在心脏骤停幸存者的长期心脏功能.
Jean-Herlé Raphalen1, Tal Soumagnac1, Marc Delord2,3
1Intensive Care Unit, Necker University Hospital, Assistance Publique-Hôpitaux de Paris, 149 rue de Sèvres, 75015 Paris, France.
Resuscitation plus
|October 20, 2023
概括
大多数心脏骤停的幸存者在事件发生一年后没有心力衰竭症状. 旁观者心肺复苏的缺失与更糟糕的功能类相关,近三分之一的人经历了主要的不良心血管事件.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 临床结果研究研究
背景情况:
- 心脏骤停 (CA) 的幸存者经常面临长期的心肌功能障碍.
- 评估功能恢复和CA后不良事件对于患者管理至关重要.
研究的目的:
- 为了评估心肌功能障碍的长期结局,在心脏病发作的心脏骤停后.
- 在一年内确定功能类和主要不良心血管事件 (MACE) 的预测因素.
主要方法:
- 对心脏起源的CA幸存的成年患者的回顾性分析 (2005-2019).
- 主要终点包括1年的纽约心脏协会功能类 (NYHA-FC) 和MACE.
- 分析了心声学数据和随访事件.
主要成果:
- 80%的患者在1年内有NYHA-FC I;18%的人有NYHA-FC II.
- 左心室喷射分数有所改善,但在6个月后仍在33%的患者中异常.
- 32%的人经历过MACE,主要是急性心力衰竭或缺血事件;前CA疾病和缺乏旁观者心肺复苏是危险因素.
结论:
- 大多数CA幸存者在一年内表现出最小的心力衰竭症状.
- 没有旁观者心肺复苏是1年功能结果较差的重要预测因素.
- 许多患者的左心室功能障碍在六个月内出现部分恢复.
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