静脉内心电图的表现:一个系统的审查
Yi-Ju Ho1, Chih-Wei Sung1,2, Yi-Chu Chen3
1National Taiwan University Hospital, Department of Emergency Medicine, Taipei, Taiwan.
The western journal of emergency medicine
|April 10, 2024
概括
经食道心声学 (TEE) 发现了更多的心脏骤停 (CA) 的原因比 transthoracic心声学 (TTE),但TTE报告了超声波心脏活动的频率更高. 这两种药物对存活率的影响尚不清楚.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 诊断成像 诊断成像 诊断成像
背景情况:
- 静脉静脉回声学 (TTE) 和输食管回声学 (TEE) 用于成人心脏骤停 (CA) 的复苏.
- 在CA期间TTE与TEE的比较诊断性能尚未得到充分证实.
研究的目的:
- 在非创伤性心脏骤停的成年患者中,系统地审查和比较内停TTE和TEE的诊断性能.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在PubMed,Embase和Google Scholar中进行了搜索,以查找成年CA患者内停血TTE和TEE的研究.
- 提取了研究特征,诊断结果 (例如心周溢出,大动脉剖析,心脏活动超声波) 和干预措施的数据,并评估了质量.
主要成果:
- 包括27项研究:14项涉及TTE (2145名患者) 和16项涉及TEE (556名患者).
- 在74%的研究中注意到存在偏差的高风险.
- 这两种方法在近一半的患者中都发现了积极的结果. 在13%的TTE和43%的TEE患者中,病因被确定,导致分别在38%和28%的患者进行干预.
- TEE发现了更多的CA病因,特别是大动脉剖析,尽管剖析的结果很差.
结论:
- 经食道心声学 (TEE) 显示出与心脏静脉回声学 (TTE) 相比,更有能力识别心脏骤停的原因.
- 超声波心脏活动在TTE时更频繁地报告.
- 对TTE和TEE对自发循环恢复和患者存活率的影响需要进一步研究.
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