在存在左心室血栓的情况下,对电动心脏转换的安全性评估
M Marwan Dabbagh1, Saqer Alkharabsheh2, Mohamed Khayata2
1Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA.
概括
患有左心室血栓 (LVT) 的患者的心脏转移似乎是安全的,在本研究中没有观察到栓塞并发症. 建议进行进一步的研究,以证实这些发现对电动心脏转换安全性的证实.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
背景情况:
- 电动心脏转换是各种心律失常的标准治疗方法.
- 左心房血栓是心脏转变的一个已知的禁忌.
- 关于左心室血栓 (LVT) 患者心脏转变安全性的数据有限.
研究的目的:
- 在被诊断为左心室血栓 (LVT) 的患者中评估电心转变的安全性.
主要方法:
- 在2010年至2019年期间通过胸前回声图 (TTE) 诊断出LVT的患者的回顾性评估.
- 纳入标准:TTE显示LVT在心转动前4周内或心转动后2天内.
- 在心脏转变后三个月内对栓塞事件的随访.
主要成果:
- 39名LVT患者接受了心脏转换.
- 平均喷射分数为24%.
- 在81天的随访期间,没有报告出血栓并发症.
结论:
- 在LVT患者中,心脏转换可能是安全的手术.
- 需要进行更大规模的研究来验证这些发现,并制定最终的安全指南.
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