一个新的诊断工具的旧诊断工具:住院的霍尔特心电图除了昏迷或中风之外的其他条件
Ophir Freund1, Inbar Caspi2, Idan Alcalay2
1Internal Medicine B, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel Aviv University, Wizman 6, Tel Aviv, Israel. ophir068@gmail.com.
Scientific reports
|August 2, 2023
概括
住院的霍尔特心电图 (ECG) 有效地诊断了除了中风和昏迷之外的内科病人的心律失常. 诊断结果在昏迷前,心和心力衰竭恶化方面是最高的.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 诊断工具 诊断工具 诊断工具
背景情况:
- 霍尔特心电图 (ECG) 对于诊断心律失常至关重要.
- 目前的住院治疗仅限于对中风和昏迷的评估.
- 它在更广泛的内部医学环境中的实用性尚未得到充分探索.
研究的目的:
- 评估住院患者霍尔特心电图对内科患者的诊断价值,这些患者患有除中风或昏迷以外的疾病.
- 为了确定患者群体和与诊断Holter发现相关的临床因素.
主要方法:
- 对289名住院患者进行24小时霍尔特心电图 (2018-2021) 的回顾性分析.
- 主要结局:诊断的霍尔特记录导致治疗的改变.
- 确定了诊断产量的独立预测因素.
主要成果:
- 整体诊断收益率为13% (39/289) 对于非中风/症状.
- 在心前 (19%),心 (18%) 和心力衰竭恶化 (17%) 观察到的最高诊断收益率.
- 胸部疼痛的低收益率 (5%);预测因素包括心力衰竭与保存的射出分数和基线心电图异常 (捆绑分支阻断,AV阻断).
结论:
- 住院霍尔特心电图为精选的内科患者提供诊断价值.
- 考虑霍尔特监测前昏迷,心,以及无法解释的呼吸困难/心力衰竭恶化.
- 基线心电图发现可以帮助预测诊断霍尔特功效.
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