已知心力衰竭患者接受起器,再同步疗法或除器植入物的年龄分层临床结果
Cecilia Rorsman1,2, Maiwand Farouq2,3, Sofia Marinko2,3
1Cardiology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Cardiology
|March 31, 2024
概括
接受心脏植入式电子设备 (CIED) 的心力衰竭 (HF) 患者的预后有所不同. 心脏起器接受者面临更高的死亡率,而心脏再同步治疗 (CRT) 患者经历了更多的HF事件.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 公共卫生 公共卫生
背景情况:
- 患有心力衰竭 (心力衰竭) 和心肌梗塞的患者可能会接受不同的心脏植入式电子设备 (CIED).
- 设备的选择取决于导电疾病,年龄和并发症.
- 在CIED植入后的预后因器件类型而异.
研究的目的:
- 评估CIED植入后HF患者的5年预后.
- 根据植入的CIED设备类型来分层结果.
- 分析不同CIEDs的HF住院和死亡风险.
主要方法:
- 对37,745名患有HF和右心室领先 (2005-2018) 的患者进行了回顾性队列研究.
- 数据来源于瑞典心脏起器注册表,与人口和国家疾病注册表进行了交叉匹配.
- 主要结局:5年HF住院风险和全因死亡率.
主要成果:
- 单腔心脏起器接受者5年死亡率最高 (61%).
- 接受心脏再同步治疗 (CRT) 的人患心血管死亡率比例最高.
- 调整后的死亡率在所有年龄组的起器患者中都更高;在CRT-P患者中,HF住院最常见.
结论:
- 对于HF患者的设备选择反映了他们的整体临床状况.
- 在所有CIED组中观察到与HF相关的事件.
- 接受CRT治疗的患者经历了高频率相关事件的更高发生率.
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