昏迷试验的随机评估:传统的诊断测试与长期监测策略相比
1Division of Cardiology, University of Western Ontario, London, Ontario, Canada.
Circulation
|July 4, 2001
概括
使用植入式循环记录器进行长时间的监测比传统测试更有效地诊断出无法解释的昏迷. 建议尽早使用这种监测策略,以获得更好的诊断产量.
科学领域:
- 心脏病学 心脏病学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 诊断无法解释的昏迷是具有挑战性的,因为罕见和不可预测的事件.
- 传统的测试方法在捕捉这些短暂的情节方面存在局限性.
研究的目的:
- 为了比较长时间监测与常规测试在患有不明原因昏迷的患者的诊断产量.
主要方法:
- 60名患有不明原因昏迷的患者被随机分配到长期监测 (植入式循环记录器) 或常规测试 (外部循环记录器,倾斜和电生理学测试).
- 仍然未被诊断的患者可以跨越到替代策略.
主要成果:
- 长期监测在52%的患者中实现了诊断,而传统检测为20% (P=0.012).
- 总体而言,长期监测在55%的患者中产生了诊断,而在传统测试中只有19% (P=0.0014).
- 长期监测组中更频繁地检测出胸 (40%与8%相比).
结论:
- 长时间的监测策略显著增加了诊断不明原因的可能性.
- 应考虑较早实施长期监测,以改善诊断结果.
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