まとめ
重篤な心室外皮をはじめとする心律不整症は,急性脳血管事故 (CVA),特に前回循環に影響を与える脳血管事故 (CVA) の後によく見られる. ダイナミックなEKGモニタリングは,潜在的な治療的介入のためにこれらのイベントを検出することができます.
科学分野:
- 心臓病学 心臓病学
- 神経学 神経学とは
- クリティカルケア・メディシン
背景:
- 心律失調症は,急性脳血管事故 (CVA) の後の既知の合併症です.
- CVAの急性期における不律症の発生率と特定のタイプについては,さらなる解明が必要である.
研究 の 目的:
- 脳血管事故後の急性期間の患者における心律乱の発生率と重症度を決定する.
- 選択手術を受けた対照群とCVA患者における心律不全の発生を比較する.
主な方法:
- 30人の急性心筋梗塞患者の脳卒中の集中治療室で,24時間のダイナミックなEKGを記録した.
- また,白内障手術のために入院した20人の患者からなる対照群は,24時間のダイナミックなECGモニタリングを受けていました.
主要な成果:
- 15人のCVA患者 (50%) が重度の心室内外皮を体験し,対照群では3人 (15%) であった.
- 静脈動脈動脈不全,静脈動脈動脈不全,完全心房閉塞,アシストリアなどの重度の不律は,それぞれ2人の心筋梗塞患者で発生し,いずれも前循環の心筋梗塞を伴う.
結論:
- 心律不全は,急性CVAの患者に頻繁に見られ,前回循環が関わる患者に発生率が高くなります.
- ダイナミックなEKGモニタリングは,急性CVA患者における不律の検出に有用であり,治療決定に役立ちます.
関連する概念動画
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Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
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