在三巴置换过程中,预防性表心心脏起器植入
Baptiste Bazire1,2, Marylou Para2,3, Richard Raffoul3
1Service de Cardiologie, Hôpital Bichat Claude Bernard, AP-HP, Paris, France.
概括
手术三巴置换 (TVR) 患者由于导电问题,通常需要心脏节拍. 对这些接受TVR的高风险患者来说,预防性表心起器是安全有效的.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 电力生理学 电力生理学
背景情况:
- 接受三膜置换 (TVR) 的患者面临心房导通障碍的高风险.
- 通过三形生物假体植入导管通常不建议,需要使用替代的节奏策略.
研究的目的:
- 评估预防性心上节拍器植入在接受三管置换 (TVR) 患者中的益处和风险.
主要方法:
- 临床评估和心脏起器报告的回顾性分析,这些患者接受了TVR,并进行了预防性心脏上皮起器植入.
- 通过表征心导电,评估心脏节奏的需要.
- 通过记录和判断术后事件来评估风险.
主要成果:
- 在80名分析患者中,有46%的患者需要TVR后的心脏节拍,其中14%的患者完全依赖节拍,17%的患者患有高度心房阻塞.
- 没有任何手术前或手术前的变量预测了需要节奏的必要性.
- 与表皮心脏起器相关的并发症很低 (2.5%),自发心率>70bpm和狭窄的QRS与较低的节奏需求相关.
结论:
- 在TVR后发生高频率的心导电障碍支持使用预防性心表节奏的使用.
- 这种策略显示了可接受的安全性,使其成为三管替换患者的可行选择.
相关概念视频
01:22Mitral Valve Prolapse II: Assessment and Management
19
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
19
01:29Cardiomyopathy V: Interprofessional Care
14
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
14