在患有胸痛的高血压患者中,用于风险分层的二皮里达摩尔应力回声心脏学
L Cortigiani1, E A Paolini, E Nannini
1Cardiovascular Unit, Hospital of Lucca, Italy.
Circulation
|December 22, 1998
概括
迪皮里达摩尔应激心声学有效地对高血压患者的风险进行分层,这些患者有胸痛和未知的冠状动脉疾病 (CAD). 这种安全可行的测试可以预测心脏事件,有助于预后评估.
科学领域:
- 心脏病学 心脏病学
- 诊断成像 诊断成像 诊断成像
- 高血压管理 高血压管理
背景情况:
- 在高血压患者中非侵入性评估冠状动脉疾病 (CAD) 仍然具有挑战性.
- 高血压是CAD的重要风险因素,需要可靠的预后工具.
研究的目的:
- 评估二皮里达摩尔应力回声心电图对于风险分层的有用性.
- 评估其在高血压患者胸痛和未诊断的CAD的预后价值.
主要方法:
- 对257名患有高血压,胸痛且之前没有CAD诊断的高血压患者进行了二皮里达摩尔应力回声心脏学.
- 在随访期间监测心脏事件 (死亡,心肌梗塞,心痛不稳定) 和重血管化.
- 利用多变量分析来识别心脏事件的预测因素.
主要成果:
- 该测试显示了高可行性 (98.4%),并发症最小.
- 阳性心声回应预测了硬心事件 (OR 5.5) 和自发心脏事件 (OR 4.2).
- 对于硬心事件的心声回声检查结果呈负 (97%) 和阳性 (87%) 的患者,三年生存率有显著差异.
结论:
- 双皮里达摩尔应力回声心电图是一种安全,可行和有效的工具,用于在这个患者群体中的风险分层.
- 它为高血压患者提供了有价值的预后信息,这些患者有胸痛和未知的CAD.
- 该程序是评估这一特定临床群体预后的推选择.
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