早期检测低QRS电压及其与败血症患者死亡率的相关性
Soo Jin Na1, Ryoung-Eun Ko1, Chi Ryang Chung1
1Department of Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Scientific reports
|July 11, 2024
概括
败血症患者的低QRS电压与更糟糕的结果有关. 这种心电图的发现表明,在败血症病例中,死亡风险更高,器官功能障碍更严重.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 内部医学 内部医学
背景情况:
- 电心电图 (ECG) 变化在败血症中很常见.
- 低QRS电压在败血症中的临床意义仍未得到充分研究.
研究的目的:
- 评估早期识别的低QRS电压与败血症患者的死亡率之间的关联.
主要方法:
- 分析了432名成年败血症患者的队列.
- 12导电心电图在败血症识别后的24分钟内得到.
- 在26.6%的患者中发现了低QRS电压.
主要成果:
- 患有低QRS电压的患者表现出更大的器官功能障碍和升高的N-终端前脑尿素水平.
- 与正常QRS电压组 (28.1%) 相比,低QRS电压组 (49.6%) 的医院死亡率明显高.
- 在ICU入院者中,低QRS电压组的住院死亡率更高 (35.9%对18.2%).
结论:
- 低QRS电压是败血症患者医院死亡率增加的重要预测因素.
- 早期发现低QRS电压可能有助于对败血症患者的风险分层.
更多相关视频
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
24.3K
10:17Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
Published on: April 11, 2025
464
相关概念视频
Electrocardiogram
2.3K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.3K
Pulse rhythm
782
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...
782
