Haji Adam Malik医院急性心肌梗死患者术后30 d三尖瓣环平面收缩偏移(TAPSE)、右心室分数面积变化(RV FAC)和脉冲组织多普勒S波(PTD S’)的预后价值

Fadli Ilhami, A. N. Nasution, C. A. Andra
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引用次数: 0

摘要

超声心动图是一种可靠、简便的血流动力学监测方法,可用于所有IMA患者。三尖瓣环平面收缩偏移(TAPSE)、右心室分数面积变化(RV FAC)和脉冲组织多普勒S波(PTD S’)是心室心电图的三个主要参数。本研究的目的是了解右心室功能预后指标TAPSE、PTD S’和RV FAC与RSUP h患者AMI发生30天后MACE的可靠性。本研究是一项双透视观察性分析研究,对2022年3月至2022年6月在HAM医院接受治疗的88例AMI患者进行一次抽样(横断面研究),在前24小时进行超声心动图检查,测量TAPSE、PTD S'和RV FAC。随访30天,观察患者的MACE情况。采用双变量检验评估变量间的相关性。为了确定哪些自变量在预测MACE方面更有效,然后进行了多变量逻辑回归检验。使用ROC分析评估独立因素预测MACE的有效性。结果:共88例AMI患者,其中39例(44.3%)发生MACE, 49例(55.6%)未发生MACE。经双变量分析,30 d时TAPSE、PTDS’和RV FAC对MACE的预后价值具有相关性,P值为0.001,但只有PTDS’的logistic回归结果与P值< 0.001一致。结论超声心动图测量PTD S′对AMI患者30天内MACE有较好的预测价值。
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Prognostic Value of Tricuspid Annular Plane Systolic Excursion (TAPSE), Right Ventricular Fractional Area Changes (RV FAC) and Pulses Tissue Doppler S' Wave (PTD S') at 30 Days after Care of Acute Miocardial Infarction Patients in Haji Adam Malik Hospital
Introduction: Echocardiography is a reliable and simple method of hemodynamic monitoring that can be used on every IMA patient. Tricuspid Annular Plane Systolic Excursion (TAPSE), Right Ventricular Fractional Aera Changes (RV FAC), and Pulses Tissue Doppler S' Wave (PTD S') are the three main parameters of ventricular electrocardiography. The purpose of this study is to understand the reliability of the right ventricle function prognostic indicators TAPSE, PTD S', and RV FAC with regard to the MACE at 30 days following the occurrence of the AMI in RSUP H. Adam Malik Medan Method: This study is an ambispective observational analytic study with sampling carried out at one time (cross-sectional study) on 88 AMI patients at the HAM Hospital who were treated from March 2022 to June 2022 and performed echocardiography in the first 24 hours and measured TAPSE, PTD S' and RV FAC. And followed for 30 days to see the MACE in patients. Bivariate test was conducted to assess the correlation between variables. To determine which independent variables were more effective at predicting MACE, a multivariate logistic regression test was then run. The effectiveness of the independent factors in predicting MACE was also assessed using ROC analysis. Results: The total subjects were 88 AMI patients consisting of 39 (44.3%) patients who experienced MACE and 49 (55.6%) patients who didn’t. The prognostic values of TAPSE, PTDS' and RV FAC on MACE at 30 days were related by bivariate analysis with P Value 0.001 but only PTD S’ showed logistic regression results that were consistent with P Value < 0.001. Based on ROC analysis obtained by PTD S' can predict MACE with AUC = 0.894 Conclusion: Echocardiographic measurement PTD S’ has a good prognostic value to predict MACE within 30 days in AMI patients.
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