患有埃布斯坦异常的患者的发病率负担:自然历史
Filip Eckerström1,2,3, Vibeke Elisabeth Hjortdal3,4, Peter Eriksson1,2
1Adult Congenital Heart Disease Unit, Department of Medicine Sahlgrenska University Hospital Gothenburg Sweden.
Journal of the American Heart Association
|November 4, 2024
概括
埃布斯坦异常 (EA) 患者面临着重要的终身心血管问题,包括高率的心律失常和心力衰竭. 这凸显了需要主动管理EA的需要.
科学领域:
- 心脏病学 心脏病学
- 医疗登记簿 医疗登记簿
- 流行病学 流行病学
背景情况:
- 与埃布斯坦异常 (EA) 相关的终身发病率负担尚未得到充分确立.
- 了解长期结果对于管理这种先天性心脏病至关重要.
研究的目的:
- 量化艾布斯坦异常患者的终身心血管病情负担.
- 为了比较孤立EA与EA与心房隔膜缺陷的发病率.
主要方法:
- 一项基于两国注册的研究确定了794名EA患者 (1930年至2017年出生) 和7940名匹配的对照.
- 考克斯回归和竞争风险模型分析了发病率,随访时间中位数为33年.
主要成果:
- 患有EA的患者经历了高累积发病率的脑上心室节律失常 (~70%) 和心室预兴奋 (~19%).
- 复杂的EA解剖与最高的心血管发病率相关.
- 前庭隔膜缺陷显著影响心律不整和心力衰竭负担.
结论:
- 埃布斯坦异常,有或没有心房隔膜缺陷,带有相当大的终身心血管疾病负担.
- 患有EA的患者具有脆弱的长期预后,需要保持警的监测和管理.
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