Atrial Fibrillation Thiab Kab Mob Raum Hwj Chim - Ib qho kev pheej hmoo ua ke rau tom qab sib txawv mob raum mob
Apr 10, 2023
Abstract
Cov tsos mob ntawm atrial fibrillation (AF) yuav zoo ib yam li cov kab mob coronary artery (CAD), qhia txog qhov nyuaj ntawm kev kuaj mob rau cov neeg mob AF. Cov kab mob coronary angiography yuav tsis tsim nyog thiab tseem ua rau cov neeg mob muaj kev pheej hmoo ntawm post-angiographic mob raum raug mob (PC-AKI), tshwj xeeb tshaj yog rau cov neeg mob uas mob raum mob (CKD). Peb lub hom phiaj yog txhawm rau tshawb xyuas qhov kev xav pom tias muaj ntau dua ntawm PC-AKI hauv cov neeg mob atrial fibrillation teem rau coronary angiography. Cov neeg tshawb fawb suav nrog 8026 cov neeg mob uas muaj kev xaiv xaiv coronary angiography, 1621 ntawm lawv yog cov neeg mob atrial fibrillation. Hauv kev sib piv ntawm qhov muaj ntau ntawm PC-AKI hauv pawg sib txawv, peb tuaj yeem pom tias hauv ob pawg nrog CKD (CKD (ntxiv) / AF (ntxiv ) 6.24 feem pua vs. CKD (ntxiv rau ) / AF (-) 3.04 feem pua) thiab tsis muaj CKD (CKD (-) / AF (ntxiv ) 2.32 feem pua vs. -)/AF(-) 1.22 feem pua) hauv cov neeg mob AF, qhov tshwm sim ntawm lub raum tsis zoo yog ob zaug siab. Hauv peb txoj kev tshawb fawb, tom qab qhov sib txawv ntawm lub raum mob ntshav qab zib yog ob zaug ntau dua rau cov neeg mob AF, tshwj xeeb tshaj yog nyob rau hauv pab pawg neeg uas muaj kab mob raum tsis zoo uas tau teem sijhawm rau coronary angiography. Tsis tas li ntawd, xav txog cov kev tshawb pom yav dhau los uas qhia tias AF muaj feem cuam tshuam nrog cov kab mob tsis muaj zog ntawm cov hlab ntsha ntawm angiography, cov neeg mob uas muaj AF thiab CKD tuaj yeem raug cuam tshuam tsis zoo rau cov neeg ua haujlwm sib txawv thiab tuaj yeem tsim teeb meem.
Ntsiab lus
atrial fibrillation; post-contrast mob raum raug mob; mob raum mob; mob raum mob; kab mob coronary artery;Cistanche ntxiv cov txiaj ntsig.
Taw qhia
Atrial fibrillation (AF) yog arrhythmia tshaj plaws, thaum kab mob coronary artery (CAD) yog kab mob plawv feem ntau thiab tseem yog qhov ua rau tuag thoob ntiaj teb [1,2]. Ob qho xwm txheej muaj qee yam kev pheej hmoo - haus luam yeeb, rog rog, ntshav qab zib, obstructive pw tsaug zog apnea, thiab ntshav siab. Ntxiv mus, qee cov tsos mob sib tshooj, yog li AF kev nthuav qhia tuaj yeem ua tus kab mob coronary artery [3-7]. Xav txog qhov tsis muaj cov kab mob tseem ceeb cuam tshuam nrog atrial fibrillation ntawm angiography [8], qhov no ua rau muaj teeb meem hauv kev txheeb xyuas cov neeg mob atrial fibrillation rau kev kuaj mob.
Cov kab mob raum mob ntev (CKD) qhia qee yam ntawm cov kev pheej hmoo no, thiab nws qhov tshwm sim nrog atrial fibrillation tau dhau los ua ntau dua hauv cov pej xeem [9].CKD kuj tseem cuam tshuam nrog kev nce ntxiv ntawm kev mob ntshav qab zib angiography mob raum raug mob ( PCAKI). Lub pathophysiology ntawm PC-AKI tsis meej, yog li cov kev tshawb fawb tshiab yuav tsum txuas ntxiv mus tshawb txog cov ncauj lus no nrog rau cov kev tiv thaiv [10,11].
