热素测试在患有上心室心跳的患者中的作用,系统性审查和元分析
Ali Pourmand1, Hannah Checkeye1, Bennet Varghese1
1Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington DC.
The Journal of emergency medicine
|September 6, 2024
概括
高水平的托罗邦素是常见的在患有 supraventricular 高心率 (SVT) 呈现到急诊室 (ED) 的患者. 然而,对这些患者预测主要不良心脏事件 (MACE) 的预后价值是有限的.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 临床诊断 临床诊断 临床诊断
背景情况:
- 腹腔上高心率 (SVT) 是一个频繁的急诊室 (ED) 呈现.
- 在SVT患者中观察到高水平的类素,但它们对冠状动脉疾病和未来心血管不良结果的预测意义尚不清楚.
研究的目的:
- 评估托罗邦尼测量在ED环境中的SVT管理中的预后效用.
- 为了确定素水平是否可以预测患有SVT的患者的主要不良心脏事件 (MACE).
主要方法:
- 在PubMed和Scopus数据库中进行了全面的文献搜索,截至2023年8月30日.
- 包括专注于成人患者向ED提出的SVT和报告的托罗邦尼测量结果的研究.
- 主要结局是高托罗的患病率;次要结局包括MACE和显著的心脏检测结果.
主要成果:
- 分析了包括500名患者在内的7项研究.
- 在SVT患者中,高托罗的综合患病率为46% (95% CI 27-66%).
- MACE的整体综合患病率为6% (95% CI 1-25%),其中11% (95% CI 4-27%) 在患有高托罗邦素的患者中观察到.
结论:
- 在被诊断患有SVT的ED患者中,多宁的测量频繁,并且往往升高.
- 目前的证据表明,在这种患者群体中预测MACE的预后价值较低的高托罗邦水平.
更多相关视频
18:11A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
Published on: December 28, 2012
24.2K
05:58Testing Acetylcholine Followed by Adenosine for Invasive Diagnosis of Coronary Vasomotor Disorders
Published on: February 3, 2021
3.4K
相关概念视频
01:17Increased pulse rate
651
Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
651
01:20Blood Studies for Cardiovascular System I: Cardiac Biomarkers
119
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
119
01:24Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers
719
Adrenergic stimulation generally impacts cardiac rate and rhythm. Specifically, stimulation of the β-adrenoceptors triggers an increase in intracellular calcium ion influx and pacemaker currents, which may cause arrhythmias. Catecholamines like adrenaline also demonstrate β2-adrenoceptor-mediated hypokalemia, impacting cardiac action potential and disrupting the normal cardiac rhythm. Class II antiarrhythmic drugs are β-adrenoceptor antagonists or β-blockers, which...
719
01:30Pulse rhythm
775
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
775
01:26Exercise Stress Test
184
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
184
01:29Electrocardiogram
2.2K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.2K