右心房体积指数和右心房体积预测心房的复发:一个元分析
Jia-Ming Han1, Qian Xie1, Xiu-Ying Song1
1Medical College of Qinghai University, Xining, China.
PloS one
|December 16, 2024
概括
增加的右心房体积指数 (RAVI) 和右心房体积 (RAV) 预测心脏转移或切除后心房 (AF) 复发. 较高的RAVI和RAV水平提高了这些患者AF复发的风险.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗成像医学成像
背景情况:
- 心房体积指数 (RAVI) 和心房体积 (RAV) 是心房 (AF) 复发的新兴预测因素.
- 以前的研究集中在左心房参数上,对右心房指标的数据有限.
- 这一元分析研究了RAV/RAV和AF在心脏转移或移除后复发之间的关联.
研究的目的:
- 评估右心房体积指数 (RAVI) 和右心房体积 (RAV) 与AF复发风险之间的关系.
- 为了评估RAVI和RAV作为AF复发的独立预测因子,在电心转换或射频剥离后进行RAVI和RAV的评估.
主要方法:
- 通过使用多个数据库 (CNKI,Wanfang,Pubmed,Embase,Cochrane,Web of Science) 的数据进行了全面的元分析,截至2024年10月01日.
- 包括前性和后性队列研究,报告RAV/RAV和AF复发.
- 提取和分析了相对风险数据.
主要成果:
- 经历AF复发的患者与没有复发的患者相比,平均右心房体积指数 (RAVI) 和右心房体积 (RAV) 显著更高.
- RAVI被确定为AF复发的独立预测因子 (OR=1.06,95%CI (1.02,1.11)).
- 此外,RAV还独立预测了AF复发 (OR=1.02,95%CI (1.00,1.05)).
结论:
- 较高的平均RAVI和RAV与电心转换或射频切除后的AF复发有关.
- 升高的RAVI和RAV水平增加了在接受这些手术的患者中AF复发的可能性.
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