炎症性肠病和心脏功能:一个系统的文献综述与元分析
Caroline Almeida Soares1, João Gouveia Fiuza2, Cláudio André Melo Rodrigues3
1Department of Gastroenterology, Centro Hospitalar Tondela-Viseu, E.P.E., Av. Rei D. Duarte, Viseu 3504-509, Portugal.
患有炎症性肠病 (IBD) 的患者面临心血管风险增加,包括心力衰竭. 通过成像早期检测亚临床心脏变化可以减轻这些风险.
科学领域:
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
- 内部医学 内部医学
背景情况:
- 炎症性肠病 (IBD) 与心血管 (CV) 事件的风险增加有关,尽管传统的CV风险因素较少.
- 心脏参与IBD并未得到广泛认可,但需要进行调查.
研究的目的:
- 系统地审查和元分析IBD和心脏功能之间的关系.
- 为了检查心力衰竭 (HF) 的发生率和IBD患者的亚临床心声学变化.
主要方法:
- 在PubMed和Scopus数据库进行系统搜索,截至2022年9月.
- 18项研究的定性分析和9项涉及59838名患者的研究的元分析.
主要成果:
- IBD患者表现出微妙的缩和透缩变化,血管功能障碍和增加HF住院风险.
- 分析显示IBD患者的E/A显著降低,E/e高,全球纵向应变减少.
- 观察到传导延迟,表明潜在的心房和心室功能障碍.
结论:
- 在IBD的人群中,左心室和心房功能障碍,血管变化,心律失常和HF的风险更高.
- 敏感的成像技术,如斑点跟踪回声心脏学,可以检测IBD的早期亚临床心脏变化.
- 控制IBD炎症对于降低整体心血管风险至关重要.
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