在怀疑血管昏的情况下,用下舌甘强化短时间的头向上倾斜测试:意大利快速协议
Vincenzo Russo1, Erika Parente1, Marco Tomaino2
1Cardiology and Syncope Unit, Department of Translational Medical Sciences, University of Campania 'Luigi Vanvitelli'-Monaldi Hospital, Piazzale E. Ruggeri, 80126 Naples, Italy.
European heart journal
|June 2, 2023
概括
使用甘 (NTG) 的更快的头向上倾斜测试 (HUTT) 与诊断血管的传统方法同样有效. 这种较短的协议可以提高临床效用,而不会影响诊断准确度.
科学领域:
- 心脏病学 心脏病学
- 临床试验 临床试验
- 诊断方法 诊断方法
背景情况:
- 传统的酸甘 (NTG) 头向上倾斜试验 (HUTT) 是漫长的,限制了其临床应用.
- 研究了一种较短的方案,以评估其与传统的HUTT.T.相比的非劣势性.
研究的目的:
- 为了比较快速HUTT协议与传统协议的诊断疗效和血液动力学反应.
- 为了确定缩短的HUTT是否是一种可行的替代方案来诊断血管.
主要方法:
- 这是一项随机对照试验,涉及554名疑似患有血管昏的患者.
- 患者被分配到快速 (10 分钟被动 + 10 分钟NTG) 或传统 (20 分钟被动 + 15 分钟NTG) HUTT 协议中.
- 阳性反应定义为同诱导与低血压/心.
主要成果:
- 快速HUTT协议的阳性率为60.3%,而传统协议的阳性率为58.5%,表明非劣势.
- 在快速组 (14.8%对20.6%) 观察到较小的血管抑制反应趋势,在被动阶段显著 (P=0.01).
结论:
- 快速的HUTT协议显示了与传统协议相似的诊断价值.
- 缩短的协议可以有效地用作临床实践中传统HUTT的替代品.
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