心脏手术高血压和心律失常患者的发病率和死亡率:回顾性分析
Abdullah Abdulrahman Bayazed1, Abdullah Khalid Alassiri1, Abdullah Alaa Farid1
1Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.
Cureus
|December 11, 2023
概括
在心脏手术前高血压和心房动增加了术后风险. 在手术前优化患者的健康状况对于更好的结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 高血压研究 高血压研究
背景情况:
- 高血压 (HTN) 是心血管疾病 (CVD) 和死亡率的主要可修改风险因素.
- 心律失常,特别是心房动 (AF),与心血管疾病风险增加和突然死亡有关.
- 高血压,糖尿病 (DM) 和冠状动脉疾病 (CAD) 是心律不整的关键危险因素.
研究的目的:
- 为了确定手术后的影响和HTN和心律失常的风险因素.
- 分析2015年至2022年期间在阿卜杜勒阿齐兹国王大学医院 (KAUH) 接受心脏手术的患者的数据.
主要方法:
- 在KAUH. 电子医疗记录的回顾性审查.
- 包括402名接受心脏手术的患者,包括高血压和心律失常患者.
- 数据收集的重点是术前条件和术后结果.
主要成果:
- 在402名患者中,有209人患有手术前的HTN,47人患有手术前的AF.
- 手术后心律不整显著增加了手术期间的发病率和死亡率 (p < 0.001).
- 增加年龄,更高的BMI和DM被确定为HTN和心律失常的危险因素.
结论:
- 手术前的HTN和AF与术后发病率和死亡率较高有关.
- 心房动是观察到的最常见的心律失常类型.
- 建议在手术前优化患者的健康状况,并呼吁进一步研究外科手术期间的HTN和心律失常的影响.
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