在头向上倾斜测试期间,血管抑制性昏迷的患病率和临床预测因素
Vincenzo Russo1, Moiz Tariq1, Erika Parente1
1Cardiology and Syncope Unit, Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli"-Monaldi Hospital, Naples, Italy.
European journal of internal medicine
|August 8, 2024
概括
在头向上倾斜测试 (HUTT) 中血管抑制器 (VD) 反应不常见,影响了7%的昏迷患者. 高龄独立预测VD昏迷,而吸烟和非经典表现降低了它的可能性.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 临床医学 临床医学
背景情况:
- 昏迷是一种常见的临床问题,通常通过头向上倾斜测试 (HUTT) 进行评估.
- 血管抑郁症 (VD) 反应是一种由自主功能障碍引发的特定类型的昏迷.
研究的目的:
- 为了确定患有昏迷病史的患者在HUTT期间VD反应的流行率.
- 确定与静脉疾病反应相关的临床预测因素.
主要方法:
- 对1780名因疑似反射失眠而接受HUTT的患者的回顾性分析.
- 静脉疾病应答被定义为低血压和最小心率变化 (<10bpm) 的昏迷.
- 包括单变量和多变量模型在内的统计分析被用来确定预测因素.
主要成果:
- 在7.0%的患者 (124/1780) 中发生了静脉疾病反应.
- 患病率在69岁以上的患者中达到顶峰,男性患病率更高.
- 晚年是静脉疾病反应的独立预测因子 (OR: 1.15),而吸烟 (OR: 0.33) 和非经典 (OR: 0.55) 的呈现相反相关.
结论:
- 静脉疾病应答是HUTT期间罕见的发现,在7%的病例中观察到.
- 年龄和性别影响静脉疾病应答患病率.
- 高龄是唯一的独立预测因素,而吸烟和非经典的昏迷呈现会降低静脉疾病反应的可能性.
相关概念视频
01:30Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K
01:17Measurement of Blood Pressure
901
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
901
01:28Special considerations while measuring blood pressure
711
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
711