在心声谱推队列中,右心室功能障碍的发生率
medRxiv : the preprint server for health sciences
|October 17, 2024
概括
在接受心声图的患者中,右心室功能障碍 (RVD) 的发生率显著. 诸如心力衰竭和膜疾病等疾病增加了RVD风险,这反过来又增加了心力衰竭住院的风险.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 心脏衰竭研究研究
背景情况:
- 右心室功能障碍 (RVD) 的发生率和危险因素在很大程度上仍未知.
- 胸外心声图 (TTE) 是评估心脏功能的关键诊断工具.
研究的目的:
- 为了确定RVD的发病率 (IRs).
- 确定与事件RVD相关的风险因素.
- 为了评估心力衰竭 (HF) 在RVD诊断后住院的危险性.
主要方法:
- 使用TTE数据 (2010-2023) 的回顾性队列研究.
- 纳入标准:正常基线RV功能 (TAPSE≥17mm) 和报告的TRV.
- 主要结局:新的RVD (TAPSE<17mm);次要结局:HF住院治疗.
主要成果:
- 9.2%的患者发生了RVD,IR为3.2/100人年.
- 心力衰竭,左侧膜疾病和心血管并发症是RVD的重要危险因素.
- 事件RVD增加了HF住院的危险2.02倍.
结论:
- 在TTE转诊的患者中,RVD发生率很大.
- 升高的RVSP (>35mmHg) 需要进行临床监测.
- 心血管并发症是RVD的关键驱动因素,事件RVD与增加HF住院风险有关.
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