心房的发作和症状:一个时间分析
Hamid Ghanbari1, Daniel Whibley2, H Immo Lehmann1
1Department of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Cardiovascular digital health journal
|October 18, 2023
概括
症状通常先于心房动 (AF) 发作,随着时间的推移,这种关联会减少. 这种AF与症状发作之间的时间联系因症状类型而异.
科学领域:
- 心脏病学 心脏病学
- 临床电生理学 临床电生理学
- 数字健康数字健康
背景情况:
- 关于症状与心房 (AF) 发作之间的时间关系的数据有限.
- 了解这种联系对于患者管理和干预策略至关重要.
研究的目的:
- 为了确定心房 (AF) 发作和患者报告的症状之间的时间关联的强度.
- 调查这种关联如何随着时间的推移而变化,以及不同症状之间的差异.
主要方法:
- 一个横截面的门诊评估研究,涉及患有偏发性AF的患者.
- 使用可穿戴式心电图和移动应用程序持续监测21天.
- 多层混合效应模型分析了不同时间段更糟糕的症状和AF存在之间的关联.
主要成果:
- 更糟糕的症状与症状报告前15分钟发生的AF情节显著相关,包括心,呼吸短促,头和疲劳.
- 症状严重程度和AF之间的相关性随着AF事件和症状发作之间的时间间隔增加而减少.
结论:
- 在AF发作开始和症状报告之间存在显著的时间关系.
- 这种关联随着时间的推移而减弱,并且在各种症状中存在差异,这表明有可能及时,症状触发的AF干预.
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