在左心室辅助装置植入后的早期心室节律失常
Connor P Oates1, Phillip H Lam1, Luke Lawrence1
1MedStar Heart and Vascular Institute, MedStar Washington Hospital Center, Washington, DC; Georgetown University School of Medicine, Washington, DC.
Journal of cardiac failure
|December 16, 2023
概括
在左心室辅助装置 (LVAD) 植入后,早期心室节律失常 (EVA) 是常见的. 这些早期心律失常会增加LVAD患者30天死亡的风险.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 临床研究 临床研究
背景情况:
- 持续性心室节律失常 (VAs) 是左心室辅助器件 (LVAD) 植入后的常见并发症.
- 在目前的患者群体中,LVAD植入后30天内早期VA (EVA) 的发生率,危险因素和预后影响尚不清楚.
研究的目的:
- 在接受持久LVAD植入的患者中调查早期VA (EVA) 的发生率,相关风险因素和预后影响.
主要方法:
- 在2006年10月至2022年10月期间接受LVAD植入的789名患者的回顾性分析.
- EVA被定义为持续的VA,发生在LVAD植入后30天内.
- 统计分析确定了EVA的独立预测因素及其与死亡结果的关联.
主要成果:
- 早期VAs (EVA) 发生在12.7%的患者中 (789例中100例).
- 对于EVA的独立风险因素包括末期脏病,手术前电风暴和之前适当的植入式心脏除器治疗.
- EVA显著与30天生存率下降相关 (HR3.02,P=.032).
结论:
- 在持久的LVAD植入后,早期心室节律失常是常见的情况.
- 在植入后30天内,EVA与较高的死亡风险有关.
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