New York, NY (Mbudzi 04, 2021) Kushandiswa kwechinyorwa chinodaidzwa kuti quantitative flow ratio (QFR) kunyatso ziva uye kuyera hukasha hwekuvharika kwe artery kunogona kutungamira kune zvakavandudzwa zvakanyanya mushure me percutaneous coronary intervention (PCI), sekureva a chidzidzo chitsva chakaitwa nekubatana neMount Sinai faculty.
Tsvakurudzo iyi, iyo ndiyo yekutanga kuongorora QFR nemigumisiro yaro yekiriniki yakabatana, inogona kutungamirira mukugamuchirwa kwakapararira kweQFR seimwe nzira yeangiography kana kumanikidza waya kuyera kuoma kwezvivharo, kana maronda, kune varwere vane coronary artery disease.Mhedzisiro yezvidzidzo yakaziviswa nemusi weChina, Mbudzi 4, sekunonoka-kupwanya kiriniki kuyedzwa kuTranscatheter Cardiovascular Therapeutics Musangano (TCT 2021), uye panguva imwe chete yakaburitswa muThe Lancet.
"Kekutanga tine kiriniki yekusimbisa kuti kusarudzwa kwemaronda nenzira iyi kunovandudza mhedzisiro yevarwere vane coronary artery chirwere vari kurapwa stent," anodaro munyori mukuru Gregg W. Stone, MD, Mutungamiriri weAcademic Affairs yeMount Sinai Health System uye Purofesa we Mushonga (Cardiology), uye Population Health uye Policy, paIcahn Chikoro cheMishonga paGomo reSinai."Nekudzivisa nguva, matambudziko, uye zvimwe zviwanikwa zvinodiwa kuyera kuomarara kweronda uchishandisa waya yekumanikidza, nzira iri nyore iyi inofanirwa kuwedzera zvakanyanya kushandiswa kwefiziology muvarwere vari kuitiswa catheterization yemoyo."
Varwere vane coronary artery disease-plaque build-up mukati metsinga inotungamirira kumarwadzo echifuva, kupfupika kwekufema, uye kurwisa kwemoyo-kazhinji vanopinda PCI, nzira isiri yekuvhiya umo vanopindira cardiologists vanoshandisa catheter kuisa stents muvhavha yakavharwa. tsinga dzekudzorera kuyerera kweropa.
Vanachiremba vazhinji vanovimba neangiography (X-rays of the coronary arteries) kuti vaone kuti ndeapi tsinga dzine tsinga dzakanyanya kuvharika, uye voshandisa ongororo iyoyo yekuona kuona kuti ndeipi tsinga dzekurapa.Iyi nzira haina kukwana: mamwe mablockages anogona kutaridzika zvakanyanya kana kushoma pane zvaari chaizvo uye vanachiremba havagone kunyatsoziva kubva kuangiogram chete kuti ndeapi blockages ari kunyanya kukanganisa kuyerera kweropa.Migumisiro inogona kuvandudzwa kana maronda e stent akasarudzwa uchishandisa tambo yekumanikidza kuona kuti ndezvipi zviri kuvharira kubuda kweropa.Asi maitiro ekuyera aya anotora nguva, anogona kukonzera matambudziko, uye anosanganisira mamwe mari.
QFR tekinoroji inoshandisa 3D artery kuvakazve uye kuyerwa kwekuyerera kweropa iro rinopa chaiwo kuyerwa kwekudonha kwedzvinyiriro payakavharika, zvichibvumira vanachiremba kuita sarudzo dziri nani dzekuti tsinga dzipi dzinopisa panguva yePCI.
Kuti vadzidze kuti QFR inokanganisa sei migumisiro yevarwere, vatsvakurudzi vakaita muedzo wepakati-zhinji, wakasarudzika, wakapofumadzwa wevatori vechikamu 3,825 muChina vari kuita PCI pakati paZvita 25, 2018, naNdira 19, 2020. Varwere vangave vakave nechirwere chemoyo maawa makumi manomwe nemaviri apfuura, yakanga ine kanenge tsinga imwe yemwoyo ine imwe kana kupfuura yakavharika iyo angiogram yakayera sepakati pe50 ne90 muzana yakadzikira.Hafu yevarwere yakaitwa yakajairwa angiography-inotungamirwa maitiro zvichienderana nekuongororwa kwekuona, nepo imwe hafu yakaitwa neQFR-inotungamirwa zano.
