在社区医院心房动患者的电动心脏转变后患者的医院利用率和死亡率
Ashali Jain1, Carolina Borz-Baba1, Dorothy Wakefield2
1Department of Medicine, Saint Mary's Hospital, Waterbury, USA.
Cureus
|September 16, 2024
概括
在住院患者中,用于心房动 (AF) 的不成功的电动心脏转换 (EC) 与较高的死亡率和再入院率有关. 对这些高危人群来说,全面的退院前和退院后护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 临床研究 临床研究
背景情况:
- 电动心脏转换 (EC) 是恢复心房动 (AF) 患者正常鼻节律的关键治疗方法.
- 关于住院EC程序的成功后EC结果的数据有限.
研究的目的:
- 评估住院电动心脏转换 (EC) 对于心房动 (AF) 的结果.
- 确定影响EC成功的因素,并评估EC失败对患者结果的影响.
主要方法:
- 54名入院为AF接受住院EC治疗的患者的回顾性研究 (2017-2021年).
- 收集的人口,临床,生化和心声共振数据.
- 分析了30天再入院和死亡率作为主要结局事件.
主要成果:
- 不成功的EC与老年患者的年龄和传统的心血管风险因素有关.
- 没有成功的EC患者的30天死亡率 (p < 0.01) 和30天再入院率 (p < 0.01) 显着更高.
- 在那些没有成功的EC患者中,在1年内也观察到较高的死亡率 (p < 0.01).
结论:
- 为成功的EC建立一个预测模型仍然具有挑战性.
- 医院内EC衰竭使患者面临高风险的不良结果,包括死亡率和30天内再入院.
- 一种多学科的方法和个性化的出院后护理对于没有成功的EC患者至关重要.
相关概念视频
Disturbances in Heart Rhythm
918
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
918
Pulse rhythm
771
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...
771
Mechanism of Cardiac Arrhythmias
900
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
900
Electrocardiogram Fundamentals
543
Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
543


