Heart:二叶主动脉瓣患者颅内动脉瘤的患病率及影响因素!

2017-06-09 xing.T MedSci原创

由此可见,相比于一般人群,BAV与更高的颅内动脉瘤患病率相关,在COA、右向左角融合和女性患者中这种风险较高。

近日,心脏病领域权威杂志Heart上发表了一篇研究文章,研究人员旨在明确二叶主动脉瓣(BAV)患者颅内动脉瘤的患病率和预后。

研究人员对在1994年至2013年期间梅奥诊所中接受大脑MR血管造影的BAV患者进行回顾性分析。

在这个研究中纳入了678例患者,平均年龄为57±13岁,男性有480例(71%),平均随访了10±3年(5913例患者每年)。154例(23%)患者出现了主动脉缩窄(COA)。678例患者中有52例(7.7%)患者发生了59处颅内动脉瘤。154例COA患者中有20例(12.9%)患者存在颅内动脉瘤,而524例无COA患者中有32例(5.7%)患者存在颅内动脉瘤(p<0.001)。对于没有COA的患者,在调整所有潜在变量后,女性和右向左角融合是女性颅内动脉瘤的危险因素(风险比为1.76,95%可信区间为1.31-2.68,P=0.03)。在跨三分位数年龄组颅内动脉瘤发生风险没有明显的趋势:年龄≤40岁 vs. 41-60岁(风险比为1.19,P=0.34),以及41-60岁 vs. 61-80岁(风险比为1.06,P=0.56)。在52例颅内动脉瘤患者中,发生扩大的有3例(6%)患者,发生破裂的有2例(4%)患者以及接受弹簧圈栓塞的有4例(8%)患者。在626例基线时无颅内动脉瘤的患者中,在7.2年的影像学随访中没有患者发生颅内动脉瘤。

由此可见,相比于一般人群,BAV与更高的颅内动脉瘤患病率相关,在COA、右向左角融合和女性患者中这种风险较高。

原始出处:


Alexander C Egbe,et al.Prevalence and predictors of intracranial aneurysms in patients with bicuspid aortic valve.heart.2017.http://dx.doi.org/10.1136/heartjnl-2016-311076

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    2017-06-11 zhaojie88
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encodeId=c61e2093831f, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:50:37 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209119, encodeId=89ea209119a9, content=这个是有点意思的, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sat Jun 10 22:44:13 CST 2017, time=2017-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208949, encodeId=f96b208949d3, content=学习一下知识了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Jun 10 11:46:14 CST 2017, time=2017-06-10, status=1, ipAttribution=)]
  5. 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encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Sun Jun 11 13:41:00 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1465543, encodeId=65781465543a9, content=<a href='/topic/show?id=144f5032688' target=_blank style='color:#2F92EE;'>#影响因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=50326, encryptionId=144f5032688, topicName=影响因素)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=80a06745918, createdName=chenzhuanggui, createdTime=Sun Jun 11 13:41:00 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562555, encodeId=51aa156255519, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, 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topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Jun 10 11:46:14 CST 2017, time=2017-06-10, status=1, ipAttribution=)]
  6. 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objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sun Jun 11 13:41:00 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1625456, encodeId=8a2116254568c, content=<a href='/topic/show?id=eb5023880d8' target=_blank style='color:#2F92EE;'>#二叶主动脉瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23880, encryptionId=eb5023880d8, topicName=二叶主动脉瓣)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=05b220798505, createdName=zhyy95, createdTime=Sun Jun 11 13:41:00 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209383, encodeId=c61e2093831f, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:50:37 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209119, encodeId=89ea209119a9, content=这个是有点意思的, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sat Jun 10 22:44:13 CST 2017, time=2017-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208949, encodeId=f96b208949d3, content=学习一下知识了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Jun 10 11:46:14 CST 2017, time=2017-06-10, status=1, ipAttribution=)]
    2017-06-11 slcumt
  7. 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encodeId=c61e2093831f, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:50:37 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209119, encodeId=89ea209119a9, content=这个是有点意思的, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sat Jun 10 22:44:13 CST 2017, time=2017-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208949, encodeId=f96b208949d3, content=学习一下知识了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, 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  8. 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encodeId=c61e2093831f, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:50:37 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209119, encodeId=89ea209119a9, content=这个是有点意思的, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sat Jun 10 22:44:13 CST 2017, time=2017-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208949, encodeId=f96b208949d3, content=学习一下知识了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Jun 10 11:46:14 CST 2017, time=2017-06-10, status=1, ipAttribution=)]
    2017-06-11 往日如昨

    学习了谢谢分享

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1250474, encodeId=73e812504e493, content=<a href='/topic/show?id=7d6f52988e1' target=_blank style='color:#2F92EE;'>#患病率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52988, encryptionId=7d6f52988e1, topicName=患病率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f49517, createdName=xinmeili, createdTime=Sun Jun 11 13:41:00 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1332426, encodeId=fa631332426dc, content=<a href='/topic/show?id=1dd6231822d' target=_blank style='color:#2F92EE;'>#主动脉瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23182, encryptionId=1dd6231822d, topicName=主动脉瓣)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=dc4b2500077, 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encodeId=c61e2093831f, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:50:37 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209119, encodeId=89ea209119a9, content=这个是有点意思的, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sat Jun 10 22:44:13 CST 2017, time=2017-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208949, encodeId=f96b208949d3, content=学习一下知识了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Jun 10 11:46:14 CST 2017, time=2017-06-10, status=1, ipAttribution=)]
    2017-06-10 131****2916

    这个是有点意思的

    0

  10. 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objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sun Jun 11 13:41:00 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1625456, encodeId=8a2116254568c, content=<a href='/topic/show?id=eb5023880d8' target=_blank style='color:#2F92EE;'>#二叶主动脉瓣#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23880, encryptionId=eb5023880d8, topicName=二叶主动脉瓣)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=05b220798505, createdName=zhyy95, createdTime=Sun Jun 11 13:41:00 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209383, encodeId=c61e2093831f, content=学习了谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c0a61971598, createdName=往日如昨, createdTime=Sun Jun 11 11:50:37 CST 2017, time=2017-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=209119, encodeId=89ea209119a9, content=这个是有点意思的, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Sat Jun 10 22:44:13 CST 2017, time=2017-06-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208949, encodeId=f96b208949d3, content=学习一下知识了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160718/IMG578C993D395567540.jpg, createdBy=59b81918946, createdName=flysky120, createdTime=Sat Jun 10 11:46:14 CST 2017, time=2017-06-10, status=1, ipAttribution=)]
    2017-06-10 flysky120

    学习一下知识了,谢谢

    0