Ntau tus naj npawb ntawm coronary angiographies tej zaum yuav tsis tsim nyog lossis tseem ua rau tus neeg mob muaj kev pheej hmoo ntawm kev raug mob raum tom qab sib txawv, tshwj xeeb tshaj yog cov neeg mob raum mob ntev (CKD). Yog li ntawd, peb lub hom phiaj yog los tshawb xyuas qhov kev xav uas qhia tias muaj ntau dua ntawm kev sib txawv ntawm lub raum tsis ua haujlwm tom qab cov neeg mob nrog AF teem rau coronary angiography. Raws li pom hauv daim duab 1, pawg neeg koom nrog tau muab faib ua plaub pawg raws li hauv qab no: CKD(ntxiv) / AF (plus), CKD(ntxiv) / AF(-); CKD (-) / AF (ntxiv); CKD(-)/AF (-).
Nyem qhov no kom tau txaisCov teebmeem ntawm Cistanche rau raum
Cov ntaub ntawv thiab txoj kev
Peb tau tshuaj xyuas cov ntaub ntawv kho mob ntawm 26985 coronary angiography cov neeg mob nyob hauv tsev kho mob hauv Department of Invasive Cardiology ntawm Medical University of Białystok (Białystok, Poland) los ntawm 2007 txog 2016. Peb tsis suav cov neeg mob uas muaj tus mob chronic coronary syndrome (CCS), mob plawv mob plawv (ACS). ), thiab cov neeg uas tau txais kev cuam tshuam txog kev cuam tshuam ntawm lub plawv (PCI) lossis angiography ua ntej kev phais plawv. Dialysis thiab tsis muaj creatinine qhov tseem ceeb kuj yog cov txheej txheem cais tawm (Daim duab 1).
Daim duab 1. Kev xaiv cov neeg kawm.
Thaum kawg, peb pawg neeg tshawb fawb zaum kawg suav nrog 8026 tus neeg mob. Txhua tus neeg mob muaj. Tsis muaj coronary angiography twb muaj. Tsis-ionic radiographs uas muaj iodine thaum lub sijhawm ua haujlwm. Tus neeg sawv cev sib txawv tau siv. Tib lub tswv yim radiographic contrast prophylaxis tau siv rau txhua tus neeg mob. Coronary angiography tau ua raws li cov txheej txheem Judkins [12] Kev kuaj mob ntawm CCS thiab kev taw qhia rau PCI tau ua raws li ESC cov lus qhia tam sim no (13. Kev mob plawv mob hnyav tau txhais tias ntau dua 50 feem pua ntawm cov hlab ntsha sab laug thiab ntau dua 70. feem pua ntawm cov hlab ntsha uas tseem tshuav, qhov degree ntawm CCS tau muab cais ua ib leeg, ob npaug, lossis ntau qhov txhab.
CKD-EPI eGFR thiab qib creatinine tau raug soj ntsuam thaum nkag. Lub sij hawm PCAKI tau siv raws li qhov kev pom zoo raws li qhov sib txawv, uas tau hais txog kev siv lub sij hawm sib txawv ntawm lub raum raug mob (CI-AKI) tsuas yog tias peb tuaj yeem txiav txim siab txog kev sib raug zoo ntawm kev tswj hwm qhov sib txawv thiab mob raum raug mob, tsis yog PC. - UAS [14]. Hauv kev tshawb fawb tam sim no, PC-AKI tau txhais tias yog qhov nce hauv cov ntshav creatinine ntau dua lossis sib npaug rau 0.5 mg/dL lossis Ntau dua lossis sib npaug li 25 feem pua nce ntxiv rau cov txiaj ntsig hauv qab hauv {{1{ {13}}}} h tom qab kev cuam tshuam [15]. Tib lub tswv yim rau kev tiv thaiv kab mob radiographic sib piv tau siv rau txhua tus neeg mob - 1000 mL ntawm 0.9 feem pua NaCl tso dej rau hauv cov hlab ntsha thiab kev txiav ua ntej ntawm metformin, tsis hais txog eGFR qhov tseem ceeb [16]. Raws li qhov ntim ntawm qhov sib piv, txhua tus neeg mob tau muab ib lub ntim tshwj xeeb raws li cov txheej txheem tshwj xeeb: 40 mL rau kev kuaj mob coronary angiography thiab 55 mL rau kev kuaj mob coronary angiography nrog sab laug ventricular angiography. Qhov ntim ntawm qhov sib piv siv rau kev kuaj mob catheterization thiab PCI nyob ntawm qhov nyuaj ntawm cov txheej txheem, piv txwv li, tus naj npawb ntawm stents.
