成功关闭皮肤中侧膜漏洞对长期主要临床结果的影响
Yassin Belahnech1, Gerard Martí Aguasca2, Bruno García Del Blanco2
1Cardiology Department, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Universitat Autònoma de Barcelona, Barcelona, Spain.
The Canadian journal of cardiology
|November 28, 2023
概括
通过皮肤成功关闭中侧漏 (PVL) 显著改善了长期的结果. 达到轻度或完全没有泄漏可以降低全因死亡率,心血管死亡率和心力衰竭住院率.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 皮肤透过的 mitra paravalvular 泄漏 (PVL) 封闭是手术的一个可行的替代方案.
- 对于皮肤穿PVL关闭的长期结果数据有限.
研究的目的:
- 为了评估成功的皮肤穿透性肌PVL关闭对患者结果的长期影响.
- 识别与程序成功和失败相关的因素.
主要方法:
- 对90名患者进行首次皮肤穿肌膜PVL关闭的回顾性分析 (2010年1月至2021年10月).
- 根据手术成功 (≤轻度残留泄漏) 分类的患者.
- 主要终点:全因死亡率;次要终点:心血管死亡,心力衰竭住院 (HFHs).
主要成果:
- 在52.2%的患者中,程序成功.
- 与程序失败相关的因素包括慢性脏病,之前的PVL手术和多次喷气.
- 成功关闭与所有原因死亡率显著降低 (8.2比27.3每100个患者年),心血管死亡和高血压死亡率相关.
结论:
- 成功通过皮肤关闭部PVL会改善长期存活率.
- 实现轻度或没有残余泄漏对于有利的长期结果至关重要.
- 程序失败与死亡率增加和心力衰竭住院治疗有关.
相关概念视频
Mitral Valve Prolapse I: Introduction
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
Mitral Valve Prolapse II: Assessment and Management
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 tachycardia.
Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
Mitral Regurgitation II: Clinical Features and Diagnostic Tests
Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...


