在接受皮肤冠状动脉干预的患者中,对左心室功能进行手术前评估的预后价值
Ming Yang1, Fan Guo1, Yin-Jian Yang1
1Department of Cardiology, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 100730 Beijing, China.
Reviews in cardiovascular medicine
|July 30, 2024
概括
在皮肤冠状动脉干预 (PCI) 之前,评估左心室喷射分数 (LVEF) 是至关重要的. 降低的LVEF显著增加死亡风险,突出显示了需要进行手术前的LVEF评估以优化患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 评估心脏功能的评估
背景情况:
- 皮肤穿刺冠状动脉干预 (PCI) 后可以出现心脏功能下降.
- 在PCI前对左心室 (LV) 功能的评估往往被忽视.
- 脊椎射率 (LVEF) 是心脏健康的一个关键指标.
研究的目的:
- 在PCI之前调查LV功能评估的重要性.
- 根据手术前的LVEF分层,比较短期和长期的PCI结果.
主要方法:
- 对2001年1月1日至2022年1月1日期间发表的研究进行系统审查.
- 在PubMed和Scopus数据库中进行的搜索.
- 在33项研究中的969,868名参与者中,分析了不同LVEF层的PCI结果.
主要成果:
- 与正常LVEF相比,患有LVEF异常的患者PCI后的全因死亡风险显著更高.
- 在1年内所有原因死亡的危险比为2.96 (异常),2.32 (中度损伤) 和4.84 (LV功能差) 与正常LVEF相比.
- 在所有LVEF损伤组中,长期死亡风险也仍然很高.
结论:
- 中度至重度的LVEF降低显著影响PCI预后和患者存活率.
- 术前的LVEF评估对于选择最佳的再血管化和术后策略至关重要.
- 适当的LVEF评估可以减少PCI后的短期和长期死亡率.
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