焦点中的心律失常:一项前性的长期研究
Fergus J Rugg-Gunn1, Robert J Simister, Mark Squirrell
1National Society for Epilepsy and Department of Clinical and Experimental Epilepsy, Institute of Neurology, University College London, London, UK.
Lancet (London, England)
|December 22, 2004
概括
中突然的意外死亡可能是由心律失常引起的,如心血管硬化. 持续的心电图 (ECG) 监测揭示了高风险患者在发作期间发生的显著心脏事件.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 的研究研究.
背景情况:
- 患有的患者面临突然意外死亡的风险,可能是由于神经性心律失常.
- 电心电图 (ECG) 提供了一种监测心脏功能的方法,植入式循环记录器可提供长达18个月的延长监测.
研究的目的:
- 为了确定心律失常的频率,在经历过耐火焦点发作的患者在延长的监测期间.
主要方法:
- 在英国,使用植入式循环记录器监测了20名耐火焦发作患者.
- 设备被编程以检测胸 (<40次/分钟) 或低心率 (>140次/分钟) 并允许在发作期间手动启动心电图记录.
- 分析了ECG数据,并与患者24个月的日记相关联.
主要成果:
- 监测了超过22万个患者小时,在377次发作中捕获了心电图.
- 在16名患者的习惯性发作期间,心率的中位数超过了每分钟100次.
- 2.1%的事件 (7名患者),21%的患者患有胸或心,需要在4名患者中插入起器,其中3名患者患有潜在的致命心.
结论:
- 患者的周期性心脏异常与突然意外死亡风险最高的人具有共同的特征.
- 失血可能是许多相关死亡的重要因素,影响患者的调查和心脏节奏策略.
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