四级多学科心脏团队中的治疗坚持率和长期死亡率:观察性队列
David A McNamara1, Mahrukh F Akram2, Andrea L Burgess1
1Division of Cardiology, Frederick Meijer Heart and Vascular Institute Corewell Health Grand Rapids MI USA.
Journal of the American Heart Association
|August 9, 2024
概括
观察到对复杂冠状动脉疾病的心脏团队建议的高度遵守. 这些发现表明,个性化治疗计划得到了患者和医生的良好接受,影响了长期的结果.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心血管外科心血管外科
背景情况:
- 在复杂的冠状动脉疾病 (CAD) 中,建议采用多学科心脏团队 (HT) 方法.
- 关于这些患者遵守HT建议和长期结果的数据有限.
研究的目的:
- 为了评估复杂的CAD的心脏团队建议的坚持率.
- 根据HT建议,评估复杂CAD患者的长期死亡率.
主要方法:
- 对复杂CAD的684个连续HT病例进行了审查 (2015年1月至2017年5月).
- 基于治疗建议的基线特征进行比较:最佳的医疗疗法,穿皮冠状动脉干预或冠状动脉旁路移植.
- 从密歇根州死亡登记处提取了坚持率,并从密歇根州死亡登记处获得了5年死亡数据.
主要成果:
- 包括405名患者 (72%男性,平均年龄66±11岁) 具有高的并发病率.
- 推的治疗方法:最佳的医疗疗法 (34%),穿皮冠状动脉干预 (23%),冠状动脉旁路移植 (42%).
- 在所有治疗组中,HT建议的高度遵守 (96%);5年累积死亡率为29%.
结论:
- 在美国的一大群高风险复杂CAD患者中,观察到对心脏团队建议的高度遵守.
- 无论推的治疗方法如何,坚持是一致的,表明个性化和可接受的计划.
- 这表明心脏团队的建议被患者和医生都接受.
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