心率和心率变化作为心脏骤停后功能结果的预后特征:一个范围审查
Soon Bin Kwon1, Murad Megjhani1, Daniel Nametz1
1Program for Hospital and Intensive Care Informatics, Department of Neurology, Columbia University Vagelos College of Physicians and Surgeons, USA.
Resuscitation plus
|August 30, 2023
概括
较低的心率 (HR) 和更高的心率变化 (HRV) 复杂性预测心脏骤停幸存者更好的结果. 虽然这些心电图学特征显示出希望,但它们对预后的临床实用性需要进一步调查.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 关键护理医学 关键护理医学
背景情况:
- 尽管在复苏和停顿后护理方面取得了进展,但医院外突然心脏骤停患者的良好结果仍然很低.
- 停止维持生命治疗是死亡的一个重要因素.
- 需要精确的预后工具来指导关于维持生命治疗的决策.
研究的目的:
- 进行对心电图 (ECG) 功能进行范围审查,这些功能可以预测心脏骤停后患者的功能结果.
- 确定与患者预后相关的特定心电图参数,如心率和心率变化.
主要方法:
- 从2011年1月到2022年9月,在PubMed,EMBASE和SCOPUS进行了全面的文献搜索.
- 包括专注于心电图特征的研究,用于心脏骤停后患者的预后.
- 分析了7项涉及1359名患者的回顾性研究,考虑了各种结果措施和随访持续时间.
主要成果:
- 低心率 (HR) 在多项研究中始终与有利的功能结果有关.
- 在两项研究中,心率变化 (HRV) 的更高复杂性与更好的功能结果有关.
- 审查的研究使用了多种结果评估工具,包括大脑性能类别,格拉斯哥结果得分和修改的兰金度量表.
结论:
- 心率和心率的变化表明,在心脏骤停后的患者中,与功能结果的明显关联.
- 这些心电图参数在心脏骤停后的护理中对准确预后的临床有用性仍然不确定.
- 需要进一步的研究来确定HR和HRV在指导临床决策中的最终作用.
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