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结节病对接受主动脉瓣置换术患者的影响:来自2016 - 2019年全国再入院数据库的见解

Impact of sarcoidosis in patients undergoing aortic valve replacement: Insight from nationwide readmission database 2016-2019.

作者信息

Patel Kunal N, Bajaj Suryansh, Majmundar Monil, Majmundar Vidit, Agrawal Ankit, Zala Harshvardhan, Doshi Rajkumar, Singh Karandeep, Kaur Avleen, Patel Vyoma N, Gonuguntla Karthik, Sattar Yasar, Kalra Ankur

机构信息

Department of Cardiovascular Medicine, University of Kansas Medical Center, Kansas City, KS, USA.

Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

出版信息

Indian Heart J. 2025 Jan-Feb;77(1):45-47. doi: 10.1016/j.ihj.2025.01.003. Epub 2025 Jan 16.

Abstract

It is not well-known if valve replacement outcomes differ in patients with sarcoidosis, especially in aortic valve intervention, where the pressure gradients are physiologically high. In this retrospective study, we included all patients who underwent surgical/transcatheter aortic valve replacement from the Nationwide Readmission Database (2016-2019), and then divided them into those with and without sarcoidosis. Logistic and cox proportional hazard regression models were used. In-hospital mortality, stroke, acute kidney injury, paravalvular leak, 30-day pacemaker implantation, and 30-day heart failure readmission were similar in patients with and without sarcoidosis. Thus, sarcoidosis did not affect the clinical outcomes in patients undergoing aortic valve replacement. Further prospective studies are needed in this patient subgroup to support clinical decision-making.

摘要

结节病患者进行瓣膜置换的结果是否不同尚不清楚,尤其是在主动脉瓣干预方面,因为其生理压力梯度较高。在这项回顾性研究中,我们纳入了全国再入院数据库(2016 - 2019年)中所有接受外科/经导管主动脉瓣置换的患者,然后将他们分为有结节病和无结节病两组。使用了逻辑回归和Cox比例风险回归模型。有结节病和无结节病的患者在住院死亡率、中风、急性肾损伤、瓣周漏、30天起搏器植入以及30天心力衰竭再入院方面相似。因此,结节病不影响接受主动脉瓣置换患者的临床结果。需要对该患者亚组进行进一步的前瞻性研究以支持临床决策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ff/11977116/c38e22bdf4ff/gr1.jpg

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