电心电图前部QRS-T角度与恐慌障碍独立相关
1Department of Cardiology, Elazig Fethi Sekin Sehir Hastanesi, Elazig, Turkey.
International journal of psychiatry in medicine
|June 21, 2023
概括
恐慌症 (PD) 与心脏电气异常有关,如异常的P波轴和碎片化的QRS. 这些发现表明,PD患者可能需要定期对心律失常风险进行心电图监测.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 医学心电病学 医学心电病学
背景情况:
- 恐慌症 (PD) 与心脏电力异常有关,可能会增加严重心律失常的风险.
- 几种心电图 (ECG) 参数,包括异常的P波轴 (aPwa),碎片化的QRS (fQRS),宽正面QRS-T角度 (fQRSTa),校正的QRS持续时间 (QRSdc) 和log/logQRS/RR比率,是一般人群中心律失常风险的指标.
研究的目的:
- 通过心电图在被诊断为PD的患者中比较特定的心房和心室心律不整指标与健康个体.
主要方法:
- 169名新诊断的PD患者和128名健康对照人接受了心电图.
- 测量了包括aPwa,fQRSTa,fQRS,QRSdc和log/logQRS/RR在内的心电学参数,并在各组之间进行了比较.
- 恐慌和恐惧场景尺度 (PAS) 用于评估PD的严重程度.
主要成果:
- 与健康对照组相比,患有PD的患者表现出aPwa,fQRS,fQRSTa,QRSdc和log/logQRS/RR的显著更高的比率.
- 更广泛的fQRSTa,增加的fQRS导数,更广泛的QRSdc和更高的log/logQRS/RR比率与更高的PAS分数有显著的相关性.
- 后勤回归确定了fQRSTa和fQRS总数作为PD的独立预测因素.
结论:
- 未经治疗的PD与显著的ECG异常有关,包括更广泛的fQRSTa,QRSdc,log/logQRS/RR,异常的aPwa,以及fQRS的存在.
- 这些心电图发现表明,在PD患者中,心室上和心室心律不整的易感性增加.
- 由于潜在的心律失常风险,建议在治疗PD患者时进行例行心电图监测.
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