Cov pab pawg neeg ntawm cov neeg mob atrial fibrillation tau txhais tias yog ib qho kev kuaj mob uas pom tias atrial fibrillation ntawm ECG thiab / lossis tau pom nyob rau hauv cov ntaub ntawv kho mob thaum mus pw hauv tsev kho mob. Kev kuaj mob thiab kev faib tawm atrial fibrillation yog nyob ntawm tus kws kho mob tshwj xeeb kuaj mob hauv cov ntaub ntawv kho mob thiab/lossis muaj qhov sib thooj ICD-10 code [17]. Tsawg dua 1 feem pua ntawm cov ntaub ntawv tau ploj lawm thiab cov no tsis suav nrog kev tshuaj xyuas.
Kev txheeb cais
Kev faib tawm ntawm qhov sib txawv tau raug soj ntsuam los ntawm kev xeem Kolmogorov-Smirnov. Cov ntaub ntawv tau nthuav tawm raws li qhov nruab nrab thiab tus qauv sib txawv (SD). Cov txheeb ze frequencies tau siv los qhia categorical variables.
Cov tub ntxhais kawm qhov kev xeem t-test thiab Mann-Whitney xeem tau siv los sib piv seb qhov sib txawv ntawm PC-AKI cov neeg mob thiab cov neeg mob uas tsis yog PC-AKI puas tseem ceeb.
Rau qhov tsis yog ib txwm faib cov hloov pauv, peb siv Kruskal-Wallis xeem thiab cov hlau yog - Critchlow - flinger txheej txheem rau ntau qhov sib piv ob-los ntawm ob, thiab χ2 kuaj rau categorical variables.
Multivariate rov qab stepwise xaiv logistic regression tau siv los txiav txim qhov sib piv ntawm mob raum raug mob tom qab sib piv. Tus qauv suav nrog tag nrho cov kev kwv yees nrog p qhov txiaj ntsig tsawg dua 0.1 thiab tsis muaj qhov cuam tshuam ntau yam tseem ceeb. Variance inflation factor tau siv los txiav txim qhov kev sib raug zoo ntawm cov kev sib txawv ntawm kev ywj pheej thiab lub zog ntawm kev sib raug zoo. Cov ntaub ntawv tau nthuav tawm raws li kev sib piv nrog 95 feem pua ntawm kev ntseeg siab.
P-tus nqi ＜0.05 tau suav tias yog qhov sib txawv tseem ceeb. Kev txheeb xyuas software Microsoft Excel (Microsoft, version 16.40, Redmond, WA, USA, 2020) thiab XL Stat (Addinsoft, version 2020.03.01, New York, NY, USA, 2020) tau siv.
Herbal Cistanche
Tag nrho ntawm 8026 tus neeg mob tau tsim nyog rau txoj kev tshawb no, ntau tshaj li ib nrab ntawm cov txiv neej (54.06 feem pua) nrog lub hnub nyoog nruab nrab ntawm 65.26 xyoo (SD=10.14). Kev soj ntsuam cais tau ua rau cov neeg mob sib txawv raws li qhov muaj lossis tsis muaj AF thiab CKD.
Cov txiv neej feem ntau ntawm cov neeg mob PC-AKI (70). .001). Lawv feem ntau yuav muaj atrial fibrillation (37.58 feem pua (N=59) vs. 19.85 (N=1562), p < 0.001), mob raum mob (42.68 feem pua (N=67)) vs. 19.85 (N=1562), p < 0.001), qis txhais tau tias ejection feem (41.53 (SD=16.97)) vs. 50.43 (SD=13.29), p < 0.001 ), thiab kuj tseem yuav muaj qhov tseem ceeb stenosis (58.6 feem pua (N=92) vs 39.94 (N=3144), p < 0.001). Tsis tas li ntawd, cov neeg mob PC-AKI feem ntau tau kho nrog NOAC (p=0.03) thiab VKA (p=0.008) anticoagulants.
