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相关概念视频

Pulse rhythm01:30

Pulse rhythm

848
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Holter Monitor: 24-Hour Monitoring01:23

Holter Monitor: 24-Hour Monitoring

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
12
Ischemic Heart Disease: Overview01:17

Ischemic Heart Disease: Overview

1.3K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
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Dysrhythmias V: Evaluating Dysrhythmias01:30

Dysrhythmias V: Evaluating Dysrhythmias

42
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
42
Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

15
Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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强化心律监测以减少缺血性中风和全身血栓塞-Find-AF 2研究-理性和设计.

Tobias Uhe1, Katrin Wasser2, Mark Weber-Krüger3

  • 1Department of Cardiology, University Hospital Leipzig, Leipzig, Germany.

American heart journal
|July 8, 2023
PubMed
概括

这项研究调查了加强心律监测,导致口服抗凝剂 (OAC),是否可以减少由心房动 (AF) 引起的复发性中风. 加强监测旨在改善中风患者的心血管栓塞预防.

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科学领域:

  • 心脏病学 心脏病学
  • 神经学 神经学
  • 临床试验 临床试验

背景情况:

  • 心房动 (AF) 是中风的主要原因.
  • 长期监测检测到更多的AF病例,但其对预防复发性心血管栓塞的影响尚不清楚.
  • 口服抗凝剂 (OAC) 是AF相关中风预防的关键治疗方法.

研究的目的:

  • 评估风险调整,加强心律监测和随后的OAC治疗是否可以减少复发性心血管栓塞.
  • 为了比较加强监测策略与标准护理在预防二次中风.

主要方法:

  • Find-AF 2试验是一个随机的,受控的多中心试验,涉及5,200名年龄≥60岁的近期缺血性中风患者,没有已知的AF.
  • 患者随机分配到增强的,长时间的心电图监测 (包括高风险个体的植入式心脏监测器) 或标准监测.
  • 主要终点是复发性缺血性中风或全身血栓塞的时间,随访时间至少为24个月.

主要成果:

  • 这个部分不在所提供的摘要中.

结论:

  • 在Find-AF 2试验假设,增强,长时间的节律监测将导致更有效的预防复发性缺血性中风和全身血栓塞与通常护理相比.