系统性血管抵抗预测高输出心力衰竭在患有高流动动脉静脉囊的患者
Dan-Ying Lee1,2,3,4,5, Ting Chen6, Wei-Chieh Huang1,3,7
1Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, No. 201, Section 2, Shih-Pai Road, Beitou District, Taipei, Taiwan.
ESC heart failure
|October 27, 2023
概括
高流动动脉静脉通道患者的低估计系统血管抵抗 (eSVR) 预测高输出心力衰竭 (HOCF) 住院治疗. 非侵入性多普勒回声心电图可以帮助识别风险患者进行早期干预.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 高流动动脉静脉 (AV) 接入增加了高输出心力衰竭 (HOCF) 的风险.
- 诊断HOCF是具有挑战性的,通常需要侵入性方法.
- 系统性血管阻力 (SVR) 是 HOCF.的不足使用的诊断标志物.
研究的目的:
- 为了确定高流动AV接入的患者中HOCF的非侵入性风险因素.
- 为了评估估计系统血管阻力 (eSVR) 的预测值,用于HOCF住院治疗.
- 为了促进HOCF的早期诊断和及时干预.
主要方法:
- 对109名患有高流动心血管通道的患者进行了追溯分析,这些患者接受了连续心声回声扫描.
- 患者被分为HOCF住院和非HOCF组,根据年龄和性别进行匹配.
- 多变量考克斯回归和ROC曲线分析被用来确定HOCF的预测因素.
主要成果:
- 17.4%的患者因HOCF而住院.
- HOCF组显示了较高的血管接入血流 (Qa),左心室透静功能障碍,肺高血压和心脏指数 (CI).
- 低的eSVR (<6) 是HOCF住院的独立预测因素 (HR:9.084,P=0.001). CI/eSVR比率是一个强有力的预测指标 (AUC:0.75).
结论:
- 低的eSVR,通过多普勒回声心脏成像进行非侵入性测量,与高流动AV接入的患者中增加HOCF住院风险有关.
- 常规的eSVR查可以加快HOCF诊断.
- 对eSVR的非侵入性评估可以帮助识别需要干预的患者.
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