在有结构性心脏病患者的静脉切除过程中查大脑脱氧
Julian Müller1, Lena Koch2, Philipp Halbfass3
1Department of Cardiology, Faculty of Medicine, University Heart Center Freiburg-Bad Krozingen, University of Freiburg, Freiburg im Breisgau, Germany. julian.mueller@uniklinik-freiburg.de.
概括
大脑氧气脱阶段 (ODPs) 发生在62%的患者在心室动脉冲动 (VT) 移除期间. 缺血性心脏病和诱导性静脉瘤是这些ODPs的危险因素,表明潜在的大脑低输液.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗器械 医疗器械
背景情况:
- 经过心室动脉冲动 (VT) 移除的患者往往有结构性心脏病和减少排气分数.
- 编程电刺激 (PES) 诱导静脉动可以导致这些患者的血液动力学不稳定性和大脑低 perfusion.
研究的目的:
- 在静脉切除过程中选大脑氧气不和阶段 (ODPs).
- 在接受静脉管切除的患者中确定与ODPs相关的潜在风险因素.
主要方法:
- 47名接受静脉切除术的患者使用近红外光谱 (NIRS) 来进行神经监测进行监测.
- 分析了NIRS数据,以检测大脑氧气不和 (ODP) 的情节.
主要成果:
- 在接受静脉管切除的62%的患者中,发现了ODP.
- ODPs与缺血性心脏病 (IHD) 的更高患病率,以前的静脉瘤发作和通过PES诱导的静脉瘤显著相关.
- 患有ODP的患者在重症监护室 (ICU) 的入院率和医院内静脉治疗复发率增加.
结论:
- 由ODPs表示的大脑低注,在接受静脉管切除的患者中很常见.
- 缺血性心脏病和PES期间诱导性VTs的数量是ODPs的独立风险因素.
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