用多普勒超声波来诊断与心脏起器相关的下静脉封闭,在双心室心脏起器置换后使用
Ayse S Koc1, İlkyaz Yogruk1, Mustafa L Ardıç2
1Department of Radiology, University of Health Sciences - Adana Health Practices and Research Center, Adana, Turkey.
概括
关节下静脉封闭 (SVO) 影响了三分之一的心脏再同步治疗 (CRT) 后的长期患者. 晚年和糖尿病是SVO的关键预测因素,可以通过静脉多普勒超声学进行初步诊断.
科学领域:
- 心脏病学 心脏病学
- 血管医学 血管医学
- 医疗成像医学成像
背景情况:
- 关节下静脉封闭 (SVO) 是心脏起器植入后的一种已知的并发症.
- 心脏再同步治疗 (CRT) 的长期并发症需要持续调查.
研究的目的:
- 为了确定CRT植入后SVO的长期发病率.
- 评估静脉多普勒超声波 (USG) 对于SVO诊断的有用性.
主要方法:
- 一项对181名接受CRT植入的患者进行横截面研究.
- 诊断SVO涉及静脉多普勒USG和静脉谱.
- 患者被分为SVO和非SVO群体.
主要成果:
- 在33%的患者中确立了最终的SVO诊断.
- 老年和糖尿病 (DM) 是SVO的独立预测因素.
- 静脉多普勒超声波显示,SVO患者的呼吸相流和连续流模式不存在.
结论:
- 在CRT后长期SVO发病率很大,约影响三分之一的患者.
- 静脉多普勒USG是一种有价值的,非侵入性的工具,用于初步SVO诊断.
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