无症状心房动事件的情节级和临床特征
Nikhil Ahluwalia1, Shubha Majumder2, Jodi Koehler2
1St Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Journal of cardiovascular electrophysiology
|September 5, 2024
概括
症状性心房动 (AF) 发作比无症状的更长,更快,更不规则. 年轻的患者有较少的并发症更有可能出现症状性AF,有助于远程插曲分层.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 医疗信息学 医疗信息学
背景情况:
- 心房 (AF) 呈现出不同的症状,从衰弱到无症状,这种变化的根本原因尚不清楚.
- 了解影响AF症状表现的因素对于患者管理和风险分层至关重要.
研究的目的:
- 用植入式心脏监测仪 (ICM) 监测患者的症状与无症状AF发作相关的情节级和临床特征的特征.
主要方法:
- 分析了ICMs (2007-2021) 检测到的11,267名患有AF发作的患者,并将电子健康记录链接起来.
- 实时患者报告的AF发作症状状态.
- 多变量回归建模用于评估心率,AF证据得分,发作持续时间,活动指数和症状状态之间的关联.
主要成果:
- 与无症状发作相比,症状性AF发作与年龄较小,心血管并发症较少,持续时间较长,平均心率 (HR) 更高,AF证据得分更高有关.
- 这些情节级特征独立地与症状性AF相关.
- 患有症状性AF的患者年龄较小 (67±12岁相比71±11岁),并患上较少的并发症.
结论:
- 在ICMs患者中,症状和无症状AF发作之间,发作级别的特征显著不同.
- 有症状的AF患者往往有较少的并发症.
- 鉴定的参数可能有助于了解AF症状的变化,并使AF发作的远程分层成为可能.
关键词:
临床:可以植入的设备心房动相关概念视频
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