预计膜过率的变化,在心房的第一次访问之前和之后
Ryobun Yasuoka1, Hiroyuki Sakurane2, Mana Okune2
1Division of Cardiology, Department of Medicine, Faculty of Medicine, Kindai University, 377-2 Ohnohigashi, 589-8511, Osakasayama, Osaka, Japan. ryasuoka@med.kindai.ac.jp.
BMC nephrology
|January 3, 2024
概括
功能恶化 (WRF) 在心房 (AF) 患者中很常见,通常在诊断后的几个月内开始. 在AF发作之前已经存在的功能下降可能预测WRF的发展.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 心脏病学 心脏病学
- 临床研究 临床研究
背景情况:
- 心房动 (AF) 和慢性病 (CKD) 的进展是相关的.
- 在AF临床过程中功能变化的确切时间尚不清楚.
研究的目的:
- 调查新发动的心房动 (AF) 与恶化功能 (WRF) 的出现之间的时间关系.
主要方法:
- 对131名新发性AF患者进行了回顾性研究.
- 对基线前后500天的估计膜过率 (eGFR) 数据进行分析.
- 应用零碎回归来确定WRF发病的拐点.
主要成果:
- 在41.2%的患者中检测到功能恶化 (WRF).
- 在最初的AF访问之前或之后的100天内,WRF的发作经常发生.
- 在AF发作之前具有正的eGFR斜率与随后的WRF (OR 30.5) 有着强烈的关联.
结论:
- 对于近一半患有WRF的AF患者来说,AF诊断后几个月内就会出现发作.
- 预先存在的损伤,以改善的eGFR斜率在AF之前表明,可能会使患者易于WRF.
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