监测过早的心房和心室复合物的诊断可靠性
Alexandra Måneheim1,2, Johan Economou Lundeberg1,2, Anders P Persson1,2
1Department of Clinical Sciences, Lund University, Malmö, Sweden.
概括
对于早发性心房综合体 (PAC) 和早发性心室综合体 (PVC) 的短期心电图监测显示出显著的每日变化. 高频PAC或PVC (≥10,000/天) 可靠检测,不需要更长的监测来确认.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 门诊心电图 (ECG) 监测对于评估过早心房复合物 (PAC) 和过早心室复合物 (PVC) 是至关重要的.
- 对PAC和PVC频率的短期监测的诊断可靠性仍然不确定,因为潜在的日复一日的变化.
研究的目的:
- 调查PAC和PVC频率的日复一日变化.
- 为了确定较短的门诊心电图记录的诊断可靠性,与较长的监测期相比.
主要方法:
- 对8245名没有心房动的美国患者的14天全披露移动心脏遥测记录的分析.
- 针对14天平均PAC和PVC频率的较短监测时间的诊断可靠性的计算.
主要成果:
- 在大多数水平上观察到PAC和PVC频率的实质性每日变化.
- 需要10天的监测时间来估计80%的患者的PAC和PVC频率在14天平均值的±20%以内.
- 每天发现的≥10,000个PAC或PVC显示高特异性 (99%以上),即使在较短的监测时间内也可靠地检测到.
结论:
- 虽然PACs和PVCs存在显著的日复一日变化,但高频事件 (≥10,000/day) 是高度特定的.
- 发现的PAC或PVC≥10,000不需要通过延长的监测期来确认.
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