社区的门诊三管吐:临床背景和结果
Denis Leonardi1, Francesca Bursi2, Diego Fanti1
1Division of Cardiology, Department of Medicine, University of Verona, Verona, Italy.
International journal of cardiology
|October 16, 2023
概括
三管吐 (TR) 影响4.8%的患者,影响生存率. 当TR与左侧心脏病或心力衰竭有关时,结果会更糟.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 流行病学 流行病学
背景情况:
- 三管吐 (TR) 的流行病学和社区负担尚未明确.
- 了解TR患病率和结果对于患者管理至关重要.
研究的目的:
- 为了确定TR在一个定义的地理区域的流行率.
- 评估TR在各种临床环境中的对整体存活率和住院治疗的影响.
主要方法:
- 对6797名接受心声扫描的门诊患者 (2006-2013) 的回顾性分析.
- 收录标准:中度或严重的TR.
- 定义的临床设置:左侧膜心脏病 (LVHD-TR),心力衰竭 (HF-TR),手术后 (术后-TR),肺高血压 (PHTN-TR) 和孤立的TR.
主要成果:
- 在4.8%的患者中发现了中度至重度的TR.
- 在6.1年的中位数随访期间,TR严重程度影响了无事件生存率.
- 八年无事件生存率因临床亚群而异,HF-TR (52%) 和LVHD-TR (58%) 低于其他亚群.
结论:
- 在社区中,中度或严重的TR是一个重要的发现.
- 在所有临床环境中,TR对无事件生存有负面影响.
- 当TR与显著的左侧膜心脏病和心力衰竭有关时,结果最差.
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