在心房动中与中风相关的因素. 一个回顾性研究
Ciprian Rachieru1,2,3, Daniel-Florin Lighezan1,3,4, Lucian Petrescu3,5
11Department of Internal Medicine I, Faculty of Medicine, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
Current health sciences journal
|April 1, 2024
概括
在心房患者中,较高的CHA2DS2-VASc得分和较低的左心房喷射率是缺血性中风的关键预测因素. 左心房的心声评估提供了新的风险分层洞察力.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 心房动 (AFi) 是一种常见的心律失常,与缺血性中风的风险增加有关.
- 在AFi患者中风的预测因素对于风险分层和预防策略至关重要.
研究的目的:
- 以回顾评估已知的中风风险因素,如CHA2DS2-VASc得分,以及在患有AFi的患者中进行左心房改造等新型因素.
- 确定新的回声心脏学参数,用于预测AFi中的缺血性中风.
主要方法:
- 一项回顾性研究包括251名AFi患者,其中47人曾经历过缺血性中风.
- 分析包括CHA2DS2-VASc得分和各种左心房重塑参数.
主要成果:
- 患有缺血性中风的患者比没有中风的患者年龄大 (超过72.5岁) (OR=2.001,P=0.0367).
- 一个CHA2DS2-VASc得分>4.5强烈预测中风 (87.23%对12.77%,OR=11.51,P<0.0001).
- 较低的左心房喷射率 (<34.5%) 与较高的中风发生率相关 (61.70%与38.30%,OR=2.124,P=0.0238).
结论:
- CHA2DS2-VASc得分仍然是一个有价值的工具,用于预测AFi中的缺血性中风.
- 心声学参数,特别是左心房喷射分数,作为新和有效的风险因素,用于预测AVC患者的中风.
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