他的捆绑节奏:预测死亡率和中期随访中的重大并发症
Piotr Kulesza1,2,3, Rafał Gardas1,2, Krzysztof S Gołba1,2
1Department of Electrocardiology and Heart Failure, Medical University of Silesia, 40-007 Katowice, Poland.
Journal of clinical medicine
|March 28, 2024
概括
他的捆绑节奏 (HBP) 显示了低的短期并发症和死亡率,但长期随访显示了可接受的重大并发症风险. 左下心室喷射分数 (LVEF) 独立预测24个月内死亡率或并发症.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械技术 医疗器械技术
背景情况:
- 他的捆绑节奏 (HBP) 对永久心脏起器植入的右心室节奏 (RVP) 提供了临床优势.
- 与RVP相比,关于HBP的并发症和长期结果的数据有限.
研究的目的:
- 分析与His捆绑节奏相关的短期 (长达30天) 和长期 (长达24个月) 的并发症和死亡率.
- 在接受HBP的患者中确定不良结果的预测因素.
主要方法:
- 从2015年10月到2019年5月,在一个中心接受HBP的373名成年患者的潜在注册.
- 包括死亡率和HBP并发症在内的结果在住院期间,在30天,在手术后的6,12和24个月被评估.
主要成果:
- 68%的患者获得了成功的HBP,随着时间的推移,成功率不断增加.
- 短期并发症发生在8.4%的患者中;24个月的长期并发症率为6.9%.
- 在30天内没有死亡,但10.3%的患者在24个月内死亡. 左心室喷射率 (LVEF) ≤34%是死亡率或重大并发症的唯一独立预测因素.
结论:
- 他的捆绑节奏表明,短期内死亡和并发症的风险很低.
- 长期随访表明较高,但可以接受的,严重并发症的风险.
- 降低的LVEF是HBP后不良结果的重要独立预测因素,包括死亡率.
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