心脏 papillary 纤维elastoma 和脑血管事件: 一个系统的审查
Gagan Neupane1, Raksha Sharma2, Rabindra Parajuli3,4
1Department of Internal Medicine, Mercy Hospital, Springfield, Missouri, USA.
CJC open
|November 25, 2024
概括
心脏 papillary fibroelastomas (CPFs) 是中风的一个原因. 手术切除是导致中风或TIA的左侧CPF的主要治疗方法,年龄是复发的预测因素.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 在瘤学瘤学.
背景情况:
- 心脏 papillary fibroelastomas (CPFs) 是一种具有栓塞潜力的良性瘤.
- CPF可以呈现为中风或暂时性缺血性发作 (TIA).
研究的目的:
- 确定中风/TIA患者中CPF的临床形状,诊断,瘤特征和治疗.
- 审查有关CPF相关的脑血管事件的现有文献.
主要方法:
- 对PubMed和Embase数据库进行系统审查.
- 包括病例报告,病例系列和观察性研究,截至2022年4月.
- 编制了描述性和叙述性的摘要.
主要成果:
- 分析了161例CPF病例 (平均年龄为54.8岁);67.8%的人患有中风.
- 大脑膜 (38.9%) 受影响最多;瘤是移动的 (91.4%) 和左侧的 (98.7%).
- 跨食道心声检测到更多的CPF比 transthoracic心声检测;年龄预测复发事件.
结论:
- CPF是密码性中风的差异诊断,特别是在最初的负效果下.
- 过食道回声心电图对于CPF检测更为优越.
- 手术切除是导致中风/TIA的左侧CPF的主要治疗方法.
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