运动压力回声心电图的预后意义,使用两种和三种透气变量方法
Alaa Mabrouk Salem Omar1, Swiri Konje1, Alba Monuz1
1Department of Cardiology, Mount Sinai Morningside, New York, NY, USA; Icahn School of Medicine at Mount Sinai, New York, NY, USA.
在运动回声心脏成像期间评估透静度,提供了预后价值. 结合休息隔膜e'速度和运动后E/e'比率,或包括三回喷射速度,可以预测患者的结果.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 预防医学 预防医学
背景情况:
- 在运动心声学中综合性透气评估的预后意义尚未得到充分确立.
- 在运动压力测试期间对透缩功能的例行评估需要进一步研究临床效用.
研究的目的:
- 务实地评估在跑步机炼回声心脏学过程中获得的多普勒衍生透气变量的预后能力.
- 为了确定针对心血管不良事件的特定透析度的预测值.
主要方法:
- 对1910名接受运动心声扫描的患者的回顾性分析.
- 评估休息隔膜e'速度,运动后E/e'比率和三回喷射速度.
- 两变量 (休息隔膜e,运动后E/e) 和三变量方法的比较.
主要成果:
- 这三种扩张性变量都独立地预测了硬性,软性和复合性不良结果.
- 两变量方法表明,两个异常变量与较差的综合结果相关.
- 三变量方法表明,即使经过调整,两个或三个异常变量与较差的复合结果有关.
结论:
- 从运动心声学中获得指导方针定义的透析变量,在集体分析时具有预后价值.
- 休息隔膜e'速度和运动后E/e'比率的组合是有用的;结合三回喷射速度可以提高预后评估.
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