Suppr超能文献

心电图评分可预测心力衰竭住院或死亡风险,超过心血管磁共振成像的预测能力。

An electrocardiography score predicts heart failure hospitalization or death beyond that of cardiovascular magnetic resonance imaging.

机构信息

Department of Clinical Physiology, Karolinska University Hospital, and Karolinska Institutet, Stockholm, Sweden.

Nicollier-Schlegel SARL, Trélex, Switzerland.

出版信息

Sci Rep. 2022 Nov 1;12(1):18364. doi: 10.1038/s41598-022-22501-9.

Abstract

The electrocardiogram (ECG) and cardiovascular magnetic resonance imaging (CMR) provide powerful prognostic information. The aim was to determine their relative prognostic value. Patients (n = 783) undergoing CMR and 12-lead ECG with a QRS duration < 120 ms were included. Prognosis scores for one-year event-free survival from hospitalization for heart failure or death were derived using continuous ECG or CMR measures, and multivariable logistic regression, and compared. Patients (median [interquartile range] age 55 [43-64] years, 44% female) had 155 events during 5.7 [4.4-6.6] years. The ECG prognosis score included (1) frontal plane QRS-T angle, and (2) heart rate corrected QT duration (QTc) (log-rank 55). The CMR prognosis score included (1) global longitudinal strain, and (2) extracellular volume fraction (log-rank 85). The combination of positive scores for both ECG and CMR yielded the highest prognostic value (log-rank 105). Multivariable analysis showed an association with outcomes for both the ECG prognosis score (log-rank 8.4, hazard ratio [95% confidence interval] 1.29 [1.09-1.54]) and the CMR prognosis score (log-rank 47, hazard ratio 1.90 [1.58-2.28]). An ECG prognosis score predicted outcomes independently of CMR. Combining the results of ECG and CMR using both prognosis scores improved the overall prognostic performance.

摘要

心电图(ECG)和心血管磁共振成像(CMR)提供了强大的预后信息。目的是确定它们相对的预后价值。纳入了 783 名接受 CMR 和 12 导联心电图检查(QRS 持续时间<120ms)的患者。使用连续 ECG 或 CMR 测量值和多变量逻辑回归,推导了 1 年无因心力衰竭住院或死亡的事件无事件生存率的预后评分,并进行了比较。患者(中位数[四分位间距]年龄为 55[43-64]岁,44%为女性)在 5.7[4.4-6.6]年期间发生了 155 起事件。心电图预后评分包括(1)额面 QRS-T 角,和(2)心率校正 QT 间期(QTc)(对数秩检验 55)。CMR 预后评分包括(1)整体纵向应变,和(2)细胞外容积分数(ECV)(对数秩检验 85)。ECG 和 CMR 阳性评分的组合产生了最高的预后价值(对数秩检验 105)。多变量分析显示,心电图预后评分(对数秩检验 8.4,危险比[95%置信区间]1.29[1.09-1.54])和 CMR 预后评分(对数秩检验 47,危险比 1.90[1.58-2.28])均与结果相关。心电图预后评分独立于 CMR 预测结果。使用这两个预后评分结合 ECG 和 CMR 的结果可提高整体预后性能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/517f/9626618/a53e1366c3d0/41598_2022_22501_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验