左心室体积与冠状动脉分数对腹腔透析患者:一项观察性研究
Fabrício Moreira Reis1, Eduarda Baccarin Ferrari1, Nayrana Soares do Carmo Reis1
1Department of Internal Medicine, Botucatu Medical School-UNESP, São Paulo State University, Botucatu 18618-687, Brazil.
Journal of clinical medicine
|September 28, 2024
概括
左心房体积指数与腹腔透析患者的冠状动脉分数有关. 这一发现可能有助于识别患冠状动脉疾病风险较高的个体.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗成像医学成像
背景情况:
- 冠状动脉 (CAC) 评分和左心房体积 (LAV) 预测腹腔透析 (PD) 患者的心血管事件.
- 在PD患者中,CAC得分和LAV之间的关系尚未得到充分证实.
研究的目的:
- 在接受腹腔透析的患者中调查CAC得分和LAV之间的关联.
主要方法:
- 44名PD患者的横截面,前性,单中心研究 (2018年3月 - 2019年8月).
- 通过心血管计算机断层扫描评估的CAC得分 (阳性≥100Agatston).
- 左心房体积指数 (LAVI) 用双平面盘法测量.
主要成果:
- 单变量分析显示了CAC得分,LAVI,年龄,糖尿病,过度水分,脉冲波速度,E/A比率和左心室质量指数之间的关联.
- 多变量逻辑回归显示,LAVI是阳性CAC得分的唯一独立预测因子.
结论:
- 左心房体积指数与PD患者的阳性冠状动脉分数独立相关.
- 在这种高风险人群中,LAVI可以作为冠状动脉疾病的有价值的风险标志物.
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