在经过透气管大动脉置换后,对大动脉反的右心室功能障碍的预后值
Yu Mao1, Yang Liu1, Mengen Zhai1
1Department of Cardiovascular Surgery, Xijing Hospital, Xi'an, Shaanxi, China.
Frontiers in cardiovascular medicine
|September 16, 2024
概括
通过导管进行大动脉置换 (TAVR) 后的右心室功能障碍 (RVD) 对大动脉吐 (AR) 影响死亡率. 新发病的RVD增加了死亡风险,而正常化的RVD改善了结果,有助于风险分层.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 大动脉反 (AR) 可以导致右心室功能障碍 (RVD).
- 由于AR而经过过导管大动脉置换 (TAVR) 的患者中RVD的预后影响尚不清楚.
研究的目的:
- 调查RVD的临床影响,预测因素和预后意义在接受TAVR的纯AR患者中.
主要方法:
- 一项多中心前性研究包括648名接受TAVR的患者.
- 根据TAVR前和后的RVD状态,患者被分为四组.
- 主要终点是2年全因死亡率.
主要成果:
- 在四个RVD组 (5,2%至17,0%) 中观察到两年全因死亡率的显著差异.
- 新发性RVD与增加全因死亡率和复合终点相关.
- 与基线RVD相比,正常化的RVD改善了临床结果.
结论:
- 在RVD状态的过程性变化显著影响TAVR后风险分层.
- 在TAVR患者的决策和风险评估策略中应考虑RVD状态.
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