在接受过导管大动脉置换手术的患者中,心房功能三回
Kornelia Löw1, Julius Steffen2, Melanie Lux1
1Medizinische Klinik und Poliklinik I, LMU-Klinikum, Munich, Germany.
JACC. Cardiovascular interventions
|January 10, 2024
概括
耳前功能性三回 (afTR) 预测了经过透气管大门置换 (TAVR) 后持续的三回 (TR). 在TAVR患者中,持久的TR与较高的死亡率有关.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 对于经过过导管大动脉置换 (TAVR) 的患者的心房功能三角管吐 (afTR) 有限的知识.
- TAVR是严重的大动脉狭窄的常见手术,通常伴有三管吐 (TR).
研究的目的:
- 为了研究afTR与TR在接受TAVR治疗大动脉狭窄症的患者中发展/持续的关联.
- 评估afTR对TR结果和TAVR后长期死亡率的影响.
主要方法:
- 追溯分析3,474名TAVR患者 (2013年1月至2020年12月) 患有严重的大动脉狭窄和基线中度TR.
- 在右心房/右心室面积比率的基础上分为affTR (右心房相对于右心室扩大) 和非afTR组的分层.
- 评估TAVR后TR变化和3年全因死亡率.
主要成果:
- 在420名中度TR患者中,包括363名患者 (178名afTR,185名非afTR).
- 在afTR组中,TR改善明显较低 (31.1%与60.6%,P<0.001).
- afTR独立预测了TR持久性 (aOR:2.80) 和TR恶化 (17.0%对6.8%,P=0.013).
结论:
- 耳前功能性三回是TAVR后TR持久性的独立预测因素.
- 在TAVR后持久的TR与3年所有原因死亡率显著增加有关.
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