单腔和双腔永久心脏起器植入物对左心室功能的影响:一项观察性研究
Merajul Haque1, Monika Bhandari2, Akshyaya Pradhan3
1Department of Cardiology, BRD Medical College, Gorakhpur 273013, Uttar Pradesh, India.
World journal of cardiology
|November 27, 2024
概括
永久心脏起器植入会影响左心室 (LV) 功能和生活质量 (QoL). 双腔鼓动 (DDDR) 优于单腔心室鼓动 (VVIR),它对LV功能表现出抑制作用,尽管QoL在两种鼓动模式下都得到改善.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 医疗器械技术 医疗器械技术
背景情况:
- 永久性起器植入可以影响长期的左心室 (LV) 功能和生活质量.
- 了解不同节奏模式对心脏表现和患者幸福感的影响对于优化设备治疗至关重要.
研究的目的:
- 为了评估单腔室心脏节拍 (VVIR) 与双腔室节拍 (DDDR) 对LV功能的影响.
- 评估这些节奏模式对患者报告的生活质量 (QoL) 的影响.
主要方法:
- 一项涉及56名接受永久心脏起器植入的患者的研究.
- 患者被顺序分配到DDDR,VVIR,然后DDDR模式,每隔3个月.
- 在整个研究过程中,对心声学参数,功能状态和QoL进行了监测.
主要成果:
- VVIR节奏与 LV 扩张性质的变化有关,包括增加的异体体放松时间.
- 在VVIR节拍过程中观察到LV喷射率的逐渐减少.
- 在所有随访间隔中,无论节奏模式如何,生活质量得分都显示出改善.
结论:
- 右心室节拍 (VVIR) 可能对LV功能产生抑郁作用,可能导致不良结果.
- 尽管存在潜在的功能影响,但无论如何,心脏起器植入导致患者的整体QOL改善.
- DDDR节奏通常被认为是永久心脏起器植入的更优选模式.
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