手术前肺高血压对右心室功能的影响:在膜手术患者中进行的三维心声图研究
Shinya Ito1,2, Kenji Yoshitani1, Satsuki Fukushima3
1Department of Anesthesiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Journal of cardiovascular echography
|February 3, 2025
概括
手术前的肺高血压 (PH) 在门手术后没有显著改变右心室 (RV) 功能变化. 然而,非PH患者在一年内显示RV纵向菌株恶化.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 肺高血压研究 肺高血压研究
背景情况:
- 手术后的右心力衰竭是心脏手术中不良结果的重要预测因素.
- 影响术前右心室 (RV) 功能的因素尚不清楚.
- 手术前的肺高血压 (PH) 可能会在术后期间影响RV功能.
研究的目的:
- 为了研究手术前PH对RV系统功能变化的影响,在接受大动脉或心心门手术的患者中.
- 在手术后的一年内评估RV喷射分数和RV纵向应变 (RVLS).
主要方法:
- 对157名接受大动脉或 mitra 门手术的患者进行了回顾性审查.
- 根据手术前的右心导管治疗,分类为PH (n=105) 和非PH (n=51) 组.
- 在四个时间点对3D心声回声数据集进行半自动分析:手术前,手术结束,手术后3个月和1年.
主要成果:
- 在一年内,在PH和非PH组之间没有观察到VR功能趋势的显著差异.
- 在非PH组中,从基线到1年 (P=0.013) 中,自由壁RVLS的显著恶化.
结论:
- 手术前的PH不会显著影响经过膜手术的患者的外科手术后的RV功能变化.
- 在1年的随访期间,非PH组在自由壁RVLS的显著下降.
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