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心率变化的预测作用在下大脑关节下出血:一个系统的审查

Sanket Agrawal¹, Kristof Nijs¹, Sudhakar Subramaniam²

¹Department of Anesthesia and Pain Medicine, Toronto Western Hospital, Toronto, Canada.

Journal of clinical monitoring and computing

|June 19, 2023

概括

心率变化 (HRV) 的变化预测了动脉瘤下关节出血 (aSAH) 的不良结果. 早期HRV监测可能有助于识别患有aSAH后神经心脏病发作并发症和不良神经结果的患者.

科学领域:

神经学神经学
心脏病学心脏病学
生物医学工程生物医学工程

背景情况:

脑下关节下出血 (SAH) 是一种严重的神经疾病,患病率和死亡率很高.
心率变化 (HRV) 提供了对自主神经系统活动的非侵入性评估.
对于动脉瘤下arachnoid出血 (aSAH) 结果的HRV的预测值需要进一步调查.

研究的目的:

系统地审查和分析SAH患者早期HRV变化.
评估HRV作为aSAH临床结果的预测指标的可靠性.
探索HRV指数与SAH后并发症之间的相关性.

主要方法:

对10篇文章的系统综述,重点关注SAH患者早期HRV变化.
时间和频率域HRV指数的深入分析.
检查与并发症有关的LF/HF比率.

主要成果:

早期HRV指数的变化与神经心血管性并发症相关.
HRV变化与SAH患者的神经学结果不佳有关.
肺/肺比显示与神经和心血管并发症有相关性.

结论:

早期HRV变化与SAH的不良结果和并发症有关.
腰带/心血管频率比率是SAH后神经和心血管问题的潜在指标.
需要进一步进行大规模的前性研究,以确定在aSAH管理中使用HRV的最终建议.

关键词:

自主性的功能障碍.复杂性复杂性复杂性心率变化心率的变化.预测器预测器甲状腺下下垂体出血

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