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未手术的单心室心脏的长期随访

Long-term follow-up in the unoperated univentricular heart.

作者信息

Moodie D S, Ritter D G, Tajik A J, O'Fallon W M

出版信息

Am J Cardiol. 1984 Apr 1;53(8):1124-8. doi: 10.1016/0002-9149(84)90648-9.

DOI:10.1016/0002-9149(84)90648-9
PMID:6702691
Abstract

Type A univentricular heart is a severe congenital cardiac defect; 50% of patients are dead 14 years after diagnosis, a death rate of 4.8% per year. Type C univentricular heart is even more lethal; 50% of patients are dead 4 years after diagnosis. Pulmonary stenosis did not protect either group of patients in terms of overall survival. Of the patients in class I or II at initial diagnosis, 34% of patients with type A and 12% of those with type C were in class III or IV or had died at follow-up. The most common causes of death were dysrhythmia, congestive heart failure and sudden and unexplained death.

摘要

A型单心室心脏是一种严重的先天性心脏缺陷;50%的患者在确诊后14年死亡,年死亡率为4.8%。C型单心室心脏的致死性更强;50%的患者在确诊后4年死亡。就总体生存率而言,肺动脉狭窄并未对这两组患者起到保护作用。在初诊时为I级或II级的患者中,随访时,A型患者中有34%、C型患者中有12%变为III级或IV级或已死亡。最常见的死亡原因是心律失常、充血性心力衰竭以及突然不明原因死亡。

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