心脏损伤的程度和住院负担在接受过导管大动脉置换的患者中
Pernille Steen Bække1, Laurits Lykkeskov Gran1, Troels Højsgaard Jørgensen1
1The Heart Center, Rigshospitalet, Copenhagen, Denmark.
概括
基线心脏损伤显著影响过导管大动脉置换 (TAVR) 之前和之后的住院负担. 然而,它不会影响TAVR程序的时间或在索引录取期间逗留的时间.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 心脏损伤是经过过导管大动脉置换 (TAVR) 后死亡率的公认预后指标.
- 关于TAVR患者心脏损伤和住院负担之间的关联的研究有限.
研究的目的:
- 评估基线心脏损伤对住院负担的影响.
- 分析TAVR之前,期间和之后的住院率和住院时间.
主要方法:
- 对1397名连续TAVR患者 (2016-2020年) 的回顾性分析.
- 从TAVR前6个月到TAVR后1年的心血管 (CV) 和心力衰竭 (HF) 住院治疗的验证.
- 使用Généreux等人的心脏损伤阶段化. 分类. 分类. 分类. 分类.
主要成果:
- 患有更先进的基线心脏损伤的患者在TAVR之前的HF住院住院率更高,住院时间更长.
- 在心脏损伤阶段之间,没有观察到TAVR手术时间或入院指数停留时间的显著差异.
- 在TAVR后再住院的CV和HF风险增加,在基线心脏损伤较大的患者中观察到.
结论:
- 基线心脏损伤显著影响TAVR前后心血管和心力衰竭住院负担.
- 心脏损伤状态似乎不会影响TAVR手术的持续时间或最初TAVR入院的逗留时间.
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