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门诊心脏遥测在患有密码性中风的患者中的有用性

Anetta Lasek-Bal^1,2, Adam Konka³, Przemysław Puz^1,2

¹Department of Neurology, School of Health Sciences, Medical University of Silesia in Katowice, 40-055 Katowice, Poland.

Journal of clinical medicine

|July 13, 2024

概括

使用30天的监测,在4%的源不明 (ESUS) 血栓性中风患者中检测到心房动 (AF). 在ESUS患者中,上心室外血栓显著增加了AF检测概率.

科学领域:

心脏病学心脏病学
神经学神经学
医学诊断医学诊断医学诊断

背景情况:

心房动 (AF) 是密码性中风的主要原因,包括源不明的栓塞性中风 (ESUS).
之前的诊断程序往往无法确定ESUS患者心血管栓塞的来源.
在ESUS中识别AF对于预防和管理中风至关重要.

研究的目的:

用30天心率遥测监测来确定ESUS患者中AF的患病率.
确定与ESUS患者检测AF可能性增加相关的因素.
评估扩展监测AF中风后检测AF的实用性.

主要方法:

在2020-2022年期间,有145名首次ESUS患者被招募.
所有参与者都接受了卒中后的门诊30天心率遥测监测.
统计分析确定了预测AF检测的因素.

主要成果:

在监测期间,在6名患者 (4.14%) 诊断出AF.
检测AF发生在监测的第1日至25天之间.
超腹腔外血栓是AF检测的独立预测因子 (OR1.046,p<0.01).
冠状动脉疾病,糖尿病和高血压等并发症增加了老年ESUS患者的AF检测可能性.

结论:

门诊30天远程测量有效检测到4%的ESUS患者的AF.
超腹腔外血栓是ESUS中AF检测风险增加的重要指标.
在ESUS中,并发症和大血管封闭可能与更高的心血管栓塞和AF检测率有关.

关键词:

这就是 ESUSUS.心房动是心房动的一种.密码性脑中风是什么意思密码性脑中风血栓塞栓性中风是一次脑梗塞.

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