导管切除在老年人中的结果和安全性
Khalid Sawalha1, Anis John Kadado2, Shayal Pundlik1
1Department of Cardiology, UMass Chan Medical School - Baystate, Springfield, MA, USA.
The Journal of innovations in cardiac rhythm management
|September 5, 2025
概括
导管切除对于八十多岁的人来说是安全的,并发症率很低. 腹腔动脉切除带有更高的风险,并预测结果,指导治疗策略.
科学领域:
- 心血管医学
- 电生理学
- 老年心脏病学
背景情况:
- 导管切除是心律失常的主要治疗方法.
- 对于老年患者 (≥80岁) 进行导管切除的安全性和疗效的数据有限.
研究的目的:
- 评估管切除的结果和安全性.
- 确定该群体死亡率和住院并发症的预测因素.
主要方法:
- 国家住院患者样本数据库 (2016-2019) 的分析.
- 包括18,595名80岁以上心房动,心房动,心室上下心动或心室上下心动的患者.
- 多变量逻辑回归以确定死亡率和并发症的预测因素.
主要成果:
- 最常见的是心房缩 (46%),其次是心房动 (23%),心室高心率 (18%) 和心室上高心率 (12%).
- 腹腔动脉切除的发生率较高 (1. 6%) 和死亡率较高 (4. 2%).
- 查尔森并发症指数 (CCI) ≥3和吸管是死亡率的独立预测指标.
结论:
- 导管切除在八十岁的患者中显示出较低的手术并发症率.
- 腹腔动脉切除与并发症和死亡率的增加有关.
- 在老年心律失常患者的治疗决策中,基线并发症对于风险分层至关重要.
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