Muaj qhov sib txawv tseem ceeb hauv kev kho mob ntawm pab pawg nrog AF thiab CKD thiab pab pawg tsis muaj AF thiab CKD. Muab piv rau ob pawg CKD (ntxiv rau ) pawg, pawg AF yog ob zaug uas yuav muaj PC-AKI raws li pawg tsis-AF (6.24 feem pua (N=34)) vs. 3.04 feem pua ( N=33), p < {{20}} 001). pawg CKD(-)/AF(plus) feem ntau yuav muaj stenosis tseem ceeb dua li pawg CKD(-)/AF( CKD(-)/ AF(plus ) pab pawg muaj mob stenosis ntau dua li CKD(-)/ AF (ntxiv ) pawg (33.55 feem pua (N=361) vs. 39.3 feem pua (N=2091), p <0.001). fibrinogen thiab serum creatinine concentrations siab tshaj hauv CKD(plus)/AF( ntxiv rau ) pab pawg (p <0.001).
Hauv kev sib piv ntawm qhov muaj feem ntau ntawm PC-AKI hauv pawg sib txawv, peb tuaj yeem pom tias hauv ob pawg ntawm AF cov neeg mob nrog CKD (CKD (ntxiv) / AF (ntxiv) 6.24 feem pua vs. CKD (ntxiv rau )/AF (-) 3.04 feem pua ) thiab tsis muaj CKD (-) / AF (ntxiv ) 2.32 feem pua vs. CKD (-)/AF (-) 1.22), qhov tsis zoo ntawm lub raum ua haujlwm Qhov tshwm sim ntawm tus kab mob yog ob zaug siab dua (daim duab 2) .
Kev sib tham
Qhov xwm txheej ntawm AF tau nce hauv ob peb xyoos dhau los thiab tseem yuav nce ntxiv rau xyoo tom ntej, nrog kwv yees li 17.9 lab tus neeg mob hauv Tebchaws Europe los ntawm 2060 [4,18]. Muaj ntau yam uas txiav txim siab txog keeb kwm ntawm AF, los ntawm kev kub siab, valve tsis xws luag, ntshav qab zib mellitus, thiab hyperthyroidism mus rau lub plawv tsis ua hauj lwm thiab cov kab mob coronary artery [19,20].
Feem ntau ntawm atrial fibrillation nyob rau hauv cov neeg mob uas muaj tus kab mob coronary artery yog tsawg, txog li 5 feem pua, thaum lub sij hawm ntawm cov kab mob coronary artery nyob rau hauv cov neeg mob nrog atrial fibrillation tuaj yeem ncav cuag qhov tseem ceeb dua [21,22]. Hauv peb txoj kev tshawb fawb, qhov ntau ntawm CAD yog 37.51 feem pua hauv cov neeg mob atrial fibrillation thiab 41.01 feem pua ntawm cov neeg mob uas muaj qhov ntswg qhov ntswg. Raws li lwm cov kev tshawb fawb, daim duab no txawv ntawm 17 feem pua rau 46.5 feem pua [23-26].
Cov neeg mob nyob rau theem pib ntawm tus kab mob tau raug xa mus rau kev kuaj mob hnyav-coronary angiography vim tias qhov ua rau muaj kev cuam tshuam ntawm AF cov tsos mob tshwm sim hauv EHRA nplai, raws li cov tsos mob zoo li CAD tshwm sim [27]. Kev ntsuam xyuas kev ntxhov siab raws li ib qho kev kuaj mob uas tsis muaj kev cuam tshuam rau CAD yuav ua tsis tiav rau cov neeg mob atrial fibrillation. Pradhan et al. pom nyob rau hauv lawv txoj kev tshawb fawb tias st-segment poob thaum lub sij hawm ceev atrial fibrillation tsis tau kwv yees tias muaj obstructive coronary artery kab mob [28]. Ib qho photon emission computed tomography (SPECT) kev kuaj kev ua si kuj pom qhov raug txwv nyob rau hauv pawg neeg mob no [29]. Dobutamine stress echocardiography yog lwm txoj hauv kev zoo rau CAD [30] txawm tias nyob rau hauv cov neeg mob atrial fibrillation thiab tau pom tias muaj qhov tseeb, tab sis cov kws kho mob tsis kam ua cov kev ntsuam xyuas no rau cov neeg mob paroxysmal atrial fibrillation vim lawv paub tias cov neeg mob paroxysmal atrial fibrillation. tuaj yeem ua rau atrial fibrillation ntu. Tsis tas li ntawd, CT scans xav tau lub plawv dhia qeeb, uas yuav luag tsis yooj yim rau cov neeg mob AF. Yog li ntawd, muab tag nrho cov kev txwv ntawm lwm txoj kev kuaj mob, coronary angiography tseem yog qhov kev xaiv, txawm tias muaj peev xwm ua rau muaj teeb meem.
