Heart:心脏磁共振对Ebstein畸形患者预后的预测价值研究

2017-12-27 MedSci MedSci原创

患有Ebstein三尖瓣畸形的患者的快速型心律失常、充血性心衰和心源性猝死的风险会更高。本研究的目的旨在评估心脏磁共振(CMR)技术在预测这些不良心脏事件上的价值。本研究纳入了79例接受了CMR检查的Ebstein三尖瓣畸形的成年患者(平均年龄为37±15岁),平均随访时间为3.4年(0.4-10.9年),对其主要心血管不良事件MACEs(持续性室性心动过速、心衰住院率、心脏移植或死亡)和房性快速

患有Ebstein三尖瓣畸形的患者的快速型心律失常、充血性心衰和心源性猝死的风险会更高。本研究的目的旨在评估心脏磁共振(CMR)技术在预测这些不良心脏事件上的价值。本研究纳入了79例接受了CMR检查的Ebstein三尖瓣畸形的成年患者(平均年龄为37±15岁),平均随访时间为3.4年(0.4-10.9年),对其主要心血管不良事件MACEs(持续性室性心动过速、心衰住院率、心脏移植或死亡)和房性快速性心律失常事件进行评估。结果显示,CMR提示的与MACE相关的因素有右室或左室射血分数(分别为HR 2.06, 95% CI 1.168-3.623, p=0.012; HR 2.35, 95% CI 1.348-4.082, p=0.003)、左室每搏指数(HR 2.82, 95% CI 1.212-7.092, p=0.028)和心脏指数(HR 1.71, 95% CI 1.002-1.366, p=0.037)。房性快速性心律失常疾病史(HR 11.16, 95% CI 1.30-95.81, p=0.028)和纽约心功能评级>2(HR 7.66, 95% CI 1.54-38.20,

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    2017-12-29 zhaojie88
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    2017-12-29 slcumt
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