影响晚期心房的因素及其与冠状动脉绕道术结果的关联
Mana Jameie1, Malihe Rezaee1, Mina Pashang1
1Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran; Cardiac Primary Prevention Research Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
The Annals of thoracic surgery
|February 15, 2024
概括
在冠状动脉旁路移植 (CABG) 后的晚期/复发性心房动 (AF) 与晚年,较低的射出分数和以前的POAF有关. 然而,它并没有恶化这项研究的中期结果.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 流行病学 流行病学
背景情况:
- 手术后心房动 (POAF) 已得到充分研究,但晚期/复发性心房动 (AF) 在出院后需要更多证据.
- 这项研究调查了冠状动脉旁路移植 (CABG) 后晚期/复发性AF的预测因素和结果.
研究的目的:
- 为了确定与CABG后晚期/复发性AF相关的因素.
- 评估晚期/复发性AF对CABG后中期结果的影响,在现实环境中.
主要方法:
- 分析了2012-2016年接受CABG的5175名患者的队列.
- 竞争性风险分析确定了晚期/复发性AF的独立预测因素.
- 考克斯回归评估了晚期/复发性AF与死亡率,主要不良心脑血管事件和心力衰竭入院之间的关联.
主要成果:
- 在中位数60个月的随访期间,晚期/复发性AF发生在1.64%的患者中.
- 预测因素包括晚年,左下心室射出分数,更长的住院时间和以前的POAF.
- 在调整后,晚期/复发性AF与全因死亡率或主要不良心脑血管事件没有显著的关联.
结论:
- 晚年,较低的射出分数和POAF增加了CABG后AF晚期/复发的可能性.
- 与直觉相反,晚期/复发性AF并没有独立预测CABG后中期更糟糕的结果.
- 需要在不同的环境中进行进一步的研究,以了解和管理晚期AF监视.
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