右心室与肺动脉的合作为三腹吐的预后因素:系统性审查
Adam Piasecki1, Adam Rdzanek1, Piotr Scisło1
1First Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
ESC heart failure
|October 12, 2025
概括
低三 annular 平面 缩 游行 缩 肺动脉 压力 (TAPSE/SPAP) 的比率可能预测在经过透气管三反修复的患者的不良结果. 需要进一步的研究来确定风险分层的精确切割值.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 干预心脏病学 干预心脏病学
背景情况:
- 严重的三回 (TR) 是常见的,并与预后不佳有关.
- 跨导管边缘到边缘修复 (TEER) 越来越多地用于TR,但风险分层工具有限.
- 准确的患者选择对于成功的TEER结果至关重要.
研究的目的:
- 系统地审查TAPSE/SPAP比率对接受干预手术的显著TR患者风险分层的有用性.
- 评估TAPSE/SPAP比率对该患者群体不良结果的预测值.
主要方法:
- 发表的研究的系统审查.
- 确定评估TAPSE/SPAP比率在显著TR患者中的研究.
- 分析TAPSE/SPAP比率与患者预后之间报告的关联.
主要成果:
- 五项研究符合纳入标准.
- 在所有研究中,低TAPSE/SPAP比率始终与更差的预后有关.
- 对于TAPSE/SPAP比率的最佳切割值仍然没有定义,报告的范围为0.26至0.49mm/mmHg.
- 严重的TR可能会导致SPAP低估,这可能会限制TAPSE/SPAP比率在大规模或大量TR中的实用性.
结论:
- TAPSE/SPAP比率显示出在经过TEER的显著TR患者中作为预后标志物的潜力.
- 需要进一步的研究来确定最终的切割值,并解决严重TR的局限性.
- 需要改进风险分层工具,以优化患者选择干预TR治疗.
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