在心脏重症监护病房的左心室 - 动脉合和死亡率
Luca Fazzini1,2, Mitchell R Padkins1, Kristoffer Berg-Hansen1
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
European heart journal. Acute cardiovascular care
|March 12, 2025
概括
声心图中心室动脉合 (VAC) 比率预测了心脏重症监护病房中的死亡率. 较高的VAC比率表明住院和一年死亡率的风险增加.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 腹腔动脉合 (VAC) 整合了心脏收缩性和动脉负载.
- 使用心声学评估VAC提供了一种评估心脏表现的非侵入性方法.
研究的目的:
- 确定心声回声学VAC比率是否预测心脏重症监护室 (CICU) 的死亡率.
- 调查VAC比率与住院和一年死亡率之间的关联.
主要方法:
- 从2007年至2018年间,对4685名集中护理病房患者进行了回顾性分析.
- VAC比率计算为LV末缩体积 (LVESV) 分于中风体积 (SV).
- 主要结局:住院死亡率;次要结局:一年死亡率.
主要成果:
- 较高的VAC比率与增加的疾病严重程度和重症监护利用率相关.
- 一个VAC比率>2独立地与更高的住院死亡率相关 (aOR 1.63).
- 升高的VAC比率预测增加了一年死亡率.
结论:
- 由较高的VAC比率表明的心室动脉脱,与CICU患者的不良结果有关.
- 超声心动力学VAC比率作为一个实用的,非侵入性的床边工具,用于CICU的风险分层.
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