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Int J Cardiol：右心房压力可预测急性右心室心肌梗死患者肾功能恶化！

2018-04-26 xing.T MedSci原创

右心房压力预测急性右心室心肌梗死肾功能
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由此可见，在RVMI患者中，RAP≥11 mmHg可预测WRF并改善判别能力。

右心室心肌梗死（RVMI）与短期的严重并发症有关。肾功能恶化（WRF）是一种常见且危险的并发症。近日，心血管领域权威杂志International Journal of Cardiology上发表了一篇研究文章，研究人员旨在调查了右心房压力（RAP）是否预测了这些患者的WRF。

研究人员前瞻性地分析了RVMI患者。RAP是在入住冠心病监护病房时获得的。血液样本在基线时的患者中提取，并且每24小时进行肌酸酐测量，连续7天。研究人员将WRF定义为与基线肌酐相比，前7天期间血清肌酐增加25％或超过0.5mg/dl。

研究人员纳入了四十五名患者（年龄68±10岁，男性占71％）。 WRF发生率为51％。RAP预测WRF的最佳截止值为11mmHg。单变量分析中（OR为5.5,95％CI 为1.27-24.3，p = 0.023）和多因素分析中（OR为6.1,95％CI为1.07-35.4，p = 0.042），RAP≥11 mmHg与WRF相关。使用Mehran评分（净重分类改善64.8％，p = 0.030；综合判别改善7.5％，p = 0.037）进行常规预测后，RAP≥11 mmHg可改善重分类和判别能力。

由此可见，在RVMI患者中，RAP≥11 mmHg可预测WRF并改善判别能力。

原始出处：

Juan Betuel Ivey-Miranda,et al. Right atrial pressure predicts worsening renal function in patients with acute right ventricular myocardial infarction.International Journal of Cardiology.2018. https://doi.org/10.1016/j.ijcard.2017.12.087

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    2018-12-17 yese

    #肾功能#

    0

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    2018-06-26 wgsun

    #右心房#

    0

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    2018-10-22 docwu2019

    #右心房压力#

    0

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    2018-05-07 仁者大医

    #Cardiol#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1850670, encodeId=60f318506e043, content=<a href='/topic/show?id=46c682469e4' target=_blank style='color:#2F92EE;'>#肾功能#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82469, encryptionId=46c682469e4, topicName=肾功能)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=28d456, createdName=yese, createdTime=Mon Dec 17 11:00:00 CST 2018, time=2018-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2023028, encodeId=d75b202302826, content=<a href='/topic/show?id=68df38639cd' target=_blank style='color:#2F92EE;'>#右心房#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38639, encryptionId=68df38639cd, topicName=右心房)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=346311, createdName=wgsun, createdTime=Tue Jun 26 16:00:00 CST 2018, time=2018-06-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2006619, encodeId=095b2006619ef, content=<a href='/topic/show?id=ac58386415c' target=_blank style='color:#2F92EE;'>#右心房压力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38641, encryptionId=ac58386415c, topicName=右心房压力)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Mon Oct 22 20:00:00 CST 2018, time=2018-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1781906, encodeId=a16e1e8190657, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Mon May 07 20:00:00 CST 2018, time=2018-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1543753, encodeId=c8601543e53aa, content=<a href='/topic/show?id=52d93862e06' target=_blank style='color:#2F92EE;'>#右心室#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38627, encryptionId=52d93862e06, topicName=右心室)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f18d13610637, createdName=124988c7m99暂无昵称, createdTime=Sat Apr 28 06:00:00 CST 2018, time=2018-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626877, encodeId=ac7516268e7d0, content=<a href='/topic/show?id=986a5101e46' target=_blank style='color:#2F92EE;'>#心房#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51017, encryptionId=986a5101e46, topicName=心房)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=20ba21064884, createdName=sodoo, createdTime=Sat Apr 28 06:00:00 CST 2018, time=2018-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=309522, encodeId=85a13095227d, content=学习.谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyhb9xDeHojCicsdRdyC3XXdGk2ib9yLypZuHN06WeW4HO8WN0GGrgEfvnTX8gsckof05GHOU5OM4Mvx/0, createdBy=9cee1982656, createdName=执着追梦, createdTime=Thu Apr 26 17:34:37 CST 2018, time=2018-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=309512, encodeId=461030951277, content=学习了.好文章.谢谢分享., beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Thu Apr 26 16:26:27 CST 2018, time=2018-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=309505, encodeId=92eb30950543, content=谢谢分享学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM7GibvIBibibnnnvpajk2stlDF5oichYahI6Bia8uxeTBFoPbdoHWebyXf9eal9FNgUF2lNcrwoZicM3BvQ/0, createdBy=a3742066385, createdName=戒馋，懒，贪, createdTime=Thu Apr 26 15:53:32 CST 2018, time=2018-04-26, status=1, ipAttribution=)]
    2018-04-28 124988c7m99暂无昵称

    #右心室#

    0

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    2018-04-28 sodoo

    #心房#

    0

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    2018-04-26 执着追梦

    学习.谢谢分享

    0

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    2018-04-26 1e0f8808m18(暂无匿称)

    学习了.好文章.谢谢分享.

    0

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    2018-04-26 戒馋，懒，贪

    谢谢分享学习了

    0

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