麻症对接受TAVI治疗的患者死亡率的影响:一项后续研究
Víctor Navas Moreno1,2, Fernando Sebastián-Valles1,2, Elena Carrillo López1
1Department of Endocrinology and Nutrition, Hospital Universitario de La Princesa, Universidad Autónoma de Madrid, 28028 Madrid, Spain.
Journal of clinical medicine
|May 14, 2025
概括
通过CT扫描识别的萨尔科佩尼亚显著预测了因严重的大动脉狭窄而接受过导管大动脉植入的患者的死亡率. 这种肌肉损失评估对于患者的评估至关重要.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 放射学 放射学是一门学科.
背景情况:
- 过导管大动脉植入 (TAVI) 越来越多地用于不可手术的患者的严重大动脉狭窄.
- 麻症或肌肉损失可能会显著影响这一脆弱人群的生存结果.
研究的目的:
- 通过计算机断层扫描 (CT) 评估的萨尔科佩尼亚的预测价值,以评估因严重大动脉狭窄而接受TAVI治疗的患者的死亡率.
主要方法:
- 在TAVI后对97名患有严重大动脉狭窄症的患者进行了回顾性分析.
- 使用常规CT扫描和开源软件进行身体组成分析.
- 在T12和L3脊椎水平的生存分析和身体组成参数的相关性.
主要成果:
- 麻症 (p=0.039) 和正常密度肌肉面积减少 (p=0.025) 与死亡率相关.
- 在对共变量进行调整 (p < 0.001) 后,sarcopenia和死亡率之间的关联得到了加强.
- 在T12和L3水平的身体组成参数之间发现了显著的相关性.
结论:
- 基于CT的萨尔科佩尼亚评估对于预测TAVI患者患有严重大动脉狭窄症的死亡率是有价值的.
- 皮症应纳入这些患者的综合风险评估.
相关概念视频
The Effect of Aging on Tissues
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
Changes in the Appendicular Skeleton with Age
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption
As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are not...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism
Geriatric patients show significant variation in how their bodies process medications, which can change how effective and safe treatments are. The liver is the primary organ where drug metabolism occurs, involving two main types of chemical reactions: phase I and II. Phase I metabolism is driven by the cytochrome P450 enzyme system, which includes key types such as CYP3A, CYP2D6, and CYP2C9. Research indicates that while aging doesn't notably alter the levels or activity of these enzymes, it...
Pharmacodynamics in Geriatric Patients: Effects of Age
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...


