右心室 - 肺动脉合在密集心脏病治疗病房的预后值
Alma Grossi1, Amelia Ravera1, Francesco Vigorito2
1Department of Cardiology, Intensive Cardiac Care Unit.
在密集心脏护理病房中,使用三环形平面缩外流 (TAPSE) 与缩肺动脉压力 (sPAP) 的比率来评估右心室-肺动脉 (RV-PA) 合是可行的. 低TAPSE/sPAP比率预测这些患者的30天死亡率.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 密集心脏护理单位 (ICCU) 需要先进的预后工具.
- 右心室 - 肺动脉 (RV-PA) 合是潜在的预后指标.
研究的目的:
- 在未经选择的ICCU群体中评估RV-PA合的预后价值.
- 评估使用TAPSE/sPAP比率进行风险分层的可行性.
主要方法:
- 对1606名入院ICCU的患者进行了回顾性分析.
- 对三状环状平面缩外流 (TAPSE) 和缩肺动脉压力 (sPAP) 的心声评估.
- 使用倾向匹配来分析TAPSE/sPAP比率与死亡率的关联.
主要成果:
- 在ICCU患者中,TAPSE/sPAP比率评估是可行的.
- 一个TAPSE/sPAP比率<0.51显著与30天死亡率相关 (OR 1.76,P=0.014).
- 这一比率与长期死亡率没有显著关联 (HR1.3,P=0.2).
结论:
- 通过TAPSE/sPAP比率进行RV-PA合评估,是混合ICCU种群中可行的和有价值的预后工具.
- TAPSE/sPAP比率是ICCU患者短期 (30天) 死亡率的强有力的预测指标.
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