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左心室附属体内闭塞的周围过程结果在下方与上方CHA₂DS₂-VASc得分

Rafey Feroze¹, Yusef Saeed², Waqas Ullah³

¹Harrington Heart & Vascular Institute, University Hospitals, Cleveland, Ohio.

The American journal of cardiology

|February 2, 2025

概括

穿皮左心房尾闭塞 (LAAO) 对于心房的患者来说是安全的,无论CHA2DS2-VASc得分如何. 较高的分数增加了死亡风险,但并没有增加流动性并发症,如出血或中风.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
公共卫生公共卫生

背景情况:

心房动 (AF) 增加了中风风险,需要采取预防策略.
左心房尾阻塞 (LAAO) 是抗凝药的替代方案,用于预防AF中风.
使用CHA2DS2-VASc评分进行患者风险分层对程序决策至关重要.

研究的目的:

根据CHA2DS2-VASc得分来分析LAAO的过程前结果.
为了比较具有较低 (<5) 和较高 (≥5) CHA2DS2-VASc评分的患者之间的结果.
评估LAAO在不同风险档案中的安全性和有效性.

主要方法:

对于皮肤内心LAAO的国家再接收数据库 (2015-2019) 的回顾性分析.
计算CHA2DS2-VASc得分使用ICD代码用于并发症.
倾向性得分匹配 (PSM) 分析用于比较较低和较高的CHA2DS2-VASc组之间的结果.

主要成果:

较高的CHA2DS2-VASc得分与增加的住院死亡率有关.
两组之间没有观察到严重出血,中风,心周溢血或心脏坦波纳的显著差异.
原料和PSM分析证实了这些发现,突出了跨风险层的安全性.

结论:

对于具有较低和较高CHA2DS2-VASc分数的患者,LAAO显示出有利的安全概况.
较高的CHA2DS2-VASc得分与LAAO后死亡风险增加有关,而不是程序并发症.
在不同风险级别的AF患者中,LAAO是一种安全有效的中风预防策略.

关键词:

CHA{2}DS{2}-VASc{3}-CHA{2}DS{2}-VASc{3}-CHA{4}-VASc{3}-VASc{4}-CHA{5}-VASc{4}-VASc{4}-CHA{5}-VASc{4}-VASc{4}-VASc{4}-CHA{5}-VASc{4}-VASc{4}-VASc{4}-CHA{5}-VASc{4}-VASc{4}-VASc{4}-VASc{4}-VASc{4}-VASc{4}-VASc{4}-VASc{4}-VASc{4}-VASc{4}-VASc{4}-VASc{5}-VASc{4}-VASc{4}-VASc{4}-VASc{5}-VASc{4}-VASc 心房动是心房动的一种.左心房附属体封闭闭塞的情况死亡率死亡率全国范围的再接收数据库.心脏周围的输液.一次性中风中风中风中风中风

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