有显著差异.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 干预心脏病学 干预心脏病学
背景情况:
- 左心室血栓 (LVT) 是已知的缺血性中风的危险因素.
- 穿皮冠状动脉干预 (PCI) 对 LVT 患者中风风险的影响尚未得到充分证实.
- 这项研究研究CAG +/- PCI与LVT患者中风风险之间的关联.
研究的目的:
- 为了评估患有LVT的患者中风的风险,进行冠状动脉动脉扫描 (CAG),有或没有PCI.
- 为了比较接受CAG +/- PCI和未接受CAG +/- PCI的LVT患者之间的中风发病率,住院死亡率和长期死亡率.
主要方法:
- 从2015年4月到2020年3月,对LVT患者进行了回顾性观察队列研究.
- 两组:接受CAG+/- PCI的LVT患者和没有接受CAG+/- PCI的LVT患者.
- 主要结局:指数录取期间中风. 二次结果:住院死亡率,全因死亡率和出院后12个月的中风.
主要成果:
- 在指数录取期间,中风发生率在两组之间没有显著差异 (5%对3.3%,p=0.539).
- 在住院死亡率,全因死亡率或12个月中风率方面没有发现显著差异.
- 缺血性心肌病是两组LVT的主要病因.
结论:
- 在左心室血栓 (LVT) 患者的皮肤冠状动脉干预 (PCI) 与中风风险增加无关.
- 心脏病专家可以安全地在患有LVT的患者中进行CAG +/- PCI.
- 这些发现可能有助于指导用于LVT管理的临床决策.
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