在全国范围的基于登记册的队列研究中,在手术纠正脉缺陷后的长期结果
International journal of cardiology
|October 12, 2023
概括
静脉缺陷 (SVD) 手术后的长期随访显示,年轻患者的生存率很好. 然而,SVD幸存者面临着心房动,心力衰竭和导电障碍的风险增加.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 阴道静脉缺陷 (SVD) 关闭结果没有得到充分的记录,只有有限的研究缺乏对照组.
- 这项研究解决了对SVD手术结果的长期数据的需求.
研究的目的:
- 为了评估患者的长期结果,这些患者接受了手术纠正 sinus venosus 缺陷.
- 将SVD患者的健康结果与匹配的一般人口队列进行比较.
主要方法:
- 一项全国性的队列研究包括了1969-2019年间的所有手术SVD纠正,不包括复杂的先天性心脏缺陷.
- 对于每个SVD患者,从一般人群中选择了五个性别和出生年份匹配的对照组.
- 分析了随访数据,以评估长期死亡率和发病率.
主要成果:
- 进行了182次SVD手术纠正,大多数患者 (77.5%) 在18岁之前进行了手术.
- 在SVD患者和对照人群之间没有观察到长期死亡率的显著差异.
- 在SVD患者中,新发性心房动,心力衰竭,缺血性心脏病,偏头痛和需要心脏起器植入的导电障碍的风险显著增加.
结论:
- 通过手术纠正阴道静脉缺陷,提供了很好的生存预后,特别是在年轻患者中.
- 长期监测对于SVD幸存者至关重要,因为心律失常和心力衰竭的风险持续升高.
更多相关视频
14:14Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
14.1K
08:05Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
4.1K
相关概念视频
01:11Overview of Systemic Veins
490
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
490
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
14
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
14