墙壁运动得分指数预测了持续的中度或严重的二次腹吐及其在接受皮肤冠状动脉干预的患者的预后作用
Linfang Qiao1,2,3, Haozhang Huang1,2,3, Jiulin Liu1,2,3
1The Second School of Clinical Medicine, Southern Medical University, 510515 Guangzhou, Guangdong, China.
Reviews in cardiovascular medicine
|July 30, 2024
概括
穿皮冠状动脉干预 (PCI) 后墙壁运动得分指数 (WMSI) 升高预测冠状动脉疾病 (CAD) 患者的持续的二次 mitrale regurgitation (sMR) 和更糟糕的结果. 监测WMSI可以识别高风险个体.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 干预心脏病学 干预心脏病学
背景情况:
- 二次腹 (sMR) 与冠状动脉疾病 (CAD) 患者的死亡率和并发病率增加有关.
- 识别这些患者的预后风险因素对于有效管理至关重要.
研究的目的:
- 为了研究回声心电学测定墙壁运动得分指数 (WMSI) 的预后意义.
- 评估WMSI在中度或重度sMR接受皮肤冠状动脉干预 (PCI) 的CAD患者的预测价值.
主要方法:
- 一项多中心前性队列研究包括接受PCI的中度/严重sMR的CAD患者.
- 在基线和PCI后进行心声扫描,以评估sMR和WMSI.
- 后勤和考克斯比例危险模型分析了包括持久性sMR,心力衰竭,死亡率和MACE在内的终点.
主要成果:
- 大约40%的患者在PCI后有持续的中度或严重的sMR.
- 在PCI后升高的WMSI与持续的sMR独立相关.
- 更高的WMSI也与恶化心力衰竭,全因死亡率,心血管死亡率和MACE的风险增加相关.
结论:
- 持续的中度或严重的sMR是在CAD患者PCI后的常见并发症.
- 在PCI后升高的WMSI作为一个独立的负预后指标.
- 在患有sMR的CAD患者中监测WMSI可以帮助识别高风险个体.
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