诊断和治疗三管吐的方法
Thomas J Stocker1, Christian Besler, Hendrik Treede
1Department of Cardiology, LMU Klinikum, Ludwig Maximilian University of Munich, Munich, Germany; German Center for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, Germany; Department of Cardiology and Angiology, University Heart Center Freiburg/Bad Krozingen, University Hospital Freiburg, Freiburg, Germany; Department of Cardiac and Vascular Surgery, University Medical Center Mainz, Johannes Gutenberg University of Mainz, Mainz, Germany.
三管吐 (TR) 显著增加死亡率,特别是在严重的情况下. 新的干预治疗方法显示出希望,与这种高风险疾病的最佳医学治疗相比,它们提供了更好的结果.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 临床相关的三腹吐 (TR) 影响75岁以上人群中约6%的人.
- TR与高死亡率有关,并且由于新型干预疗法,它越来越受到关注.
研究的目的:
- 审查目前对三回的理解和管理策略.
- 突出TR的预后意义和治疗选择.
主要方法:
- 在PubMed.com进行了全面的文献搜索.
- 包括的研究包括随机对照试验,观察性研究,注册数据,专家建议和国际指南.
主要成果:
- TR是死亡率的独立预测指标,较高的严重程度与较差的结果相关.
- 严重的TR与右心力衰竭的1年死亡率约为35%,3年死亡率约为60%.
- 在最近的一项RCT中,干预治疗 (边缘到边缘修复) 与最佳医疗治疗相比显示出有利的结果.
结论:
- 提高对TR的理解正在推动干预策略的发展.
- 这些不断发展的治疗方法的目标是减少与三腹吐相关的死亡率.
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