通过安塔雷斯振荡计脉冲波分析算法和多普勒横心回声图得到的心脏输出估计值的比较
Alexander Stäuber1, Matthias Wilhelm Hoppe2, Harald Lapp3
1Department of Movement and Training Science, Leipzig University, Leipzig, Germany.
PloS one
|May 13, 2024
概括
安塔雷斯振荡计脉冲波分析 (PWA) 算法显示,与胸前多普勒回声心电图 (TTE) 对男性和女性患者估计心脏输出 (CO) 的高相关性. 这种非侵入性方法为常规CO评估提供了一个有希望的替代方案.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 生物医学工程 生物医学工程
背景情况:
- 心脏输出 (CO) 对于评估心脏功能至关重要.
- 侵入性热稀释是黄金标准,但胸前多普勒回声心电图 (TTE) 是常规临床使用的标准.
- 寻求像振荡计脉冲波分析 (PWA) 等非侵入性方法,以提高准确性和可访问性.
研究的目的:
- 为了比较安达雷斯振荡计PWA算法与TTE的非侵入性CO估计准确度.
- 评估安塔雷斯在临床环境中对CO评估的可靠性.
主要方法:
- 包括59名接受心脏导管治疗的患者.
- 来自TTE的非侵入性CO数据与来自Antares PWA算法的测量结果进行了比较.
- 使用布兰德-阿尔特曼分析,学生的t测试和皮尔森相关性来评估协议.
主要成果:
- 安塔雷斯和TTE之间的CO平均差异为0.04 ± 1.03 l/min.
- 两种CO测量方法之间没有发现统计学上显著的差异 (P = 0.785).
- 在整体队列 (r = 0.705) 和男性 (r = 0.669) 和女性 (r = 0.802) 患者中,在CO估计上观察到Antares和TTE之间存在强烈的相关性.
结论:
- 安塔雷斯振荡计PWA算法证明了与TTE高相关性,用于非侵入性CO估计.
- 这两种方法都没有显示出统计学上显著的差异,这表明安塔雷斯的潜力是可行的替代方案.
- 在广泛采用Antares用于CO评估的临床应用之前,建议进行进一步的验证研究.
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