右心室功能作为心脏门手术后发病率和死亡率的预测因素
Mohammad Risandi Priatama1, Sony Hilal Wicaksono1, Arinto Bono Adji Hardjosworo2
1Department of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita, Universitas Indonesia, Jakarta.
概括
右心室 (RV) 功能障碍预测心脏门手术后的结果不好. 在手术前的S.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 心声回声图 (Echocardiography) 是一种心声回声图.
背景情况:
- 膜心脏病 (VHD) 构成严重的全球健康风险,术后发病率和死亡率高.
- 右心室 (RV) 功能障碍是心脏门手术后不良结果的已知预测因素.
- 印度尼西亚对预测术后结果的有效VR功能参数的研究有限.
研究的目的:
- 评估RV功能的术前心声学参数,作为印度尼西亚进行门手术的VHD患者术后发病率和死亡率的预测指标.
主要方法:
- 一项前性队列研究,涉及148名接受门置换手术的VHD患者.
- 在手术前一周内进行RV功能的术前心声评估.
- 分析RV功能参数与术后发病率 (长时间通风,ICU停留,无otropic使用) 和死亡率之间的关联.
主要成果:
- 术前S'<10cm/s与心脏相关死亡率有显著的相关性 (OR3.46,p=0.049).
- 术前S'<11cm/s与整体临床结果有显著的相关性,包括发病率和全因死亡率 (OR3.08,p=0.004).
- 长时间的机械通风是最常见的发病结果 (27.7%).
结论:
- 术前S',RV功能的心声测量仪,显示出作为心脏门手术患者术后发病率和死亡率的预测标记物的显著潜力.
- 这些发现强调了在手术前评估RV功能的重要性,以优化患者管理和结果.
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