修改的哈勒指数与心房患者的无症状状态相反相关,这些患者接受了电动心脏转换:初步观察
Andrea Sonaglioni1, Enzo Grasso2, Gian L Nicolosi3
1Division of Cardiology, IRCCS MultiMedica, Milan, Italy - sonaglioniandrea@gmail.com.
Minerva cardiology and angiology
|December 21, 2023
概括
胸壁形状,通过MHI测量,与心房动 (AF) 患者的无症状状态相反相关,这些患者接受了电动心脏转变 (ECV). 较低的MHI预测无症状的AF,建议一种新的临床方法.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 胸部解剖学 胸部解剖学
背景情况:
- 与胸壁形状相关的心房动 (AF) 症状感知还不太清楚.
- 电动心脏转换 (ECV) 是一种常见的治疗持续性AF.
研究的目的:
- 评估经过ECV治疗的持续性AF患者的人类测量和临床特征.
- 根据症状的存在或不存在来对患者进行分类.
- 为了确定无症状AF的预测因素.
主要方法:
- 对经过ECV的持续性AF患者的回顾性分析.
- 使用MHI (胸部横径/胸骨-脊柱距离) 评估胸壁形状.
- 使用了带有应变分析的心声学,CHA2DS2-VASc评分和查尔森并发症指数 (CCI).
主要成果:
- 无症状的AF患者年龄较大,主要是男性,MHI较低,CHA2DS2-VASc评分和CCI较高.
- 多变量分析显示CHA2DS2-VASc评分和CCI与无症状AF相关.
- MHI与无症状状态相反相关;MHI<2.2最好检测无症状AF.
结论:
- 在经过ECV的持久性AF患者中,MHI与无症状状态相反相关.
- MHI评估为评估AF患者提供了一种新的,实用的方法.
- 胸壁形状可能会影响AF的症状感知.
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