肺门更换时间在初始四次性形修复后:系统审查
Ethan Slouha1, Genevieve Trygg1, Abdul Hadi Tariq1
1Anatomical Sciences, St. George's University School of Medicine, St. George's, GRD.
Cureus
|December 29, 2023
概括
确定肺置换 (PVR) 在Fallot四重症 (ToF) 患者的最佳时间至关重要. 早期PVR可以改善心脏功能并减少不良事件,特别是在严重肺吐患者中.
科学领域:
- 心脏病学 心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 心脏外科手术 心脏外科手术
背景情况:
- 肺置换 (PVR) 对于管理Fallot四重症 (ToF) 非常重要.
- 在ToF修复中使用的跨管贴片可以导致肺吐 (PR),导致呼吸障碍和蓝色症.
- 建立最佳的PVR时间表对于改善ToF患者的长期结果至关重要.
研究的目的:
- 建立一个基于证据的时间表,用于PVR在ToF患者.
- 确定影响PVR时间和结果的因素.
- 提高对有ToF的个体的护理质量.
主要方法:
- 2002年至2022年间发表的21935篇文章的系统审查.
- 使用PRISMA指南对出版物的选.
- 包括和分析了32项相关研究.
主要成果:
- PVR强烈适用于严重的PR,即使是在无症状患者或疲劳患者中.
- 严重的PR与心律失常 (例如,RBBB,AV阻塞) 和延长的QRS间隔有关;男性性别和高RVEDV预测QRS持续时间更长.
- 早期PVR与更好的心脏功能和更短的QRS间隔有关,而晚期PVR与不良事件相关. 手术后心律失常可能会持续,但NYHA类和RV大小有所改善.
结论:
- 最佳PVR时间取决于个体患者的表现.
- 早期PVR通常会导致ToF患者的长期结果更好.
- 定量变形分析可以帮助预测适当的PVR时间表.
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