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首页> 外文期刊>Circulation journal >Endovascular Aortic Repair Increases Vascular Stiffness and Alters Cardiac Structure and Function
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Endovascular Aortic Repair Increases Vascular Stiffness and Alters Cardiac Structure and Function

机译:血管内主动脉修复可增加血管刚度并改变心脏结构和功能

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Background: ?Endovascular aortic repair (EVAR) is performed in patients with thoracic or abdominal aortic aneurysm because it is less invasive than conventional open repair. However, the effects of EVAR on vascular and cardiac function remain to be clarified. Methods and Results: ?We studied the effects of EVAR on several outcome variables in 40 consecutive patients undergoing EVAR for abdominal and/or thoracic aneurysm with preserved ejection fraction. Echocardiography and brachial–ankle pulse wave velocity (baPWV) data were collected before, 1 week, and 1 year after EVAR. Although no changes in blood pressure were found, baPWV, left ventricular mass index (LVMI), and left atrial volume index were significantly elevated at both post-op time periods after EVAR compared with baseline data. The changes in LVMI correlated with those in baPWV (R=0.32, P
机译:背景:?胸主动脉瘤或腹主动脉瘤患者进行血管内主动脉修复术(EVAR),因为它比传统的开放性修复术更具侵入性。但是,EVAR对血管和心脏功能的影响尚待阐明。方法和结果:?我们研究了40例接受EVAR治疗的腹部和/或胸主动脉瘤且射血分数保留的连续患者EVAR对几个预后变量的影响。超声心动图和臂-踝脉搏波速度(baPWV)数据在EVAR之前,1周和1年后收集。尽管未发现血压变化,但与基线数据相比,EVAR术后两个时期的baPWV,左心室质量指数(LVMI)和左心室容积指数均显着升高。 LVMI的变化与baPWV的变化相关(R = 0.32,P

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