耳前二次三回:对EuroTR注册表的见解
Lukas Stolz1, Karl-Patrik Kresoja2, Jennifer von Stein3
1Medizinische Klinik und Poliklinik I, LMU Klinikum, LMU München, Munich, Germany; German Center for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany.
JACC. Cardiovascular interventions
|December 11, 2024
概括
心房二次三回 (A-STR) 是常见的,并有效地用跨导管三门边缘到边缘修复 (T-TEER) 来治疗. 患有A-STR的患者经历了更好的结果,包括心力衰竭住院减少和T-TEER后症状改善.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏外科手术 心脏外科手术
背景情况:
- 心房二次三回 (A-STR) 是二次三回 (STR) 的一个重要原因.
- 跨导管三管边缘修复 (T-TEER) 是A-STR.患者的常见治疗方法.
- 了解T-TEER对A-STR的患病率和结果对于临床决策至关重要.
研究的目的:
- 在接受T-TEER的患者中确定A-STR的患病率.
- 为了评估T-TEER在A-STR.患者的临床结果.
- 为了比较T-TEER对A-STR的结果,与非耳腔STR的结果.
主要方法:
- 对2016-2022年EuroTR注册表数据的分析.
- 包括641名为STR接受T-TEER治疗的患者.
- 基于右心房与右心室面积比率以及右心室功能保存的A-STR的定义.
主要成果:
- A-STR的患病率为31% (196/641名患者).
- A-STR患者具有更有效的TR降低 (86.9%vs 80.4%) 和较低的症状负担 (38%vs 46%NYHA类≥III).
- A-STR与显著更高的无心力衰竭住院治疗的2年生存率相关 (66.3%与47.5%相比).
结论:
- A-STR代表了STR的常见和独特的表型.
- 在A-STR患者中,T-TEER有效降低TR和症状.
- A-STR与T-TEER后的优异临床结果相关,与非耳鼻性STR相比.
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