在患有缺血性心肌回的患者中,心肌修复与更换的长期结果:回顾性倾向匹配分析
Ismail M Elnagar1,2, Rawan Alghamdi1, Murtadha H Alawami1
1Adult Cardiac Surgery Department, Prince Sultan Cardiac Center, Riyadh 12233, Saudi Arabia.
Journal of cardiovascular development and disease
|April 25, 2025
概括
缺血性心肌回 (IMR) 的心肌修复 (MVr) 和置换 (MVR) 显示出相似的生存率. 然而,MVr具有更高的复发性 mitrale 吐的风险,需要个性化治疗选择.
科学领域:
- 心血管外科心血管外科
- 心脏外科手术的结果
- 膜心脏疾病管理管理
背景情况:
- 对于缺血性腹回 (IMR) 的最佳手术管理仍在争论中.
- 关于长期结果的证据有限,比较中膜修复 (MVr) 和中膜更换 (MVR).
研究的目的:
- 为了比较MVR与MVR在IMR患者的长期结果.
- 分析生存率和额头骨吐的复发情况.
- 根据手术前患者的特征来评估生存率.
主要方法:
- 759名IMR患者 (2009-2021) 的回顾性队列分析.
- 倾向性得分匹配创建了140对匹配对进行比较.
- 结果包括死亡率,存活率,MR复发,重新干预和心声学变化.
主要成果:
- 在MVR和MVR之间,医院死亡率或长期存活率没有显著差异.
- MVr显示复发中度或重度 mitrale 吐的比率显著更高 (29.04%对比10.37%).
- 没有观察到 mitra 重置干预率或心声回声学改善的显著差异.
结论:
- MVr和MVR都为IMR提供了可比的生存期.
- MVr与额头肌吐复发的风险增加有关.
- 治疗决策应该是个性化的,考虑超出生存的临床和解剖因素.
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