性别差异为他的捆绑节奏在老年人群的长期表现
Catalin Pestrea1, Ecaterina Cicala1, Dragos Lovin1
1Department of Interventional Cardiology, Clinical County Emergency Hospital of Brasov, 500326 Brasov, Romania.
Journal of cardiovascular development and disease
|March 26, 2025
概括
他的捆绑节奏 (HBP) 是一种安全有效的心脏节奏方法,适用于心 (AV) 阻塞的老年患者,长期表现没有性别差异. 节奏值可能会随着时间的推移而增加,需要定期跟进.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 老年病的医生 老年病的医生
背景情况:
- 他的捆绑节奏 (HBP) 提供了生理心脏节奏.
- 关于老年人群的HBP数据,特别是关于性别差异的数据是有限的.
- 房 (AV) 阻塞是老年人节奏的常见指示.
研究的目的:
- 评估与AV阻塞的老年患者的His捆绑节奏的特定性别的长期结果.
- 为了确定影响节奏值随时间变化的因素.
- 评估HBP在这个人口群体中的可行性和安全性.
主要方法:
- 对73名65岁以上患者的回顾性分析,HBP成功,随访时间≥2年.
- 性别之间的基线和随访临床和程序特征的比较.
- 多变量考克斯回归以确定节奏值增加的预测因素.
主要成果:
- 在老年患者中取得成功的HBP,女性的QRS持续时间较窄.
- 大约三分之一的患者的节奏值在两年内显著增加,不论性别.
- 节奏QRS持续时间,左心室喷射率和缺血性心肌病预测值增加.
结论:
- 他的捆绑节奏是一种可行的,有效的长期节奏策略,用于老年患者的AV阻塞.
- 在HBP表现或值变化方面没有观察到显著的性别差异.
- 定期监测对于管理预期的步调值增加和优化设备功能至关重要.
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