在早发性心室综合体中,切除后心上脂肪组织体积和复发之间的关系
Zhe Wang1, Jiaju Li2, Jiawei Chen2
1Department of Cardiology, China-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences and Peking Union Medical College.
概括
一个大的心上脂肪组织 (EAT) 容量独立地预测过早的腹腔复合体 (PVC) 在切除后的复发. 较高的EAT体积与增加的PVC复发风险相关,有助于患者分层.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 电子生理学 电子生理学
背景情况:
- 脊心脂肪组织 (EAT) 是心脏代谢疾病的标志物.
- 增加EAT厚度与腹腔动脉高心率在切除后复发有关.
- 需要澄清的是,EAT体积与抽除术后早发性心室复合体 (PVC) 复发之间的关系.
研究的目的:
- 为了研究心上脂肪组织 (EAT) 体积和在射频导管切除后早发性心室复合体 (PVC) 复发之间的关联.
主要方法:
- 追溯分析401名PVC患者进行了导管切除.
- 术前非对比计算机断层扫描用于EAT体积评估.
- 多变量考克斯和卡普兰-梅尔分析用于复发预测.
主要成果:
- 大量的EAT是一个独立的PVC复发预测器,经过切除后复发 (中位随访时间为16.3个月).
- 较高的EAT体积与PVC复发风险的增加相关.
- 与右心室外流通道起源相比,心PVC起源与更大的EAT体积有关.
结论:
- 大量的心上脂肪组织 (EAT) 容量独立地与切除后的PVC复发有关.
- EAT体积可能有助于分层患有PVC复发风险的患者.
- 患有表心PVC的患者表现出更大的EAT体积.
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