在外科手术纠正之前和之后,胸腔的心电图表现
Juan M Farina1, Thanaboon Yinadsawaphan2, Dawn E Jaroszewski3
1Department of Cardiovascular and Thoracic Surgery, Mayo Clinic, Phoenix, AZ, USA; Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ, USA.
Journal of electrocardiology
|November 24, 2023
概括
电心电图 (ECG) 异常在乳房挖掘 (PEx) 中很常见,并且在手术修复后通常会消失. 手术前的心电图发现,如右束支部阻断,可以表明PEx患者的运动能力降低.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 胸部挖掘 (PEx) 可能导致由于心脏压缩而导致心肺限制.
- 关于PEx修复前后心电图 (ECG) 变化的数据有限.
- 在PEx中表明心肺功能限制的ECG发现没有得到充分报道.
研究的目的:
- 为了研究PEx患者在手术纠正前后的ECG表现.
- 探索术前心电图异常与运动能力之间的关联.
主要方法:
- 进行初级修复的310名PEx患者的回顾性审查.
- 在手术纠正之前和之后获得的ECG的评估.
- 对术前心电图异常与心肺功能之间的关联进行分析.
主要成果:
- 术前心电图异常,包括V1,RBBB,rsr的负P波形态,V1-V3的T波逆转,是常见的.
- 这些异常在术后显著减少.
- 在V1-3中进行手术前的RBBB和T波逆转与心肺运动测试结果异常有关.
结论:
- 在PEx中经常出现的心电图异常在手术后可以正常化.
- 在V1-3线索中进行手术前的RBBB和T波逆转是减少运动能力的潜在标志物.
- 这些心电图发现可能需要在PEx患者中进一步进行心血管评估.
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