在腹腔透析中心房动的患者中,右心室-肺动脉脱
Tao Zhang1, Zijun Zhou1, Qianyi Zhou1
1Department of Nephrology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research, Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, People's Republic of China.
Renal failure
|October 11, 2024
概括
三环状平面缩外流 (TAPSE) /肺动脉缩压 (PASP) 在腹膜透析 (PD) 患者心房动 (AF) 中较低. 这个指数可以预测患有AF的PD患者的死亡风险.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 关键护理医学 关键护理医学
背景情况:
- 右心室-肺动脉脱,TAPSE/PASP表示,预测心力衰竭的不良结果.
- 在腹腔透析 (PD) 患者中,TAPSE/PASP与心房动 (AF) 之间的关联尚不清楚.
研究的目的:
- 在PD患者中研究TAPSE/PASP和AF之间的关系.
- 评估TAPSE/PASP作为AF的PD患者死亡率的预测因素.
主要方法:
- 329名PD患者的横截面研究评估TAPSE/PASP在AF组与非AF组.
- 对121名PD患者的前性随访,以比较AF和非AF组之间的死亡率.
主要成果:
- 与非AF患者相比,AF患者的TAPSE/PASP比率明显较低.
- 较低的TAPSE/PASP在持续性AF中更加明显.
- 患有AF的PD患者在12个月内显示出更高的死亡风险 (7.2%对3.8%).
- TAPSE/PASP比率≤0.715与死亡风险增加有关.
结论:
- 在患有AF的PD患者中,TAPSE/PASP的水平较低.
- TAPSE/PASP可能成为患有AF的PD患者死亡率的有用预测指标.
- 需要进一步的大规模前性研究进行验证.
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