头部受伤与心电图和回声变化的相关性
Pavan Kumar Ediga1, Mudumba Vijaya Saradhi1, Rajesh Alugolu2
1Department of Neurosurgery, NIMS, Hyderabad, Telangana, India.
电心电图 (ECG) 异常,特别是复极变化,可以表明创伤性脑损伤 (TBI) 患者的心脏功能障碍. 这种廉价的心电图查可能有助于识别需要进一步心脏评估的TBI患者.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 关键护理医学 关键护理医学
背景情况:
- 在创伤性脑损伤 (TBI) 患者中观察到异常心电图 (ECG) 发现.
- 电脑心电图是一种潜在的廉价工具,用于识别心脏功能障碍风险的TBI患者.
研究的目的:
- 检查孤立TBI患者的异常心电图发现.
- 将心电图异常与真实心脏功能障碍联系起来,通过心声学确定.
主要方法:
- 对100名孤立的,未经手术的TBI成年患者 (2020-2021) 的前性观察性研究.
- 排除标准包括极端年龄 (<18岁,>65岁),额外损伤,先前存在的心脏病,先前的心胸手术,异型药物使用,出血和脑死亡.
- 患者接受了心电图和心声回声评估.
主要成果:
- 在53%的轻度TBI病例中 (心率60-100/分钟) 发现了心电图异常.
- 延长PR间隔发生在8-16%的轻度至重度TBI病例中,延长QRS发生在5-15%的病例中.
- 在3-15%的TBI病例中观察到延长的QTc间隔,随着严重程度的增加而增加.
结论:
- 电脑心电图上的反极化异常与孤立TBI中的心脏功能障碍相关.
- 缺血性ECG变化与心脏功能障碍没有关联.
- 12导电图可以作为TBI患者心脏功能障碍的经济有效查工具.
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