耐火状态中的心脏异常 - 一项探索性研究
Deepika Saroha1, Samhita Panda1, Surender Deora2
1Department of Neurology, All India Institute of Medical Sciences (AIIMS), Jodhpur, India.
Journal of epilepsy research
|January 15, 2024
概括
心脏异常和心率变化降低 (HRV) 与耐火状态 (RSE) 的不良结果有关. 使用心电图和心声回声图的早期心脏评估可以帮助预测RSE患者的预后.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 耐火状态 (RSE) 与心脏异常有关.
- 降低心率变化 (HRV) 和心律失常可能导致的突然意外死亡.
- 在RSE中心脏变化可能会影响预后和功能结果.
研究的目的:
- 研究心电图和心声图变化在预测RSE预后方面的有用性.
- 探索RSE患者心脏异常和功能结果之间的相关性.
主要方法:
- 对20名RSE患者进行前性观察研究.
- 进行了心电图 (ECG),霍尔特监测,Troponin-I (Trop I),NT-proBNP和二维心声图 (2D Echo).
- 心脏参数,HRV和QTc间隔在基线,出院和出院后30天被评估.
主要成果:
- RSE的常见病因包括中枢神经系统感染,自身免疫性脑炎和脑血管疾病.
- 心脏酶升高和QTc延长是常见的异常.
- 降低的HRV和心脏损伤标志物与糟糕的结果 (糟糕的GCS,mRS) 和非性状态 (NCSE) 有显著的相关性.
结论:
- 格拉斯哥昏迷度表 (GCS),修改的兰金度表 (mRS),心脏损伤标志物,降低的HRV和NCSE是RSE死亡率和不良临床结果的一致预测指标.
- 常规,非侵入性心脏评估 (心电图,2D回声,霍尔特,NT-proBNP,Trop I) 建议用于RSE患者.
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