Ib qho teeb meem tshwm sim tom qab coronary angiography yog tom qab qhov sib txawv ntawm lub raum raug mob (PC-AKI), thiab cov neeg mob CKD paub tias muaj kev pheej hmoo siab dua ntawm qhov tshwm sim tsis zoo [31]. Ntxiv nrog rau qhov kev koom tes no, kev txhim kho ntawm PC-AKI tuaj yeem ua rau muaj kev txhim kho ntawm cov kab mob hauv lub raum ntev thiab kwv yees cov txiaj ntsig tsis zoo hauv cov neeg mob uas raug cuam tshuam los ntawm percutaneous coronary intervention rau mob coronary syndromes [7,32]. Hais txog qhov tsis zoo rau lub sijhawm ntev ntawm PC-AKI, cov kev xav tau muaj kev tsis sib haum xeeb vim qhov tsis muaj kev cuam tshuam ncaj qha hauv txoj kev tshawb no, tab sis kev tuag ntau ntxiv, kev mob raum mob ntev, thiab lub raum tsis ua haujlwm tau pom [11]. Ntxiv rau CKD, yam uas ua rau muaj qhov sib txawv ntawm lub raum raug mob muaj xws li hnub nyoog laus, hemodynamic instability, congestive plawv tsis ua hauj lwm, ntshav qab zib mellitus, anemia, thiab sib piv volume [10,33]. Tsis tas li ntawd, cov kws tshawb fawb tab tom nrhiav cov cim uas tuaj yeem kuaj xyuas PC-AKI thaum ntxov thiab siv cov tswv yim kho mob uas tsim nyog uas tuaj yeem txhim kho cov txiaj ntsig kho mob. Kev tshuaj ntsuam meta tsis ntev los no los ntawm Li et al. qhia tau tias BNP lossis NT-proBNP muaj qhov kev kwv yees siv tau hauv kev txheeb xyuas qhov mob raum mob [34]. kev kawm los ntawm Chen et al. tau pom tias ntev-chain tsis-coding RNA -HILPDA thiab - PRND tej zaum yuav yog cov tshiab biomarkers rau thaj av no nrog 100 feem pua rhiab heev thiab 83.93 feem pua ntawm qhov tshwj xeeb [35].
Cistanche hmoov
Ntau qhov kev tshawb fawb loj ntawm cov pej xeem tau pom tsis tu ncua ntau dua ntawm atrial fibrillation hauv cov neeg mob CKD dua li cov neeg mob uas tsis muaj kab mob raum [36]. Xav txog qhov no, nws tuaj yeem xav tias cov neeg mob uas muaj cov kab mob sib kis no tuaj yeem yog pawg neeg muaj kev pheej hmoo siab rau kev raug mob raum tom qab sib txawv. Qhov no tau tshwm sim hauv peb qhov kev soj ntsuam, qhov twg PCAKI tau ncaj qha cuam tshuam nrog qhov tshwm sim ntawm AF, CKD, CAD, mob plawv tsis ua haujlwm, thiab cov txiv neej. Xav txog cov txiaj ntsig no, nws tseem ceeb heev uas yuav tsum tau ceev faj kom tsis txhob muaj kev puas tsuaj rau lub raum hauv cov neeg mob uas xav tau coronary angiography [37,38].
