在第二次心房 Septal 缺陷关闭后,心回恶化的危险因素
Garniswara Swandita1, Irsad Andi Arso1, Dyah Wulan Anggrahini1
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada - Dr. Sardjito Hospital Yogyakarta, Indonesia.
Clinical Medicine Insights. Cardiology
|March 7, 2024
概括
对心房 Septal 缺陷 (ASD) 的手术关闭和较大的左心房大小增加了 mitra regurgitation (MR) 恶化的风险. 患有自闭症的成年人的低射出分数在关闭期间需要仔细考虑,以防止MR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
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 耳前缺陷 (ASD) 与 mitra (MV) 疾病有关.
- 关闭二次性ASD可以改善心肌吐 (MR),但MR也可以在关闭后恶化.
- 在ASD关闭后识别MR恶化的风险因素至关重要.
研究的目的:
- 为了确定二次心房 Septal 缺陷 (ASD) 关闭后心房反 (MR) 恶化的独立风险因素.
主要方法:
- 观察性回顾性队列研究.
- 包括242名在没有同时进行MR干预的情况下接受ASD关闭 (手术或过导管) 的患者.
- 多变量逻辑回归分析了MR恶化的风险因素.
主要成果:
- 手术关闭ASD,大左心脏直径 (>40mm),低左心室喷射率 (LVEF <55%),以及先前存在的MV反是MR恶化的重要风险因素.
- 低LVEF (<55%) 呈现出新的或恶化的MR的最高风险.
结论:
- 手术关闭ASD,更大的LA直径,较低的LVEF和MV反度是MR恶化的独立风险因素.
- 在成人ASD患者中, LV功能降低,考虑气球测试和窗户关闭,以减轻MR恶化风险.
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