在心室辅助器件植入后,身体体验的障碍
Fabian Richter1, Hannah Spielmann2, Sandra Semmig-Koenze3
1Deutsches Herzzentrum der Charité, Department of Cardiothoracic and Vascular Surgery, Berlin, Germany; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
概括
在心室辅助器件 (VAD) 植入后体验障碍通常是轻微的,并随着时间的推移而减少. 女性患者和那些出现VAD植入的患者需要更密切地监测长时间的身体体验干扰.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 医疗器械 医疗器械
背景情况:
- 腹腔辅助装置 (VAD) 植入可以影响患者的身体体验 (BE).
- BE 障碍涉及与身体的主观体验相关的认知和情感过程.
研究的目的:
- 调查VAD患者身体体验障碍的患病率和过程.
- 确定影响BE干扰的因素,包括植入以来的时间,性别和植入敏度.
主要方法:
- 这是一项针对365名VAD患者的多中心,横截面研究.
- 患者填写了BE-S问卷和感恩调查.
- 分析考虑了性别,VAD后的时间 (0-3年),以及植入类型 (可选与新兴).
主要成果:
- 总体而言,BE障碍并不严重 (平均值为2.69/5),患者的感激度很高 (85%).
- 随着时间的推移,BE干扰减少了,VAD后的感激度增加了.
- 女性患者报告比男性更多的BE障碍和更少的感恩.
- 新兴的VAD植入导致了长期的BE干扰,特别是在第三年.
结论:
- 在VAD植入后的BE干扰通常是可以管理的,并且随着时间的推移而改善.
- 女性和新兴植入患者有更高的长期BE干扰风险.
- 建议对BE障碍进行常规查,特别是在风险VAD患者群体中.
相关概念视频
Disturbances in Heart Rhythm
977
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
977
Cardiomyopathy V: Interprofessional Care
14
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
14
Dysrhythmias II: Classification of Tachyarrhythmias
10
Tachyarrhythmias are a type of dysrhythmia where the heart rate exceeds 100 beats per minute. Here are some common types of tachyarrhythmias:Sinus TachycardiaSinus tachycardia originates from increased impulses from the sinus node, leading to an elevated heart rate. It is often triggered by stress, fever, or exercise.Patients may experience palpitations, a sensation of a racing heart, dizziness, and chest discomfort.Causes and Risk Factors: Common causes include physical exertion, emotional...
10
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
22
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
22
Mechanism of Cardiac Arrhythmias
929
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
929
Cardiomyopathy II: Dilated Cardiomyopathy
11
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
11