Cov txheej txheem muaj peev xwm uas tuaj yeem ua rau kev txhim kho ntawm qhov sib txawv nephropathy hauv cov neeg mob uas muaj AF tuaj yeem suav nrog kev hloov pauv hemodynamic vim sedation thaum lub sijhawm ua haujlwm, kev poob siab atrial, lwm yam mob hnyav, thiab hypovolemia hauv lub xeev yoo mov uas tuaj yeem ua rau lub raum hypoperfusion [39, 4 0]. Mechanical atrial shock tej zaum yuav cuam tshuam nrog qhov tsis muaj kev txhim kho tam sim ntawm lub plawv tso zis tom qab PCI thiab tej zaum yuav yog qhov ua rau txo qis rau lub raum perfusion [41]. Tsis tas li ntawd, cov ntshav ntim yuav tsum tau ua kom zoo ua ntej PCI nrog kev txiav txim siab ntawm kev siv cov tshuaj diuretics kom tsis txhob hypovolemia lossis, yog tias ua tau, kev txiav cov tshuaj diuretics zoo dua. Lub xub ntiag ntawm CKD yog qhov paub txog kev pheej hmoo rau AKI; Txawm li cas los xij, qhov kev sib raug zoo no nyuaj rau kev ntsuam xyuas vim muaj ntau yam tsis meej pem [42]. Microthromboembolism tau xav tias ua lub luag haujlwm hauv CKD thiab kev paub tsis meej [43]. Qhov no kuj tseem yuav cuam tshuam nrog AKI. Hauv kev tshawb fawb tsis ntev los no, Wang et al. [44] luam tawm qhov xwm txheej thiab muaj feem cuam tshuam ntawm kev mus pw hauv tsev kho mob rau atrial fibrillation hauv cov neeg mob hauv tsev kho mob AKI. Lawv pom tias qhov kuaj pom tus nqi hauv tsev kho mob AKI hauv Suav cov neeg mob atrial fibrillation yog 8.0 feem pua. Cov xwm txheej txaus ntshai rau tsev kho mob AKI hauv cov neeg no yog hnub nyoog (nce txhua txhua 10 xyoo), kev siv tshuaj diuretic preadmission, thiab cov hauv paus hemoglobin (txo txhua 20 g / L).
Tsis tas li ntawd, Harel et al. [45] ntsuas qhov kev pheej hmoo ntawm AKI hauv cov neeg laus laus dua 66 xyoo nrog atrial fibrillation hauv kev tshawb fawb tsis ntev los no ntawm cov pej xeem ntawm 20,683 tus neeg mob sab nraud hauv Ontario, Canada, nrog cov tshuaj tshiab DOAC (dabigatran, rivaroxaban lossis apixaban) piv nrog warfarin. Lawv tau xav txog ntau lub tswv yim ntawm anticoagulant-induced AKI, xws li los ntshav ua rau hypotension, mob interstitial nephritis, thiab anticoagulant-associated nephropathy (ib kab mob sib kho los ntawm glomerular los ntshav ua rau tsim ib qho kev cuam tshuam ntawm cov qe ntshav liab hauv cov tubules distal thiab. Kev puas tsuaj dawb radical tshwm sim los ntawm lysed cov qe ntshav liab ntawm anticoagulation hypnotherapeutic qib [46,47]. Txawm li cas los xij, vim kev tshawb xyuas rov qab, peb tsis tuaj yeem tsim kom muaj kev sib raug zoo ntawm AKI / CKD thiab AF txoj kev kho. Lawv tau hais tias nws tshwm sim feem ntau hauv cov AKI uas twb muaj ntau yam txaus ntshai (xws li CKD, kab mob plawv, thiab ntshav qab zib), piv txwv li, AKI yog ntau yam. tau ua tiav, thiab nephrologists ib txwm tsis kam xav txog lub raum biopsies hauv cov neeg mob anticoagulated vim tias muaj kev pheej hmoo los ntshav ntau dua. Cov txheej txheem muaj peev xwm no tsuas yog kwv yees raws li cov ntaub ntawv soj ntsuam thiab xav tau kev kawm ntxiv. Cov txheej txheem zoo sib xws uas tsis yog cov neeg sawv cev sib txawv tuaj yeem cuam tshuam qhov kev ua haujlwm ntawm lub raum tsis zoo tom qab DC thim rov qab [49].
