在稳定性胸痛中,SYNTAX评分与左心房体积指数相关吗?
Nadir Emlek1, Cihan Aydın2, Ali Gökhan Özyıldız1
1Recep Tayyip Erdoğan University Faculty of Medicine, Cardiology Department, Rize, Turkey.
Cardiovascular journal of Africa
|February 26, 2026
概括
在患有稳定性胸痛的患者中,SYNTAX评分I与左心房体积指数 (LAVI) 的增加有关. 这一发现表明,LAVI可能有助于在选择性冠状动脉血管学过程中进行术前风险评估.
科学领域:
- 心脏病学 心脏病学
- 心脏成像 - - 心脏成像
- 血管医学 血管医学
背景情况:
- 左心房体积指数 (LAVI) 是已知的心血管不良结果的预测指标,包括心房动,中风,心力衰竭和死亡率.
- 在患有稳定性胸痛 (SAP) 的患者中评估心血管风险对于指导治疗策略至关重要.
研究的目的:
- 为了研究SYNTAX评分I和LAVI在接受选择性冠状动脉血管造影的SAP患者之间的关系.
- 要确定SYNTAX评分I是否是LAVI升高的独立预测指标.
主要方法:
- 分析了176名SAP患者的队列,这些患者接受了选择性冠状动脉血管造影.
- 左心房体积指数 (LAVI) 是使用双平面盘方法计算的 transthoracic心声学.
- 根据平均LAVI水平,患者被分为两组.
主要成果:
- 鉴定了SYNTAX评分I作为增加LAVI的独立预测因子 (OR:1.072,95%CI1.009-1.140,p = 0.024).
- 其他LAVI增加的独立预测因素包括体重指数,左心室喷射率,年龄和左心室质量指数.
- 与LAVI较低的患者相比,LAVI较高的患者在这些参数中显示出显著的差异.
结论:
- 在SYNTAX得分I显著与升高的LAVI相关,无论左心室的解剖学和功能.
- LAVI是一种简单,实用的心声回声测量方法,可增强SAP患者接受选择性冠状动脉血管造影的风险分层.
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