增加了运动透气血压作为缺血左心室功能障碍的指标
Lancet (London, England)
|April 13, 1991
概括
在运动测试期间,静脉压升高可能表明冠状动脉疾病. 这种异常反应可以识别高风险患者,否则可能会得到假阴性结果.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
背景情况:
- 胸痛和心肌梗塞 (MI) 的评估通常包括运动测试.
- 在运动压力测试期间的异常反应可以表明潜在的心血管问题.
研究的目的:
- 调查在怀疑或最近心肌梗塞的患者的运动测试中扩张性血压 (DBP) 升高的意义.
- 为了确定异常的DBP反应是否与冠状动脉疾病有关,并影响干预后的心脏功能.
主要方法:
- 对541名患者进行分析,这些患者接受了针对胸部疼痛或后心脏病的限症状跑步机测试.
- DBP反应与心电图 (ECG) 缺血和冠状动脉血管学发现的相关性.
- 在冠状动脉旁路手术 (CABG) 后对左心室喷射率 (LVEF) 变化的评估,基于术后的DBP反应.
主要成果:
- 16.8%的患者 (91/541) 在运动期间表现出DBP>15毫米升.
- 在那些有异常DBP反应的人中,24人有显著的冠状动脉狭窄 (≥70%在≥2个血管中),尽管在心电图上没有显著的ST抑郁.
- 术后DBP反应正常的患者在CABG后表现出改善的LVEF,与持久异常DBP反应患者不同.
结论:
- 运动期间DBP异常升高可能是显著冠状动脉疾病的标志物,特别是在患有非诊断性心电图变化的患者中.
- 这种异常反应可以识别心肌梗塞高风险患者,否则可能会被低估.
- 对运动的DBP反应是一种潜在的有价值的,心脏缺血和预后的非侵入性指标.
更多相关视频
04:20Integration of Brain Tissue Saturation Monitoring in Cardiopulmonary Exercise Testing in Patients with Heart Failure
Published on: October 1, 2019
08:35Oxygenation-sensitive Cardiac MRI with Vasoactive Breathing Maneuvers for the Non-invasive Assessment of Coronary Microvascular Dysfunction
Published on: August 17, 2022
相关概念视频
Equipments Used To Measure Blood Pressure
Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Assessing Blood pressure in the Leg
Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
Preparation:
Preparation:
Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Imbalances in Cardiac Output
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
Measurement of Blood Pressure
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a stethoscope.
Exercise Stress Test
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
