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成年期先天性心脏病的诊断:有多频繁,有多重要?
Elisabet Viera1, Pablo Meras2, Carlos Merino2
1Insular University Hospital of Gran Canaria. Las Palmas de Gran Canaria, Spain.
The American journal of cardiology
|September 12, 2024
概括
大约有26.5%的先天性心脏缺陷 (CHD) 在成年时被诊断出来,往往表现为心脏症状或偶然发现. 许多未被诊断的CHD的成年人会出现并发症,需要进行干预.
科学领域:
- 心脏病学 心脏病学
- 成年人的先天性心脏病
背景情况:
- 先天性心脏病 (CHD) 通常是在生命早期被诊断出来的.
- 关于在成年期被诊断出心脏病的患病率和影响的数据有限.
研究的目的:
- 为了确定在成年时被诊断出心脏病的比例.
- 分析缺陷类型,诊断原因,并发症和成人诊断心血管疾病患者的干预措施.
主要方法:
- 对1,010名被转诊到成人心血管疾病病房的患者 (2018-2023) 的回顾性分析.
- 评估诊断时间,缺陷类型,临床表现,并发症和治疗需求.
主要成果:
- 26.5%的患者在成年时被诊断出患有心血管疾病 (平均年龄为47岁).
- 常见的诊断包括心房隔膜缺陷 (ASD),双主动脉和主动脉缩.
- 心脏症状 (呼吸不全,心) 和偶然发现是主要诊断驱动因素.
- 47.4%的人患有并发症,特别是肺高血压; 27.2%需要手术,25.4%需要皮肤间干预.
结论:
- 相当一部分心血管疾病在成年后被发现,许多患者患上并发症.
- 成年人诊断的冠心病往往需要医疗或干预治疗.
- 需要进一步的研究来了解成人诊断的慢性心血管疾病的长期结果.
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