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穿透导管大动脉置换后永久心脏起器植入的预测因素 - 搜索仍在继续!

Sudesh Prajapathi¹, Akshyaya Pradhan²

¹Department of Cardiology, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.

World journal of cardiology

|April 5, 2024

概括

通过使用患者因素,可以预测TAVR后心脏起器需求. 较长的QRS持续时间,糖尿病和右捆分支障碍增加了TAVR后心脏起器植入风险.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
心脏电生理学心脏电生理学

背景情况:

过导管大动脉置换 (TAVR) 是对大动脉狭窄的常见手术.
需要永久起器 (PPM) 植入的导电异常是TAVR的已知并发症.
确定PPM植入的预测因素对于患者管理和风险分层至关重要.

研究的目的:

为了确定跨导管大动脉置换 (TAVR) 后永久起器 (PPM) 植入的预测因素.
调查基线心电学参数,特别是QRS持续时间和PPM植入之间的关联.
评估需要TAVR后PPM的患者的临床结果.

主要方法:

对接受TAVR的患者进行回顾性分析.
评估解剖学,人口,临床,心电图,程序和门相关的变量.
统计分析以确定PPM植入的重要预测因素,并比较结果.

主要成果:

证实2型糖尿病和基线右捆分支区块 (BBB) 是PPM植入的显著预测因素.
在增加基线QRS持续时间 (100毫秒以上) 和PPM植入发生率之间证明了一种新的线性关联.
在TAVR后接受PPM治疗的患者因心力衰竭和非致命心肌梗塞住院1年的比率更高.

结论:

几个因素预测TAVR后需要永久起器,包括糖尿病和基线导电异常.
基线QRS持续时间是心脏起器植入的显著的线性预测指标,不管BBB横向性如何.
在TAVR后的PPM植入与不良临床结果有关,包括增加心力衰竭住院和心肌梗塞.

关键词:

在心房心室节点.捆绑一个分支区块.糖尿病是一种糖尿病.QRS的持续时间自扩张的大动脉门的自我扩张

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