在接受TAVI并发性COPD,心房动和心力衰竭的患者中,症状改善较少
Kees H van Bergeijk1, Constantijn S Venema1, Bob Ophuis1
1Department of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
慢性阻塞性肺病 (COPD) 和心力衰竭 (HF) 显著降低了通过导管大动脉植入 (TAVI) 后的症状改善. 患有这些疾病的患者也面临更高的不良事件风险和TAVI后较低的长期存活率.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 老年病的医生 老年病的医生
背景情况:
- 慢性阻塞性肺病 (COPD),心房动 (AF) 和心力衰竭 (HF) 等并发症可以模仿大动脉狭窄 (AS) 的症状.
- 这些并发症对经过通管大动脉植入术 (TAVI) 后症状改善和长期结果的影响尚不清楚.
研究的目的:
- 调查COPD,AF和HF对TAVI后患者结局的影响.
主要方法:
- 进行了对三个TAVI队列 (格罗宁根,布雷西亚,伯恩) 的综合分析.
- 收集了COPD,AF和HF病史的数据.
- 症状改善被定义为在12个月内至少有一个NYHA类改善.
- 不良事件 (心血管死亡率,中风,HF住院治疗) 被追踪了5年 (VARC-3标准).
主要成果:
- 这项研究包括5173名患者 (平均年龄为81.5岁).
- 患有COPD,AF或HF的患者呈现出较低的大动脉梯度,较高的心脏损伤和更糟糕的NYHA类前TAVI.
- 经过调整后,COPD (OR 1.75) 和HF (OR 1.65) 与没有症状改善有关.
- AF没有显著影响症状改善 (或1.12).
- 患有COPD,AF或HF的患者出现不良事件的风险更高,长期存活率降低.
结论:
- 有症状的AS患者有COPD,AF或HF接受TAVI,AS严重程度较低,但症状负担和心脏损伤较高.
- 这些患者有较高的残留症状风险和较差的长期结果.
- 特别是COPD和HF与TAVI后症状缓解的减少有关.
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