在心力衰竭中中腹的发病率和特征:图表审查研究图表
Chengchen Zhao1, Chunna Jin1, Yimin Shen1
1Department of Cardiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Key Lab of Cardiovascular Disease of Zhejiang Province, 310009 Hangzhou, Zhejiang, China.
在心力衰竭 (HF) 患者中,尤其是那些心力衰竭 (HFrEF) 减小的患者中,心脏中 (MR) 是常见的. 心脏结构,功能,年龄和治疗方法显著影响MR的发展.
科学领域:
- 心脏病学 心脏病学
- 心脏衰竭研究研究
- 膜心脏疾病 膜心脏疾病
背景情况:
- 副心脏反 (MR) 是心力衰竭 (HF) 的常见并发症.
- 特别是在中国人口中,MR的患病率和特征仍未得到充分研究.
- 了解HF中的MR对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定HF患者中非有机MR的患病率和特征.
- 根据左心室喷射率 (EF) 分析MR的子组.
- 在不同的HF分类中识别与MR相关的因素.
主要方法:
- 从2017年1月到2020年4月,对2418名高温患者的回顾性图表审查.
- 对人口统计,实验室和心声回声图数据的分析.
- 调整了对混因素的后勤回归模型,以确定相关因素.
主要成果:
- 在HF患者中,整体MR患病率为32.7%,在HF患者中,降低EF (HFrEF) 的HF患病率上升至49.7%.
- 与MR相关的因素因EF组而异,包括EF,左心房尺寸,年龄,LVPWd,甘油三,狄戈辛,利尿剂和ICD.
- 左心房尺寸和降低EF是多个HF亚组的显著预测因素.
结论:
- HF患者的MR负担很高,在HFrEF组中最为明显.
- 心脏结构 (左心房维度,LVPWd) 和功能 (EF) 的恶化,以及年龄和医疗治疗,是MR的关键因素.
- 这些发现强调了评估和管理HF患者的MR的重要性.
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