John Fernando Montenegro-Palacios, Sinthia Vidal-Cañas, Nelson Eduardo Murillo-Benítez, Jhon Quintana-Ospina, Carlos Andrés Cardona-Murillo, Yamil Liscano
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引用次数: 0
摘要
经导管主动脉瓣植入术(TAVI)是治疗高危患者重度主动脉瓣狭窄的有效方法;然而,心房颤动(AF)是与该手术相关的常见并发症。TAVI后新发心房颤动(NOAF)与死亡率增加和其他并发症有关。本研究旨在评估TAVI后NOAF的发生率,并确定与死亡率和血栓栓塞事件发展相关的危险因素。使用MEDLINE/PubMed、EMBASE、Web of Science、Scopus、Cochrane Library、谷歌Scholar、Wiley Online Library、SciELO和Redalyc等数据库对18项研究进行了系统综述。没有语言限制,检索涵盖了2009年至2024年的研究。随访时间为48 h ~ 730 d,平均180 d。早期监测和治疗房颤对TAVI患者至关重要。NOAF的发病率高达29.04%,即每100例患者中约有29例受到影响。房颤发生率在7.2%到37%之间,平均在20%左右。规范抗凝策略对减少并发症具有重要意义。需要随机研究来评估房颤与tavi后死亡率之间的关系,并确定房颤是这些患者的高风险标志还是独立因素。
Common Risk Factors for Atrial Fibrillation After Transcatheter Aortic Valve Implantation: A Systematic Review from 2009 to 2024.
Transcatheter Aortic Valve Implantation (TAVI) is an effective treatment for severe aortic stenosis in high-risk patients; however, atrial fibrillation (AF) is a common complication associated with the procedure. New-Onset Atrial Fibrillation (NOAF) after TAVI is linked to increased mortality and additional complications. This study aimed to evaluate the incidence of NOAF following TAVI and identify risk factors associated with mortality and the development of thromboembolic events. A systematic review of 18 studies was conducted using databases such as MEDLINE/PubMed, EMBASE, Web of Science, Scopus, Cochrane Library, Google Scholar, Wiley Online Library, SciELO, and Redalyc. No language restrictions were applied, and the search covered studies from 2009 to 2024. The follow-up period ranged from 48 h to 730 days, with a mean of 180 days. Early monitoring and management of AF are essential in patients undergoing TAVI. The incidence of NOAF ranged up to 29.04%, meaning about 29 out of every 100 patients were affected. AF rates varied between 7.2% and 37%, with an average of around 20. Standardizing anticoagulation strategies is important to reduce complications. Randomized studies are needed to evaluate the relationship between AF and post-TAVI mortality and to determine whether AF is a marker of higher risk or an independent factor in these patients.