在心脏手术患者中进行心交重建的右心室回声心脏图形评估:单中心前性观察性研究
Ali Haddad1, Ahmed Mohamed1, Sven Arends1
1Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Journal of thoracic disease
|May 13, 2024
概括
mitra 门手术可能导致右心室功能减弱,这表明TAPSE和RV S的降低.
科学领域:
- 心血管外科心血管外科
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 心脏生理学 心脏生理学
背景情况:
- 副心回 (MR) 是心脏手术的常见征兆.
- 右心室 (RV) 功能障碍是心脏手术后已知的并发症.
- 脊髓瘤手术对脊髓瘤功能的影响仍在争论中.
研究的目的:
- 为了评估早期的右心室 (RV) 的表现,在接受中枢 (MV) 手术的患者.
- 评估MV手术后RV功能参数的变化.
- 在MV手术后识别影响RV功能障碍的因素.
主要方法:
- 对92名接受MV手术的MR患者进行前性研究.
- 手术前,手术后1周和3个月的心声图评估.
- 主要终点:三状环状平面缩外流 (TAPSE),RV缩原数 (S') 和小数面积变化 (FAC).
主要成果:
- 在MV手术后3个月TAPSE和RV S'显著减少 (P<0.001).
- 分数面积变化 (FAC) 在手术后保持稳定 (P=0.593).
- 手术前的肺动脉高血压 (PAH) 和最少的侵入性手术影响了VR功能障碍的发生率.
结论:
- 密特拉手术与VR功能 (TAPSE,RV S') 的显著下降有关,尽管FAC.
- 手术前的PAH和手术方法会影响术后的RV功能.
- 这些早期发现在不复杂的病例中具有有限的预后影响.
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