基于死亡率的右心室功能性心声学切线在与没有三回的患者中
Lior Zornitzki1, Ophir Freund2, Shir Frydman2
1Department of Cardiology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel; School of Medicine, Tel Aviv University, Tel Aviv, Israel.
概括
对于右心室功能 (TAPSE和S') 的新死亡门比以前认为的要高,并且根据三回 (TR) 的严重程度而有所不同. 个性化解释对于准确的风险评估至关重要.
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.
- 右心室功能的功能
背景情况:
- 三环状平面缩外流 (TAPSE) 和侧面三环状缩速度 (S") 的峰值是右心室功能的关键回声心脏学测量.
- 目前的异常值是基于健康成年人,而不是结果数据,可能会误导风险.
研究的目的:
- 用死亡率数据重新评估TAPSE和S"异常值.
- 将这些值分层,根据三管吐 (TR) 的存在和严重程度.
主要方法:
- 对24,717张心声回声图 (2011-2021) 的回顾性分析.
- 三管吐 (TR) 被评估为半定量.
- 使用spline曲线和Cox分析确定与死亡率相关的截止值.
主要成果:
- 总死亡率相关的截止值:TAPSE <20.9毫米,S" <10.9厘米/秒.
- 在显著的TR:TAPSE<18.0毫米和S"<10.0厘米/秒.
- 如果没有显著的TR:TAPSE<21.5mm和S"<10.9cm/sec.
- 调整后的分析证实TAPSE<20.9mm和S"<10.9cm/sec独立预测的死亡率.
结论:
- 已建立的TAPSE和S"过度死亡率值高于健康人群.
- 较低的值与显著TR患者的死亡率有关,需要个性化解释.
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