患有心脏性休克患者的电动心脏转变的血栓栓塞风险
Jonas Gmeiner1, Lea Haag1, Enzo Lüsebrink2
1Department of Medicine I, University Hospital, LMU Munich, Munich, Germany.
心脏动脉动或心房动的心脏性休克患者的电动心脏转变显示出低血栓栓塞风险. 然而,这与出血的高发病率有关,尽管在许多情况下,抗凝血药物不足.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 电力生理学 电力生理学
背景情况:
- 患有心房动/心房动的心脏性休克患者往往需要紧急的心脏转变.
- 抗凝血状态和左心房附属体血栓往往是不确定的.
- 在这个特定的患者群体中,血栓栓塞的风险尚未得到充分确立.
研究的目的:
- 为了评估与心电转换相关的血栓栓塞风险,在患有心脏性休克和心房动或动的患者中.
- 评估包括中风,全身血栓塞,死亡率和出血在内的结果.
主要方法:
- 对LMUshock注册表的回顾性分析.
- 包括所有心脏性休克患者,因为心房动/动而接受电动心脏转变.
- 主要终点:30天后发生新的血栓栓塞性中风或全身血栓塞. 二级终点:食道横断心声扫描使用,全因死亡率和出血 (BARC).
主要成果:
- 140名患者接受了电动心脏转变;36名患者有先前存在的,104名患者有新出现的心房动.
- 仅在44.3%的患者中存在足够的抗凝剂;在87.1%的患者中使用未分离的肝素.
- 主要终点发生在2.1%的患者中,所有患者的抗凝血剂不足. 所有原因的死亡率为37.9%,出血≥BARC3a型发生在12.9%.
结论:
- 在这个队列中,电动心脏转换显示出低血栓栓塞风险.
- 常规的治疗性抗凝剂可能有助于低事件率.
- 观察到大量出血,突出显示了潜在的风险/收益权衡.
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