相关实验视频
Updated: May 7, 2026

16:11
Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
35.0K
三管门修复后永久心脏起器植入的发生率和危险因素
Jae Woong Choi1,2, Muath Bishawi1, Carmelo Milano1
1Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Annals of thoracic surgery short reports
|March 18, 2025
概括
在三管 (TV) 修复后的永久心脏起器 (PPM) 植入发生在10.3%的患者中,年龄较大和先前的辐射是危险因素. 重要的是,PPM植入不会对长期结果产生负面影响.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 医疗器械 医疗器械
背景情况:
- 经三管 (TV) 修复后永久心脏起器 (PPM) 植入的发生率和预测因素尚未得到充分确立.
- 现有的数据表明,与电视替代相比,这种可能性可能很低,但这仍然存在争议.
研究的目的:
- 为了确定电视维修后PPM植入的发生率.
- 在这个患者队列中确定与PPM植入相关的风险因素.
主要方法:
- 在1997年至2019年间对1058名接受电视维修的患者进行了回顾性审查.
- 数据是从前性维护的数据库中提取的.
主要成果:
- PPM植入的发生率为10.3%,心脏阻塞是最常见的迹象.
- 年龄较大,先前的中枢膜辐射和同时进行的 mitra 和大动脉置换被确定为危险因素.
- 同时植入左心室辅助装置被发现是保护因素.
结论:
- 电视修理后的PPM植入比以前认为的更为常见.
- 尽管需要PPM,但早期和长期的临床结果,包括生存率和TV功能,仍然不受影响.
- 对于PPM的风险分层应该考虑患者的年龄,先前的辐射和并发的程序.
相关概念视频
Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
Mitral Valve Prolapse I: Introduction
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...

