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Review Article

心血管外科心房颤动 生物标志物确定预后

卷 26, 期 5, 2019

页: [916 - 924] 页: 9

弟呕挨: 10.2174/0929867324666170727104930

价格: $65

摘要

背景：心血管手术后新发心房颤动（AF）与并发症风险增加和住院时间延长有关。确定手术后房颤（POAF）高风险患者可能有助于采取具有临床和经济相关性的预防策略。 目的：本综述的重点是总结心肌纤维化生物标志物（PICP和PIIINP），促纤维化介质（TGF-β1），细胞外基质重塑（MMP-9），心肌舒张（BNP和NTpro-BNP），炎症的研究结果。 （白细胞介素，C-反应蛋白和sCD40L）和心肌坏死（高敏感肌钙蛋白T），生物标志物，可用于临床实践，对POAF风险患者进行分层。 方法：我们搜索了MEDLINE和PubMed的英语语言学习。证据综合基于队列研究，临床试验和荟萃分析数据。还审查了国际临床实践指南。 结果：心脏重塑，心房压力，手术创伤，炎症，氧化应激和交感神经/副交感神经激活等因素与POAF的发展有关。基于POAF发病的多因素机制，一些研究已经研究了一些血清生物标志物的预测价值。迄今为止，有关PICP，PIINP，TGF-β1和sCD40L的临床应用的有希望的初步数据，而关于NT-proBNP，BNP，CRP，IL-6和hs-cTnT的数据存在争议。 结论：尽管一些研究显示了有希望的结果，但在将生物标志物用作临床实践中POAF风险分层的工具之前，需要进行更长期随访的更大规模研究。

关键词: 心房颤动，术后心房颤动，胶原合成，脑利钠肽，白细胞介素，炎症。

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