摘要
目的:基于超声心动图参数评估老年永久心脏起搏器植入患者三尖瓣反流的影响因素。方法:回顾性分析2018年5月—2020年5月在我院行永久性心脏起搏器植入手术的122例患者的临床资料,统计122例永久心脏起搏器植入患者术后三尖瓣反流发生情况,根据永久心脏起搏器植入术后是否发生三尖瓣反流将122例患者分为无三尖瓣反流组和有三尖瓣反流组,比较两组一般资料及超声心动图参数[右心房内径(RAD)、左心房内径(LAD)、右心室内径(RVD)、肺动脉收缩压(PASP)、左心室舒张末期内径(LVEDd)、左室射血分数(LVEF)、左心室收缩末期内径(LVESd)],采用多因素Logistic回归分析永久心脏起搏器植入术后三尖瓣反流的影响因素。结果:122例永久心脏起搏器植入患者术后发生三尖瓣反流37例,三尖瓣反流发生率为30.33%;有三尖瓣反流组植入年限、合并心房颤动方面较无三尖瓣反流组有显著差异(P<0.05);有三尖瓣反流组LVEDd、LVESd、LVEF较无三尖瓣反流组无显著差异(P>0.05);有三尖瓣反流组RAD、LAD、RVD、PASP较无三尖瓣反流组显著升高(P<0.05);植入年限、合并心房颤动、RAD是永久心脏起搏器植入术后三尖瓣反流的影响因素(P<0.05)。结论:植入年限、合并心房颤动、RAD是永久心脏起搏器植入术后三尖瓣反流的影响因素,植入年限延长、合并心房颤动、右心房内径扩大可增加永久心脏起搏器植入术后三尖瓣反流发生率。
Objective:To investigate the influencing factors of tricuspid regurgitation in elderly patients with pacemaker implantation based on echocardiographic parameters.Methods:The clinical data of 122 cases of permanent pacemaker implantation in our hospital from May 2018 to May 2020 were retrospectively analyzed.Patients were divided into two groups according to the absence or presence of tricuspid regurgitation,non-tricuspid regurgitation group and tricuspid regurgitation group.Then the general data,echocardiographic parameters including right atrial diameter(RAD),left atrial diameter(LAD),right ventricular diameter(RVD),pulmonary artery systolic pressure(PASP),left ventricular end-diastolic diameter(LVEDd),left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESd)were compared between groups.Multivariate logistic regression was used to determine to the influencing factors of the tricuspid regurgitation after permanent pacemaker implantation.Results:Among 122 cases of permanent pacemaker implantation,there were 37 cases of tricuspid regurgitation,with an incidence rate of 30.33%.The implantation years and the combination of atrial fibrillation showed significant difference between groups(P<0.05).The LVEDd,LVESd and LVEF showed no difference between groups(P>0.05).RAD,LAD,RVD,and PASP of the tricuspid regurgitation group were higher than those of the non-tricuspid regurgitation group(P<0.05).The implantation years,combination of atrial fibrillation and RAD were the influencing factors of tricuspid regurgitation after permanent pacemaker implantation(P<0.05).Conclusion:Implantation years,combination of atrial fibrillation and RAD are the influencing factors of the tricuspid regurgitation after the permanent pacemaker implantation.
作者
李明
丁青薇
LI Ming;DING Qing-wei(Department of Ultrasound,Baoshan Branch,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201999,China)
出处
《中国临床医学影像杂志》
CAS
CSCD
2021年第5期326-328,333,共4页
Journal of China Clinic Medical Imaging
