在患有ST段升高心肌梗塞的患者中,与心脏间阻塞相关的左心房应变
Lei Chen1,2, Dongdong Zhang3, Chuanyi Sang1
1Department of Cardiology, The Affiliated Hospital of Xuzhou Medical University, 99#, Huaihai West Road, Xuzhou, 221002, China.
The international journal of cardiovascular imaging
|December 20, 2023
概括
在ST段升高心肌梗塞 (STEMI) 患者中,心房间间隔阻塞 (IAB) 和左心房 (LA) 菌株之间存在联系. 导管菌株,以及年龄和高血压,在这个人群中最能预测IAB.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏成像 - - 心脏成像
背景情况:
- 心室间阻塞 (IAB) 和左心室 (LA) 应变是ST段升高心肌梗塞 (STEMI) 患者心房律乱的已知预测因素.
- 在STEMI患者中,LA菌株参数和IAB之间的直接关系以前没有被确立.
研究的目的:
- 调查LA菌株的各种测量和在经历过STEMI的患者中IAB的存在之间的相关性.
- 在STEMI患者的LA菌株参数中确定IAB的独立预测因子.
主要方法:
- 一项追溯观察性研究,涉及302名接受初级皮肤穿冠状动脉干预 (pPCI) 和心磁共振 (CMR) 的STEMI患者.
- 电心电图 (ECG) 用于测量IAB (p持续时间),通过CMR评估LA菌株.
- 采用多变量逻辑回归模型来分析LA菌株 (水库,管道,助推器) 和IAB之间的关联,控制临床因素.
主要成果:
- 在302名患者中,有91名 (30.1%) 患有内脏动脉瘤.
- 年龄,高血压和储压力是模型1中重要的预测因素.
- 在模型2 (基于AIC和BIC的最佳适合模型) 中,年龄,高血压,RCA病变和导管应变是显著的预测因素.
- 年龄,高血压和助推菌株是模型3中重要的预测因素.
结论:
- 在STEMI患者中,左心房应变与心室间阻塞有显著的关联.
- 导管菌株与年龄和高血压一起,成为最佳适合模型中IAB最强的独立预测因子,这表明它在评估STEMI后心房导电障碍时具有临床意义.
更多相关视频
09:17High-Resolution Endocardial and Epicardial Optical Mapping in a Sheep Model of Stretch-Induced Atrial Fibrillation
Published on: July 29, 2011
14.8K
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
24.3K
相关概念视频
01:28Disturbances in Heart Rhythm
963
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...
963
01:25ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
19
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...
19