急性缺血性中风中的心脏血栓:对血管内血栓切除术利用的影响
Zafar Ali1, Abdul Wali Khan2, Islam Shatla1
1University of Kansas Medical Center, Kansas City, KS, USA.
Thrombosis journal
|September 28, 2024
概括
心脏血栓与急性缺血性中风 (AIS) 患者更频繁使用内血管血栓切除术 (EVT) 有关,这表明潜在的大血管封闭. 尽管风险增加,但死亡率相似.
科学领域:
- 心血管医学 心血管医学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 心血管栓塞是急性缺血性中风 (AIS) 的主要原因,约占病例的三分之一.
- 左心室或心室内的心内血栓是这些栓塞的频繁来源.
研究的目的:
- 为了确定心脏血栓在AIS患者的患病率.
- 为了探索心脏血栓和内血管血栓切除术 (EVT) 使用之间的关联.
- 调查心脏血栓对AIS患者死亡率的影响.
主要方法:
- 国家再接收数据库 (2016-2019) 的分析,其中包括1,272,456名AIS患者.
- 倾向性得分匹配用于平衡队列之间的基线特征.
- 住院时间,死亡率,EVT使用率和30天再入院率的比较.
主要成果:
- 0.6%的AIS患者同时患有心脏血栓,随着时间的推移,这一趋势越来越大.
- 与对照组相比,心脏血栓患者住院时间较长,但死亡率相似.
- 在心脏血栓队列中观察到更高的EVT利用率,这表明血管封闭更大.
结论:
- 患有心脏血栓的AIS患者更有可能接受EVT,这表明与大血管封闭的潜在关联.
- 虽然住院时间较长,死亡率并没有显著差异,但胃肠道出血和出血性中风的风险增加.
- 这些发现强调了在AIS中识别心脏血栓的重要性,以指导治疗策略.
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