在经导管大动脉置换后,三腹的晚期进展
Makio Muraishi1, Minoru Tabata2,3, Kentaro Shibayama1
1Department of Cardiology, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan.
概括
通过导管大动脉置换 (TAVR) 后的三腹 (TR) 进展影响5.4%的患者,增加死亡率和心力衰竭风险. 预测因素包括心房动和低的心经梯度.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 三腹 (TR) 在跨导管大动脉置换 (TAVR) 后很常见.
- 关于TAVR后轻度或低于基线TR进展的数据有限.
- 了解TR进展对于患者的治疗结果至关重要.
研究的目的:
- 为了确定TAVR后晚期TR进展的患病率.
- 为了确定TR进展的预测因素.
- 评估TR进展对死亡率和心力衰竭住院治疗的影响.
主要方法:
- 对1615名患有轻度或较小的基线TR接受TAVR的患者进行了回顾性分析.
- 使用跨胸腔心声学 (TTE) 进行为期1年的心声学随访.
- 在TR进展和没有TR进展的组之间比较2年结果 (全因死亡率,心脏死亡率,心力衰竭住院).
主要成果:
- 在1年的随访中,TR在5.4%的患者中恶化到中度或严重.
- TR进展与显著更高的2年全因死亡率和心力衰竭住院治疗有关.
- TR进展的独立预测因素包括心房动,低的TAVR前跨心脏平均压力梯度和肺高血压.
结论:
- 在TAVR后的TR进展与不良结果有关.
- 患有心房动,较低的心经间梯度或肺高血压的患者有更高的TR进展风险.
- 进一步的研究可能会为TAVR患者的TR的管理策略提供信息.
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