相关实验视频
Updated: Jul 4, 2025

06:14
Translational Rabbit Model of Chronic Cardiac Pacing
Published on: January 6, 2023
2.6K
患有心血管植入式电子设备的节奏依赖患者的预后
Wolfram Grimm1, Barbara Erdmann2, Kathrin Grimm3
1Department of Cardiology, University Hospital of Marburg and Gießen, Philipps-University Marburg, Baldingerstraße, 35033, Marburg, Germany. grimmwk.rauschenberg@t-online.de.
Herzschrittmachertherapie & Elektrophysiologie
|January 31, 2024
概括
患有心血管植入式电子设备 (CIED) 的患者的节奏依赖不是所有原因死亡率的独立预测因素. 其他因素,如年龄,心房动,病和心力衰竭的严重程度是更重要的指标.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械 医疗器械
背景情况:
- 患有心血管植入式电子设备 (CIED) 的患者节奏依赖的预后意义尚未得到充分确立.
- 关于节奏依赖对CIED患者死亡率的影响的数据有限.
研究的目的:
- 为了确定CIED患者节奏依赖的预后意义.
- 确定CIED患者全因死亡率的预测因素.
主要方法:
- 对786名CIED患者的回顾性分析.
- 节奏依赖性定义为缺乏内在节奏≥30 bpm.
- 用单变量和多变量回归分析来确定死亡率预测因素.
主要成果:
- 在130名患者中观察到节奏依赖,死亡率为48%,而在656名非依赖患者中,死亡率为37% (HR1.34,P=0.04).
- 多变量分析确定了年龄,心房动,慢性病和NYHA类≥III作为死亡率的独立预测因素.
- 节奏依赖不是所有原因死亡率的独立预测因素 (HR 1.15,P=0.35).
结论:
- 节奏依赖性不是CIED患者全因死亡率的独立预测因素.
- 年龄,心房动,慢性病和心力衰竭严重程度 (NYHA III/IV类) 是死亡率的重要独立预测因素.
相关概念视频
Pulse rhythm
800
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
800
Decreased pulse rate
544
Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
544
Disturbances in Heart Rhythm
957
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...
957

