在患有右心室节奏的患者中,三管吐的进展
Felix Rudolph1,2,3, Maria Ivannikova4,5, Johanna Bormann4,5
1Clinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Medical School OWL, Bielefeld University, Bad Oeynhausen, Germany. frudolph@hdz-nrw.de.
概括
右心室节奏与心脏植入式电子设备 (CIED) 植入后的三角管吐 (TR) 与双心室节奏相关. 这一发现表明节奏策略对TR进展有影响.
科学领域:
- 心脏病学 心脏病学
- 心脏电生理学 心脏电生理学
- 心血管成像 - 心血管成像
背景情况:
- 患有心脏植入式电子设备 (CIED) 的患者的三腹 (TR) 通常归因于干扰.
- 新出现的证据表明,节奏本身,即使使用无设备,也可能直接影响TR进展.
研究的目的:
- 为了比较CIED植入后右心室 (RV) 节奏和双心室 (BiV) 节奏之间的三管吐 (TR) 的患病率和进展.
主要方法:
- 对接受心脏起器,ICD或CRT设备的549名患者进行了回顾性分析.
- 患者被分为RV节奏 (RVall) 和BiV节奏组.
- 随访包括设备询问和心声回声在一年和三年.
主要成果:
- 三年后,与RV节奏组 (17.4%) 相比,与BiV组 (9.8%) 相比,RV节奏组中相关的TR更为普遍.
- 增加的TR等级 (≥I°和≥II°) 在RV节奏组中更为频繁.
- 三环状缩外流 (TAPSE) 在RV节奏下恶化,但在BiV节奏下保持.
结论:
- 与双心室节奏相比,右心室节奏与TR后CIED植入的患病率和严重程度更高.
- 群体之间基线临床特征的差异可能会影响这些发现.
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