心脏再同步治疗急性心力衰竭和左捆支部阻塞在现实生活中的注册表中
Oriol Aguiló1,2, Joan Carles Trullàs2,3, Begoña Espinosa4,5,6
1Hospital d'Olot i Comarcal de la Garrotxa, Emergency Department, Girona, Catalonia, Spain.
Colombia medica (Cali, Colombia)
|August 27, 2024
概括
心脏再同步疗法 (CRT) 在急性心力衰竭 (AHF) 和左捆支部阻塞 (LBBB) 的患者中未得到充分使用和延迟. 这种使用不足意味着CRT不会改善这些患者的长期存活率.
科学领域:
- 心脏病学 心脏病学
- 心脏衰竭管理的管理
- 医疗器械 医疗器械
背景情况:
- 左捆支部阻塞 (LBBB) 是急性心力衰竭 (AHF) 患者的常见发现.
- 心脏再同步疗法 (CRT) 是心力衰竭和LBBB的选定患者的治疗选择.
- 在LBBB的AHF患者中,关于CRT使用和结果的现实数据有限.
研究的目的:
- 评估LBBB的AHF患者中CRT实施的患病率,特征和时间.
- 评估CRT对该患者群体的长期全因死亡率的影响.
- 在现实环境中识别CRT使用障碍.
主要方法:
- 对EAHFE (流行病学急性心力衰竭紧急情况) 队列的分析.
- 包括患有AHF和LBBB的患者.
- 评估CRT的指示,时间和10年所有原因的死亡率.
- 符合CRT标准的CRT治疗和未治疗患者之间的结局的比较.
主要成果:
- 只有6%的LBBB的AHF患者接受了CRT,平均延迟960天.
- 接受CRT的患者年轻,有不同的并发症,以及左下心室喷射率 (LVEF).
- 与未接受CRT治疗的患者相比,CRT与10年全因死亡率显著降低无关.
结论:
- 在现实实践中,在LBBB的AHF患者中,CRT显著延迟并未充分利用.
- 目前在这个人群中使用CRT的模式似乎没有改善长期全因死亡率.
- 需要制定战略来改善及时和适当的CRT实施.
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