是否CRT优化已经过时了? 一个推中心的经验
Shmaila Saleem-Talib1, Mirjam D Duineveld1, Jurjan C Schipper2
1Department of Cardiology, Haga Teaching Hospital, 2545 AA The Hague, The Netherlands.
心脏再同步治疗 (CRT) 优化使用心声学显著改善心力衰竭的结果. 这种方法增强了最初没有对CRT反应的患者的左心室喷射率和纽约心脏协会类.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 心脏再同步治疗 (CRT) 是心力衰竭 (HF) 的标准治疗方法.
- 很大一部分高脉患者 (30%) 没有从CRT中受益.
- 需要改进CRT优化策略.
研究的目的:
- 报告一种基于心声回声学的方法来优化CRT.
- 在现实世界的临床环境中评估这种优化技术的有效性.
主要方法:
- 研究了一组350名门诊HF患者的队列,这些患者被推用于CRT优化.
- 采用协议驱动的回声心脏学方法来调整心室腔 (VV) 和心室 (AV) 延迟.
- 左心室喷射分数 (LVEF) 和纽约心脏协会 (NYHA) 类变化是主要结果措施.
主要成果:
- 在82%的患者 (288/350) 中取得了成功的优化.
- 对VV和AV计时进行了调整,平均值分别为61%和51%.
- 在所有优化患者中观察到LVEF和NYHA类的显著改善.
结论:
- 基于心声图的CRT优化是一个有价值的策略.
- 这种方法有效地改善了HF患者的LVEF和功能状态 (NYHA类).
- 优化CRT可改善接受CRT设备的患者的治疗结果.
更多相关视频
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
07:31A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
相关概念视频
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Restorative Care
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
