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英国成年人的第二次心房隔膜缺陷关闭

Kate M English¹, Ferran Espuny-Pujol², Rodney C Franklin³

¹Department of Congenital Cardiology, Leeds General Infirmary, Great George Street, LS1 3EX, Leeds, UK.

European heart journal. Quality of care & clinical outcomes

|March 13, 2024

概括

接受心房隔膜缺陷 (ASD) 关闭的成年人风险较低,未来的心脏住院减少,无论方法如何. 过导管关闭显示,在ASD治疗中,死亡率低于手术修复.

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.
干预心脏病学干预心脏病学
成年人的先天性心脏病

背景情况:

成年人心房隔膜缺陷 (ASD) 关闭越来越常见.
了解治疗准入,结果和资源利用对于这个不断增长的患者群体至关重要.
之前的研究还没有完全阐明成年自闭症关闭的国家趋势.

研究的目的:

检查第二心房隔膜缺陷 (ASD) 的成年患者获得治疗的决定因素.
为了评估成年期自闭症关闭后的结果和医院利用率.
在安全性和资源使用方面,比较透导管与手术关闭方法.

主要方法:

使用英格兰和威尔士 (2000/012016/17) 国家基于人口的数据进行了回顾性队列研究.
包括所有接受二次ASD关闭 (透导管或手术) 的成年患者.
从先天性心脏病手术,医院病例和死亡登记册中分析数据.

主要成果:

总共分析了6541个索引关闭; 79.4%是透导管,20.6%是外科手术.
住院死亡率为0.2%,一年死亡率为1.0%. 过导管修复表明死亡风险明显降低.
与手术 (7.3天) 相比,通过导管关闭的住院时间较短 (1.8天);手术后的资源使用减少.

结论:

通过透导管或外科手术方法,在成年人中关闭自闭症是可以获得的,不论其社会经济或种族背景如何.
这些程序具有很低的风险,但不是可以忽略的.
关闭ASD似乎可以减少未来的心脏住院,即使是在老年人群中.

关键词:

成人的先天性心脏病 (ACHD)耳前 septal 缺陷 (ASD) 是一个疾病.平等获得医疗保健的权利.成人的先天性心脏 (GUCH)医院的利用率医院的利用率死亡率死亡率死亡率

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