测量体温及其对急性心肌梗塞患者的影响
Shih-Hao Chen1, Hung-Chieh Chang1, Po-Wei Chiu1
1Department of Emergency Medicine, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan, 70403, Taiwan.
BMC cardiovascular disorders
|August 4, 2023
概括
入院后的体温没有显著影响急性心肌梗塞患者的住院心脏骤停或不良事件. 需要进一步的研究,以了解这些患者体温和临床表现之间的联系.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 紧急医疗 紧急医疗
背景情况:
- 发烧是急性心肌梗塞 (MI) 后的一个已知的并发症.
- 身体温度 (BT) 抵达医院时对急性心脏病发作的影响仍未得到充分研究.
研究的目的:
- 研究医院入院时的体温与医院内心脏骤停 (IHCA) 与急性心脏病发作患者的不良事件之间的关联.
主要方法:
- 在急诊室 (ED) 诊断出急性心脏病发作的440名患者的队列根据耳温度进行分类:正常热 (35.5°C-37.5°C),低温 (<35.5°C) 或高温 (>37.5°C).
- 主要结局是IHCA;次要结局包括不良事件.
- 统计学意义被设定为p<0.05.
主要成果:
- 在常温,低温和高温组之间没有观察到IHCA率 (7.6%与14.8%与11.4%,p=0.323) 或整体不良事件 (50.9%与48.1%与63.6%,p=0.258) 的显著差异.
- 呼吸速率,心率,ST-升高MI存在,心脏导管率,托洛T水平,以及ICU和住院时间在不同温度组之间存在显著差异.
- 多变量分析证实,分拣BT和IHCA之间没有显著的关联,也没有重大并发症.
结论:
- 在急性心肌梗塞患者的分离体温似乎与住院心脏骤停或不良事件没有显著的关联.
- 温度组之间的临床特征观察到的差异表明,分类BT可能与患者表现相关,需要进一步调查.
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