心房的检测和负载:与中风预防有关的知识差距
Eric E Smith1, Shadi Yaghi2, Luciano A Sposato3
1University of Calgary, Alberta, Canada (E.E.S.).
Stroke
|December 22, 2023
概括
长时间的心脏监测在9-16%的缺血性中风患者中检测到亚临床心房动. 最佳策略和短暂的心房动发作的重要性需要进一步研究,以有效预防中风.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗技术 医疗技术 医学技术
背景情况:
- 心房动是缺血性中风的主要原因.
- 先进的心脏监测设备 (表面电极,插入式监测器) 可长时间监测心律.
- 目前的证据支持长期监测,但缺乏明确的最佳策略.
研究的目的:
- 审查长期心脏监测在检测缺血性中风患者的亚临床心脏动时的有效性.
- 确定关于最佳监测策略和检测到的心律失常的临床意义的知识差距.
主要方法:
- 对长期心脏监测的四项主要随机对照试验的分析.
- 审查目前对心律监测的技术能力.
- 评估关于心房动检测和中风风险的现有文献.
主要成果:
- 经过长时间的监测,在9-16%的缺血性中风患者中发现了亚临床性心房动.
- 检测甚至发生在患有其他潜在中风病因的患者中.
- 最佳的监测策略,患者选择和设备选择仍然没有定义.
结论:
- 长时间的心脏监测有效地检测中风患者的亚临床心房动.
- 短期心房的临床意义和最佳监测参数需要进一步研究.
- 需要进行更多的研究,以建立基于设备检测到的心房动的有效中风预防方法.
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