Exposure to Low-Dose Ionizing Radiation From Cardiac Procedures in Patients With Congenital Heart Disease 15-Year Data From a Population-Based Longitudinal Cohort
Exposure to Low-Dose Ionizing Radiation From Cardiac Procedures in Patients With Congenital Heart Disease 15-Year Data From a Population-Based Longitudinal Cohort
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DOI：
10.1161/circulationaha.115.019137
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发表时间：
2016-01-05
期刊：
影响因子：
37.8
通讯作者：
Marelli, Ariane J.
中科院分区：
文献类型：
--
作者：
Ladouceur, Virginie Beausejour;Lawler, Patrick R.;Marelli, Ariane J.
背景：先天性心脏病（CHD）患者在医疗过程中低剂量电离辐射（LDIR）暴露的负担尚不清楚。在这项以人群为基础的纵向研究中，我们试图确定儿童和成人冠心病患者暴露于ldir相关的心脏成像和治疗方法。方法和结果在对魁北克冠心病数据库的分析中，记录了接受以下ldir相关心脏手术的情况：基于导管的诊断手术、结构性心脏干预、冠状动脉干预、胸部计算机断层扫描、核手术、起搏器/植入式心律转复除颤器的插入和修复。从1990年到2005年，共有16 253例暴露于ldir的冠心病患者，随访时间为317 988患者年。ldir相关手术的总数从每年每1000名冠心病患者18.5例增加到51.9例(P
Background The burden of low-dose ionizing radiation (LDIR) exposure from medical procedures among individuals with congenital heart disease (CHD) is unknown. In this longitudinal population-based study, we sought to determine exposure to LDIR-related cardiac imaging and therapeutic procedures in children and adults with CHD.Methods and Results In an analysis of the Quebec CHD database, exposure to the following LDIR-related cardiac procedures was recorded: catheter-based diagnostic procedures, structural heart interventions, coronary interventions, computed tomography scans of the chest, nuclear procedures, and pacemaker/implantable cardioverter-defibrillator insertion and repair. From 1990 to 2005, there were 16 253 LDIR-exposed patients with CHD with 317 988 patient-years of available follow-up. The total number of LDIR-related procedures increased from 18.5 to 51.9 per 1000 CHD patients per year (P