电心图形态-电压-P波-持续时间 (MVP) 评分,以选择患者进行持续心房动查,以预防中风
Lucas Yixi Xing1, Søren Zöga Diederichsen2, Søren Højberg3
1Department of Cardiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark; Department of Cardiology, Zealand University Hospital - Roskilde, Roskilde, Denmark.
The American journal of cardiology
|September 4, 2023
概括
形态-电压-P波-持续时间 (MVP) 评分预测了针对心房动 (AF) 进行查的个人中风风险. 然而,MVP得分与AF查预防中风的有效性没有关联.
科学领域:
- 心脏病学 心脏病学
- 电心电图是指心电图.
- 预防中风 预防中风
背景情况:
- 形态电压P波持续时间 (MVP) 评分,结合P波持续时间 (PWD),P波电压在I (PWVI) 和心房间隔膜阻塞 (IAB),是已知的心房动 (AF) 的预测指标.
- 早期发现和管理AF可以减轻中风风险.
研究的目的:
- 调查MVP得分及其组件 (PWD,PWVI,IAB) 作为预测AF查在中风预防方面的有效性.
- 在AF查的背景下,分析MVP得分和中风/全身血栓塞风险之间的关联.
主要方法:
- 对LOOP研究的二次分析,涉及5759名年龄在70-90岁的参与者,具有中风风险因素.
- 参与者被随机分配到用植入式循环记录器 (ILR) 进行持续监测,并在AF检测或通常护理时服用抗凝药.
- 基线MVP得分是使用PWD,PWVI和IAB的计算机化12导电图分析来计算的.
主要成果:
- 与较低得分 (0-2) (HR 1.54) 相比,较高的MVP得分 (5-6) 与中风/全身栓塞风险增加有关.
- 间阻塞 (IAB) 和较长的PWD (>110毫秒) 是导致这种风险增加的关键因素.
- 与常规护理相比,ILR查并没有显著降低不同MVP得分类别的中风风险 (p相互作用 = 0.78).
结论:
- MVP得分与中风风险增加有关,特别是在IAB和较长PWD的个体中.
- 使用ILR的AF查并没有在各种MVP风险类别中显示出对预防中风的显著益处.
- 需要进一步的研究来探索MVP得分的预测价值及其在AF管理策略中的作用.
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