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相关概念视频

Heart Valves01:16

Heart Valves

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The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
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Mitral Valve Prolapse II: Assessment and Management01:22

Mitral Valve Prolapse II: Assessment and Management

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IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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Anatomy of the Heart01:27

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The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
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Introduction to z Scores01:06

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A z score (or standardized value) is measured in units of the standard deviation. It tells you how many standard deviations the value x is above (to the right of) or below (to the left of) the mean, μ. Values of x that are larger than the mean have positive z scores, and values of x that are smaller than the mean have negative z scores. If x equals the mean, then x has a zero z score. It is important to note that the mean of the z scores is zero, and the standard deviation is one.
z scores...
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Introduction to z Scores01:05

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A z score (or standardized value) is measured in units of the standard deviation. It indicates how many standard deviations the value x is above (to the right of) or below (to the left of) the mean, μ. Values of x that are larger than the mean have positive z scores, and values of x that are smaller than the mean have negative z scores. If x equals the mean, then x has a zero z score. It is important to note that the mean of the z scores is zero, and the standard deviation is one.
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z scores are the standardized values obtained after converting a normal distribution into a standard normal distribution. A z score is measured in units of the standard deviation. The z score tells you how many standard deviations the value x is above (to the right of) or below (to the left of) the mean, μ. Values of x that are larger than the mean have positive z scores, and values of x that are smaller than the mean have negative z scores. If x equals the mean, then x has a z score of...
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相关实验视频

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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
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风险评估在微创心脏门外科手术的道化:修改后的HOSTILE得分.

Jacqueline Kruse1, Miriam Silaschi1, Michael Celik1

  • 1Department of Cardiac Surgery, University Hospital Bonn, 53127 Bonn, Germany.

Journal of clinical medicine
|January 28, 2026
PubMed
概括

该MOD-HOSTILE得分有助于预测中风和神经并发症在轻微侵入性心脏门手术. 5或更高的分数表明风险增加,表明替代性手术方法可能是有益的.

关键词:
在CT成像中使用CT成像.最少侵入性的心脏门手术.风险评估 风险评估 风险评估

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科学领域:

  • 心脏病学 心脏病学
  • 血管外科 血管外科
  • 医疗成像医学成像

背景情况:

  • 透导管疗法和微创性门手术共同面临着血管接入的挑战.
  • 基于计算机断层扫描 (CT) 的计划对于评估这些血管问题至关重要.
  • 霍斯泰尔评分最初是为透导管手术开发的.

研究的目的:

  • 调整HOSTILE分数用于手术使用 (MOD-HOSTILE) 在微创心脏门手术中.
  • 评估MOD-HOSTILE得分与神经和不良结果的关联.
  • 评估MOD-HOSTILE对中风风险的预测价值.

主要方法:

  • 一个单一中心的回顾性研究,对364名接受微创心脏门手术的患者 (2019-2023年).
  • 计算MOD-HOSTILE得分 (0-11分) 并将患者分为低 (0-2),轻度 (>2-5),高 (>5-11) 类别.
  • 与MOD-HOSTILE分数相关的30天中风,神经事件,术后并发症和死亡率的分析.

主要成果:

  • 高的MOD-HOSTILE分数与老年和更高的外科手术风险相关 (EuroSCORE II).
  • 神经系统并发症,包括中风和半,在高MOD-HOSTILE组中明显更频繁.
  • 较高的MOD-HOSTILE分数,特别是关管,与最高的中风风险 (18.2%) 有关.
  • 该MOD-HOSTILE得分预测了中风,AUC为0.78.

结论:

  • 该MOD-HOSTILE得分有效地识别了在最小侵入性门手术中的血管和神经风险.
  • 5分或以上的分数与中风和妄的风险增加有关.
  • 具有高MOD-HOSTILE分数的患者可能会从替代性手术策略中受益,以减轻风险.