经过导管的心房 Septal 缺陷闭合后心律失常的风险和治疗
Silvia Deaconu1, Alexandru Deaconu2,3, Gabriela Marascu2
1ARES Centers, 021967 Bucharest, Romania.
Diagnostics (Basel, Switzerland)
|January 11, 2024
概括
前庭隔膜缺陷 (ASD) 关闭可以降低心律失常风险,但复杂的机制仍然存在. 预测和管理关闭后的心律失常需要考虑各种临床和设备相关因素,以获得最佳的患者结果.
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.
- 电力生理学 电力生理学
背景情况:
- 前庭隔膜缺陷 (ASD) 是成年人中最常见的先天性心脏缺陷.
- 心内冲动导致心房和心室重塑,增加心律失常风险,特别是心房动 (AF).
- 心律失常的机制是复杂的,部分独立于血液动力学过载.
研究的目的:
- 审查ASD关闭后心房律乱的预测因素.
- 讨论设备关闭和时间对心律失常风险的影响.
- 突出突发心脏死亡 (SCD) 风险和植入式心脏转换器-除器 (ICD) 指示.
主要方法:
- 对临床,心声和心电图预测指标的审查.
- 评估影响心律失常风险的设备相关因素.
- 评估导致ASD闭合后心律失常的机制.
主要成果:
- 临床和设备相关的因素预测心房关闭后的心律不整.
- 自闭症关闭及其时间影响未来心律失常风险.
- 截面穿刺后关闭提出了程序上的挑战.
结论:
- 在ASD关闭后发生心律失常的风险分层是至关重要的.
- 了解复杂的潜在机制对于管理至关重要.
- 由于SCD风险增加,一些患者可能会受益于ICD植入.
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