Zuag qhia tag nrho, coronary angiography yog txoj hauv kev zoo tshaj plaws los ntsuas cov hlab plawv, tshwj xeeb tshaj yog rau cov neeg mob uas mob plawv. Hauv ib qho ntawm peb cov kev tshawb fawb yav dhau los, peb tau pom tias muaj coob tus neeg mob atrial fibrillation tsis muaj qhov tseem ceeb ntawm coronary stenosis ntawm coronary angiography [50]. Hauv kev tshuaj xyuas tam sim no, 62.49 feem pua ntawm cov neeg mob uas muaj atrial fibrillation pom tias tsis muaj kev cuam tshuam cov hlab ntsha ntawm cov hlab ntsha ntawm angiography. Xav tias muaj ntau cov tsos mob ntawm cov kab mob plawv thiab atrial fibrillation sib tshooj, nws yog ib qho tseem ceeb uas yuav tau siv txhua txoj kev uas tsis yog kev tawm tsam kom sib txawv. Nyob rau hauv txoj kev no, kev faib ua feem ntawm cov neeg mob atrial fibrillation nrog unremarkable coronary angiography yuav raug txo, thiab yog li ntawd tus nqi ntawm PC-AKI yuav raug txo.
Standardized Cistanche
Cov lus xaus
Hauv peb txoj kev tshawb fawb, tom qab qhov sib txawv ntawm lub raum mob ntshav qab zib yog ob zaug ntau dua nyob rau hauv cov neeg mob uas muaj atrial fibrillation, tshwj xeeb tshaj yog nyob rau hauv pab pawg neeg uas muaj kab mob raum ntev tau teem sijhawm rau coronary angiography. Tsis tas li ntawd, txiav txim siab qhov kev tshawb pom yav dhau los qhia tias AF muaj feem cuam tshuam nrog cov kab mob uas tsis muaj kev cuam tshuam ntawm cov hlab ntsha ntawm angiography, cov neeg mob AF thiab CKD yuav tsis tsim nyog rau qhov sib txawv thiab tuaj yeem tsim teeb meem.
Cistancheyog cov nroj tsuag suab puam uas tau siv rau hauv cov tshuaj suav tshuaj rau ntau pua xyoo vim nws cov txiaj ntsig kev noj qab haus huv. Ib qho ntawm cov chaw tseem ceeb uas Cistanche xav tias muaj txiaj ntsig zoo yog rau lub raum. Hauv tsab xov xwm no, peb yuav tshawb txog ntau txoj hauv kev uas Cistanche cuam tshuam rau ob lub raum thiab yuav ua li cas thiaj li muaj txiaj ntsig zoo rau cov neeg muaj mob raum.
Ib qho txiaj ntsig tseem ceeb ntawm Cistanche ntawm lub raum yog nws lub peev xwm los txhim kho lub raum ua haujlwm. Qhov no tau pom nyob rau hauv ntau qhov kev tshawb fawb uas cov neeg mob raum tau txais cov tshuaj Cistanche. Cov txiaj ntsig tau pom tias Cistanche pab txo qhov mob, txhim kho cov ntshav khiav mus rau ob lub raum, thiab ua kom cov khoom pov tseg ntawm lub cev.
REFERENCES
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Łukasz Koj1, Anna Tomaszuk-Kazberuk2, Anna Kurasz1, Małgorzata Zalewska-Adamiec1, Hanna Bachórzewska-Gajewska1,3, Sławomir Dobrzycki1, Marlena Kwiatkowska4thiab Jolanta Małyszko4,
1. Department of Invasive Cardiology, Medical University of Bialystok, 24A Sklodowskiej-Curie St., 15276 Bialystok, Poland; kuzma.lukasz@gmail.com (Ł.K.); annaxkurasz@gmail.com (AK); mzalewska5@wp.pl (MZ-A.); hgajewska@op.pl (HB-G.); slawek_dobrzycki@yahoo.com (SD)
2. Department of Cardiology, Medical University of Bialystok, 24A Sklodowskiej-Curie St., 15276 Bialystok, Poland; a.tomaszuk@poczta.fm
3. Department of Clinical Medicine, Medical University of Bialystok, 24A Sklodowskiej-Curie St., 15276 Bialystok, Poland
4. Department of Nephrology, Dialysis and Internal Disease, Medical University of Warsaw, 1A Banacha St., 02097 Warsaw, Poland; marlenakwiatko@gmail.com
