环状重塑预测了孤立的严重三腹吐的结果:基于登记册的心声图分析
Henrike Arfsten1, Andreas König1, Welf Geller1
1Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Wien, Austria.
European heart journal. Cardiovascular Imaging
|January 10, 2024
概括
严重的孤立三腹吐 (TR) 的预后取决于右心脏重塑,而不是TR的严重程度. 三环形尺寸是没有心房动的患者结果的关键指标.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 膜心脏疾病 膜心脏疾病
背景情况:
- 二次三回 (sTR) 往往是动态的,并且依赖体积.
- 三管环和右心室的结构变化可能不受体积状况的影响.
研究的目的:
- 评估右心脏重塑在患有单独严重三管吐 (isoTR) 患者的预后意义.
主要方法:
- 对36000名患者进行了严重的isoTR (静脉收缩≥7毫米) 的查,不包括心房动,其他门疾病或左心室功能减弱.
- 分析了回声心脏图像数据,重点关注右心室和三管排泄参数.
- 在35个月的中位数随访期间,评估了全因死亡率作为主要终点.
主要成果:
- 216名患者符合纳入标准;严重的TR占主导地位.
- 在随访期间,全因死亡率为31% (n=67).
- 三环形尺寸 (指数化RV终端-透气直径,指数化右心房尺寸,TV环形直径) 与死亡率有显著的相关性,与定量TR测量不同.
结论:
- 严重的孤立TR没有心房动是罕见的,预后不好.
- 三角形环形尺寸,反映了持续的重塑,比TR的严重程度更有预后.
- 右心脏重塑可能会导致不可逆转的"不可逆转点",并带来悲惨的结果.
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