Muboka rinotungamirirwa neQFR, vanachiremba vakasarudza kusarapa midziyo ye375 iyo yakatanga kugadzirirwa PCI, zvichienzaniswa ne100 muboka rinotungamirirwa neangiography.Iyo tekinoroji nokudaro yakabatsira kubvisa nhamba huru yemastenti asina kufanira.Muboka reQFR, vanachiremba vakabatawo midziyo ye85 isati yagadzirirwa PCI yakaenzaniswa ne28 muboka rinotungamirirwa neangiography.Iyo tekinoroji nokudaro yakaratidza mamwe maronda anovhiringidza angadai asina kurapwa neimwe nzira.
Somugumisiro, varwere vari muboka reQFR vaiva nehuwandu hwegore rimwe chete rekurwadziwa kwemoyo kuenzaniswa neboka re angiography-chete (65 varwere vs. 109 varwere) uye mukana muduku wekuda kuwedzera PCI (38 varwere vs. 59 varwere) vane kupona kwakafanana.Pachiratidzo chegore rimwe, 5.8 muzana yevarwere vakabatwa neQFR-inotungamirirwa nePCI maitiro akanga afa, ane chirwere chemoyo, kana kuti aida kudzokorora revascularization (stenting), zvichienzaniswa ne8.8 muzana yevarwere vari pasi pechirongwa chePCI chinotungamirirwa , kuderedzwa ne35 muzana.Vatsvakurudzi vakati izvi zvakakosha kuvandudzwa kwemigumisiro kuQFR inobvumira vanachiremba kuti vasarudze midziyo yePCI uye kudzivisa maitiro asina kufanira.
"Mibairo kubva muyedzo iyi yakakura yakapofumadzwa isina kurongeka zvine zvazvinoreva, uye zvakafanana nezvaizotarisirwa nekumanikidza waya-yakavakirwa PCI kutungamira.Kubva pane zvakawanikwa izvi, zvichitevera kubvumidzwa kwemutemo ndingatarisira kuti QFR igamuchirwe zvakanyanya nevanopindira cardiologists kuvandudza mhedzisiro yevarwere vavo. "vakadaro Dr Stone.
Tags: Aortic Zvirwere uye Kuvhiyiwa, Mwoyo - Cardiology & Cardiovascular Surgery, Icahn Chikoro cheMishonga paGomo reSinai, Mount Sinai Health System, Patient Care, Gregg Stone, MD, FACC, FSCAI, TsvakurudzoPamusoro peGomo reSinai Health System
Gomo reSinai Health System ndeimwe yemasisitimu makuru ezvekurapa munzvimbo yeNew York metro, ine vashandi vanopfuura zviuru makumi mana nezvitatu vanoshanda muzvipatara zvisere, vanopfuura mazana mana ekurapa kunze, mazana matatu emarabhu, chikoro chehukoti, uye chikoro chinotungamira chemishonga uye. dzidzo yevakapedza kudzidza.Gomo reSinai rinosimudzira hutano kuvanhu vose, kwose kwose, nekutora matambudziko akaoma zvikuru ehutano hwemazuva edu - kuwana nekushandisa zvidzidzo zvesayenzi zvitsva uye ruzivo;kugadzira marapirwo akachengeteka, anoshanda zvakanyanya;kudzidzisa chizvarwa chinotevera chevatungamiri vezvokurapa nevatsva;uye kutsigira nharaunda dzenharaunda nekupa rubatsiro rwemhando yepamusoro kune vese vanochida.
Kuburikidza nekubatanidzwa kwezvipatara zvaro, maLab, uye zvikoro, Gomo reSinai rinopa mhinduro dzakakwana dzehutano kubva pakuzvarwa kuburikidza negeriatrics, inosimudzira nzira dzehunyanzvi dzakadai sehungwaru hwekugadzira uye ruzivo nekuchengeta zvinodiwa nevarwere zvekurapa uye zvepfungwa pakati pekurapa kwese.Iyo Health System inosanganisira vangangoita 7,300 vepuraimari uye nyanzvi yekuchengetedza vanachiremba;13 majoint-venture outpatient surgery centers munzvimbo dzose shanu dzeNew York City, Westchester, Long Island, neFlorida;uye anopfuura makumi matatu akabatana nenharaunda dzehutano dzenharaunda.Isu tinogara tichirongerwa neUS News & World Report's Best Hospitals, tichiwana yakakwirira "Honor Roll" chinzvimbo, uye takaiswa zvakanyanya: Nhamba 1 muGeriatrics uye yepamusoro makumi maviri muCardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology. /Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, uye Urology.New York Eye and Ear Infirmary yeMount Sinai iri paNhamba 12 muOphthalmology.US News & World Report's "Zvipatara Zvakanakisisa Zvevana" zvinotora Mount Sinai Kravis Chipatara chevana pakati pezvakanakisa munyika mune akati wandei hunyanzvi hwevana.
Nguva yekutumira: Nov-10-2023