在密码性中风后对有组织的心房律乱的评估
Naga Venkata K Pothineni1, Uyanga Batnyam1, Hannah Schwennesen1
1Division of Cardiovascular Medicine, Electrophysiology Section, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Heart rhythm O2
|February 5, 2024
概括
有组织的心房律乱,不总是心房动 (AF),在近四分之一的密码性中风患者中发现. 左心房扩大会增加患上这些心律失常的风险.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗监测 医疗监测
背景情况:
- 长期节律监测是密码性中风 (CS) 后检测心房动 (AF) 的标准.
- 在CS患者中组织性心房律乱的患病率和特征需要进一步定义.
研究的目的:
- 确定密码性中风患者组织性心房律乱的发病率和风险因素.
主要方法:
- 从2014年10月到2020年4月,评估了195名使用可插入心脏监视器 (ICM) 的密码性中风患者.
- 对心房动 (AF),心动减速和心等心脏病的ICM传输进行了审查.
- 预计检测有组织的AF和组合的有组织的心房律乱或AF的时间.
主要成果:
- 在平均189个月的随访期间,在23%的患者中检测到有组织的心房失常 (≥30秒).
- 在患有心律不整的人中,62%的人没有AF.
- 左心房扩大与显著更高的心房失常症的调整风险相关.
结论:
- 在密码性中风患者中,有组织的心房律乱是常见的,通常独立于AF发生.
- 需要进一步的研究来了解这些心律失常对复发性中风风险的影响.
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