在例行血压测量期间的脉冲波分析显示了区分鼻腔和非鼻腔节律的潜力
Chung-Chun Yang1, I-Ping Chan1, Tung Hsueh1
1Veterinary Medical Teaching Hospital, National Chung Hsing University, Taichung, Taiwan.
American journal of veterinary research
|February 29, 2024
概括
脉冲波分析 (PWA) 可以帮助检测动物的非节律,特别是心房动. 在PWA中培训兽医可以提高心律失常检测的准确性,帮助早期诊断和治疗.
科学领域:
- 兽医心脏病学 兽医心脏病学
- 诊断成像诊断成像的使用
- 心血管诊断心血管诊断
背景情况:
- 在动物中,非鼻节奏很难以非侵入的方式检测到.
- 脉冲波分析 (PWA) 提供了一种潜在的非侵入性方法来评估心律.
- 评估PWA在识别心律失常方面的有效性对于兽医实践至关重要.
研究的目的:
- 为了确定使用PWA的训练有素的评估人员是否能够有效地检测动物中的非正弦节奏.
- 评估PWA在识别特定心律失常,如心房动等方面的准确性.
- 探索兽医培训和PWA诊断性能之间的相关性.
主要方法:
- 一项横截面研究分析了155只动物 (144只狗,11只猫) 的脉冲波数据和心电图.
- 18名参与者接受了PWA培训,并使用接收器运行特征曲线评估节奏歧视.
- 使用Cohen κ评估了PWA和ECG诊断之间的一致性,并对学生体验进行了相关性分析.
主要成果:
- 心脏病学研究人员在通过PWA检测病态节律时显示出令人满意的准确性 (AUC 0.7040.761).
- 在心房的检测中观察到最高的准确性 (AUC 0.8110.845).
- 兽医学生的诊断成绩与他们的学习年数相关 (斯皮尔曼 ρ = 0.658,P = .019).
结论:
- 在非侵入性血压测量期间的PWA显示了检测病理性心律失常,特别是心房动的潜力.
- 具有心脏病学经验的兽医可以提高PWA的有效性.
- 实践培训,特别是心脏病学方面的培训,可以使一线兽医能够使用PWA快速识别和转诊心律失常.
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