动脉瘤和隔离多余的心房间隔膜与圆孔之间的年龄相关联
Arezou Zoroufian1,2, Masoumeh Lotfi-Tokaldany3, Tahereh Davarpasand3
1Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran. azoroufian@yahoo.com.
The international journal of cardiovascular imaging
|August 15, 2024
概括
心房间隔膜 (IAS) 的异常运动,包括动脉瘤膨胀,与年龄有关. 形孔 (PFO) 在动脉瘤性IAS中更常见,这表明年龄和PFO是IAS异常的关键因素.
科学领域:
- 心脏病学 心脏病学
- 心声回声图 (Echocardiography) 是一种心声回声图.
- 心脏解剖学 心脏解剖学
背景情况:
- 心房间隔膜 (IAS) 可以表现出异常运动,包括冗余运动和动脉瘤膨胀.
- 这些IAS异常的患病率和相关性需要进一步调查.
研究的目的:
- 为了确定孤立的冗余和动脉瘤性IAS运动的患病率.
- 探索这些IAS异常,年龄和圆孔 (PFO) 的存在之间的关系.
主要方法:
- 对15288名患者的跨胸腔心声学 (TTE) 数据的回顾性分析.
- 用于疑似PFO检测的对比心声学.
- 评估IAS运动,年龄和PFO流行情况.
主要成果:
- 在4%的患者中发现了动脉瘤性IAS,而在12.4%的患者中发现了孤立冗余的IAS.
- 动脉瘤IAS组年龄较大,女性多,PFO频率较高 (14.4%),与孤立冗余IAS (5.3%) 相比.
- 异常的IAS运动随着年龄的增长而增加,而PFO患病率在老年人群下降.
结论:
- 动脉瘤性IAS患者的PFO频率显著更高 (2.5倍孤立冗余IAS,24倍正常人群).
- 年龄似乎在异常IAS运动的病理生理学中起作用.
- PFO是与异常IAS相关的临床显著风险因素.
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