患有传染性内心炎的住院患者中超短心率变化指数的预后影响
Shay Perek1,2,3, Udi Nussinovitch4,5, Neta Sagi6
1Department of Internal Medicine A, Rambam Health Care Campus, Haifa, Israel.
PloS one
|June 23, 2023
概括
超短心率变化 (HRV) 可以预测感染性内心炎 (IE) 的结果. 低RMSSD和SDNN值表明IE患者转移性感染,葡萄球菌感染和死亡率的风险更高.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 临床研究 临床研究
背景情况:
- 传染性内心炎 (IE) 是一种严重的疾病,需要早期风险分层.
- 识别高风险患者对于及时有效治疗至关重要.
- 心率变化 (HRV),反映了神经活动,是潜在的预后标志物.
研究的目的:
- 评估感染性内心炎 (IE) 患者中超短心率变化 (HRV) 的预后值.
- 确定HRV参数是否可以预测IE的临床特征和严重并发症.
- 评估HRV对患者结果的预测准确度.
主要方法:
- 从第三级医院成年IE患者的回顾性分析.
- 后勤回归 (LR) 和考克斯回归用于分析临床,实验室和HRV参数.
- 主要的HRV指数,包括SDNN和RMSSD,是从超短的心电图记录中计算出来的.
主要成果:
- 与规范值相比,患者的SDNN和RMSSD显著降低.
- 低RMSSD (<7.03ms) 预测转移性感染 (aOR 9.340,p=0.002) 的AUC为0.833.33.
- 低SDNN (<4.92ms) 预测了葡萄球菌IE (aOR 5.235,p=0.004) 的AUC为0.741;RMSSD预测了生存率 (HR 1.008,p=0.012).
结论:
- 超短HRV指数,特别是SDNN和RMSSD,在IE中提供了有价值的预后信息.
- 这些HRV措施可以帮助识别患有并发症和死亡风险较高的患者.
- 从简短的心电图记录中进行的HRV分析为IE患者管理提供了一个有前途的工具.
更多相关视频
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
24.3K
08:12Calculating Heart Rate Variability from ECG Data from Youth with Cerebral Palsy During Active Video Game Sessions
Published on: June 5, 2019
19.9K
相关概念视频
01:25Endocarditis II: Clinical Features of Infective Endocarditis
14
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
14
01:29Endocarditis IV: Nursing Management
16
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
16
01:25Endocarditis I: Introduction
13
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
13
01:18Endocarditis III: Medical Management
8
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
8
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
01:27Myocarditis II: Clinical Features and Diagnostic Tests
12
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
12