电心电图标记可以预测未经纠正的第二心房隔膜缺陷的成年人血液动力学参数
Kunti N Umamy1, Astri K Martiana2, Risalina Myrtha2
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia. kunti.nu@gmail.com.
概括
电心电图 (ECG) 可以预测心脏隔膜缺陷 (ASD) 患者的肺血管阻力升高 (PVR),但不能预测右心脏压力 (RAP). 特定的心电图标记显示出在ASD中进行非侵入性血液动力学评估的潜力.
科学领域:
- 心脏病学 心脏病学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 在心房隔膜缺陷 (ASD) 中的肺高血压 (PH) 与心脏右侧血液动力学有关.
- 右心腔导管 (RHC) 是侵入性的,在某些地区是无法使用的.
- 电心电图 (ECG) 为血液动力学评估提供了一个潜在的非侵入性替代方案.
研究的目的:
- 评估心电图参数在预测右心房压力 (RAP) 和肺血管阻力 (PVR) 中对ASD患者的实用性.
- 为了确定与升高的RAP和PVR相关的特定ECG标记物.
主要方法:
- 具有横截面设计的回顾性观察研究.
- 收集了来自83名接受RHC.ASD治疗的第二次ASD患者的ECG数据.
- 将心电图参数与RAP (<8 vs. ≥8 mmHg) 和PVR (<5 vs. ≥5 WU) 测量进行比较.
主要成果:
- RV1显示了RAP和PVR的显著差异.
- 一些心电图参数,包括SV5,SV6,右心室索科洛夫-莱昂指数 (RVSLI),R/SV1和右心室菌株,对于PVR显著不同.
- 多变量分析确定RVSLI和右心室菌株是PVR ≥5 WU的最佳预测因素.
结论:
- 电脑电图标记可以预测第二次ASD的成年人具有良好的灵敏度和特异性的升高的PVR (≥5 WU).
- 电脑心电图参数在预测该患者群体中RAP升高方面无效.
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