诱导神经介导的昏迷与腺素
S Mittal1, K M Stein, S M Markowitz
1Department of Medicine, Division of Cardiology, New York Hospital-Cornell University Medical Center, New York, NY, USA.
Circulation
|March 17, 1999
概括
腺素有效诱导神经介导的昏迷,与常规倾斜测试相匹配.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 神经介导性的诊断依赖于倾斜测试.
- 目前的倾斜测试方法在灵敏度和持续时间方面存在局限性.
- 腺素的同情效应可能有助于诱导昏迷.
研究的目的:
- 评估腺素作为常规倾斜测试的潜在替代品,用于诊断神经介导.
- 将腺倾斜测试的诊断产量与标准倾斜测试协议进行比较.
主要方法:
- 两个协议将腺倾斜测试与异二醇倾斜测试和常规倾斜测试进行了比较.
- 微神经图评估了在腺和异二醇的使用期间的同情激活.
主要成果:
- 腺素倾斜测试显示了与异二醇和常规倾斜测试 (分别为10%与8%和19%与22%) 的可比的诊断产量.
- 一些患者的积极反应需要在阴性腺测试后使用异二醇.
- 微神经图显示,对腺和异二醇的同情反应不同.
结论:
- 腺素有效诱导神经介导的昏迷,其诊断产量与常规倾斜测试相似.
- 腺和异二醇可能具有互补的作用,这表明组合协议.
- 如果需要,最初的腺倾斜,然后是异二醇,可以提高诊断产量并减少测试持续时间.
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