在患有类风湿性部狭窄症的患者中,静音脑梗塞
Imane Najmi1, Adil Ouafi2, Ismail Oughebbi3
1Neurology department (I.N, M.F.B), Hassan II University Hospital, Fez, Morocco; Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdallah University, Fez, Morocco.
Clinical neurology and neurosurgery
|December 31, 2024
概括
沉默性脑梗塞 (SBI) 在风湿性心肌狭窄症 (MS) 患者中很常见,随着年龄和MS严重程度的增加而增加. 左心房扩大 (LA) 是一个关键预测因素,即使没有心房动 (AF).
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 放射学 放射学是一门学科.
背景情况:
- 沉默性脑梗塞 (SBI) 经常在脑成像研究中观察到.
- SBI和类风湿性关节狭窄症 (MS) 之间的联系需要进一步调查.
- 这项研究探讨了使用MRI的风湿性MS患者SBI患病率.
研究的目的:
- 确定SBI在神经学上无症状的类风湿性MS患者中的患病率.
- 在这个人群中确定与SBI发生相关的心脏异常.
主要方法:
- 摩洛哥费斯的一项双中心,横截面研究包括100名神经学上无症状的风湿性MS患者.
- 大脑MRI被用来检测SBI. 胸外心声扫描评估了额头膜区域和左心房 (LA) 大小.
- 单变量和多变量分析检查了SBI和临床/心声学变量之间的关联.
主要成果:
- 56%的患者 (56/100) 患有SBI,其中7人表现出缺口模式.
- 如果SBI患者服用口服抗凝剂 (OAC),他们年龄较大,MS更严重,INR控制较差.
- 扩大LA与SBI有很强的关联,无论心脏节奏 (心房动或鼻节奏).
结论:
- 风湿性MS患者面临SBI的高风险.
- 风险因素包括晚年,MS严重程度,特别是左心房 (LA) 扩大,即使没有心房动 (AF).
- 扩大LA和不稳定INR是MS患者SBI的独立预测因素.
相关概念视频
01:25Cardiovascular System Abnormal Findings II: Auscultation
100
Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Abnormal Heart Sounds
Gallops:
100
01:21Imaging Studies for Cardiovascular System IV: CMRI
2
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
2