心肌动脉应用在预测耐药高血压患者的不良事件方面工作
Limin Luo1,2,3, Yongshi Wang4,5,6,7, Huiping Hou4,5,6
1Department of Echocardiography, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, Fujian, China. aniu2008.hi@163.com.
Journal of cardiothoracic surgery
|December 5, 2023
概括
心肌工作 (MW) 度量,包括全球纵向应变 (GLS) 和全球浪费工作 (GWW),有效预测抗性高血压 (RH) 患者在三年内出现不良事件.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
- 诊断成像 诊断成像 诊断成像
背景情况:
- 抗性高血压 (RH) 影响10-20%的高血压患者,增加严重末端器官损伤的风险.
- 患有RH的患者面临心肌梗塞,中风,心力衰竭和功能障碍的风险增加.
- 早期发现RH并发症对于患者的治疗结果至关重要.
研究的目的:
- 评估心肌工作 (MW) 使用心声回声学在RH患者.
- 确定MW参数是否可以在3年内预测心血管和脏不良事件.
- 评估全球纵向应变 (GLS) 和全球浪费工作 (GWW) 在RH的预测值.
主要方法:
- 283名符合RH标准的成年患者接受了心声回声,血压测量和MW分析.
- 患者被监测了3年,以记录任何不良事件.
- 排除标准包括心律失常和严重的大动脉狭窄.
主要成果:
- 82 (28.98%) 的RH患者经历了不良事件,包括心肌梗塞,心力衰竭和功能不全.
- 有不良事件的患者显示全球纵向应变 (GLS) 显著降低,全球浪费工作 (GWW) 增加.
- 在这个队列中,GLS和GWW成为最强的不良事件预测因素.
结论:
- 通过心声学评估心肌功能 (MW) 是预测RH患者3年不良事件的宝贵工具.
- GLS和GWW是抵抗性高血压风险分层的特别有效指标.
- 这项研究强调了MW在治疗RH患者的预后意义.
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