跨导管大动脉植入后多参数结果评估-系统性审查
Natalia Świątoniowska-Lonc1, Filip Klausa2, Krzysztof Ściborski1
1Department of Cardiology, Centre for Heart Diseases, 4th Military Hospital, 50-981 Wroclaw, Poland.
Journal of clinical medicine
|March 17, 2025
概括
对大动脉狭窄症 (AS) 患者的跨导管大动脉植入 (TAVI) 结果受到各种因素的影响. 需要进一步的研究来完善风险分层工具,以便更好地选择患者.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 大动脉狭窄 (AS) 是一种普遍的获得性膜心脏病.
- 准确的风险分层对于选择适合跨导管大动脉植入 (TAVI) 的候选人至关重要.
研究的目的:
- 系统地审查和总结影响AS患者接受TAVI治疗的结果的因素.
- 确定需要进一步研究以改进预测工具的领域.
主要方法:
- 对2013年至2023年间发表的研究进行系统审查.
- 包括来自主要医学数据库 (PubMed,MEDLINE,EMBASE等) 的研究. ) 的情况.
- 遵守PRISMA 2020报告准则的要求.
主要成果:
- 包括132项研究,分析了各种影响因素.
- 心理社会,社会经济,门,并发症,临床和治疗相关因素与TAVI结果有关.
- 生物标志物和治疗方式也会影响患者的结果.
结论:
- 关于右心室功能障碍,准膜泄漏和TAVI后的死亡率存在相互矛盾的证据.
- 需要进一步的研究来解决差异,并为接受TAVI的AS患者开发新的预测结果评估工具.
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