大动脉尺寸分布在正常,高血压,双和马芬人群中
Jinlin Wu1, Weiyue Zeng2, Xiaoshan Li3
1Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China.
European heart journal. Imaging methods and practice
|July 24, 2024
概括
上升大动脉直径随着年龄的增长而增加,在男性中更大. 双主动脉 (BAV) 患者的扩张率高,但剖析发生率低,这挑战了以前对主动脉剖析风险的理解.
科学领域:
- 心血管成像 - 心血管成像
- 大动脉疾病 大动脉疾病
- 流行病学 流行病学
背景情况:
- 亚洲人群上升大动脉直径的大规模数据有限.
- 关于高血压 (HP),双主动脉 (BAV) 和马凡综合征 (MFS) 分布的证据很少.
研究的目的:
- 调查中国人群上升大动脉直径的分布.
- 检查与高血压,BAV和MFS的关联.
主要方法:
- 对647,087个人的心脏超声波数据进行了回顾性分析.
- 根据年龄,性别和特定心血管疾病的分层.
主要成果:
- 平均上升大动脉直径为28.1±3.2毫米,在男性中更大,随着年龄的增长而增加.
- 扩张,动脉瘤和剖析的发生率在HP (12.83%,2.70%,4.77%) 和MFS (43.92%,35.31%,26.11%) 中显著不同.
- BAV患者的扩张率高 (37.00%) 和动脉瘤率高 (16.46%),但剖析发生率低 (0.74%),大多数剖析发生在55毫米以下.
结论:
- 上升大动脉直径随着年龄的增长而增加,在男性中更大.
- 观察到"大动脉悖论",其中剖析发生率随直径增加,但大多数剖析发生在更小的直径.
- BAV与大动脉扩张和动脉瘤的高率有关,但大动脉剖析的发生率较低.
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