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在需要早期心脏起器植入的跨导管大动脉替换后,三管吐负担需要早期起器植入
Ghadi Moubarak1, Allison T Lanfear1, Mohanad Hamandi1
1Heart Hospital Baylor Plano, Baylor Scott & White Research Institute, Plano, Texas, USA.
概括
经过透气管大动脉置换后的永久心脏起器植入可以导致三管吐的进展. 这项研究发现,在TAVR患者的PPM植入后一年,TR显著恶化.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 导电异常是跨导管大动脉置换 (TAVR) 的已知并发症,通常需要永久起器 (PPM) 植入.
- PPM植入可以导致与相关的三腹吐 (TR),这是需要进一步调查的潜在并发症.
研究的目的:
- 确定在经过TAVR的患者中PPM植入后TR的发生率和进展.
- 在PPM植入后的30天和1年分析TR进展.
- 为了比较小型和大型TAVR设备之间的TR进展.
主要方法:
- 从2012年至2021年期间,在TAVR后接受PPM的患者的心声回顾回顾.
- 主要终点:TR进展在30天和1年.
- 二次结果:所有原因的死亡率在30天和1年;基于TAVR器件大小的TR进展的亚分析.
主要成果:
- 在2744名TAVR患者中,177名 (6.5%) 接受了新的PPM.
- 在1年的随访期 (P=0.02) 观察到TR的统计显著进展.
- 一年后,小型和大型TAVR门组之间的TR进展率相似 (4%对11%,P=0.09).
结论:
- 在1年后的TAVR后的PPM患者中发生显著的TR进展.
- 这些发现强调了在TAVR患者中PPM植入后监测TR的重要性.
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