血管手术前左心室缩功能的预后值:一个系统的审查
Ammar Zaka1,2, Daud Mutahar2, Kreyen Ponen1
1Department of Cardiology, Department of Vascular Surgery, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
ANZ journal of surgery
|February 2, 2024
概括
在血管手术前进行手术前的左心室射出分数 (LVEF) 测量显示,心脏并发症增加的趋势. 目前的证据很弱,需要更大规模的前性研究来更好地预测风险.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 血管外科手术与术后心脏并发症的高风险有关.
- 无症状的左心室缩功能障碍与增加主要不良心血管事件 (MACE) 有关.
研究的目的:
- 评估血管手术前通过静止心电回声学测量的左心室喷射率 (LVEF) 的预后值.
主要方法:
- 按照PRISMA和MOOSE指南进行系统审查.
- 在PubMed,OVID Medline和Cochrane数据库中搜索到2022年10月.
- 包括多变量调整或倾向匹配的观察性研究,评估血管外科手术患者的LVEF和心脏结果.
主要成果:
- 包括10项观察性研究,涉及4872名患者.
- 在手术前LVEF<50%的患者中,观察到增加全因死亡率,充血性心力衰竭和MACE的趋势.
- 发现方法质量中等;由于研究异质性,不能进行元分析.
结论:
- 目前关于手术前LVEF在血管外科手术中的预后价值的证据较弱且不确.
- 需要进行更大规模的前性研究,以便在血管手术前改善心脏风险预测.
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