心脏节律失调在创伤患者进行心脏切除术:一个回顾性分析
Ryan Chae1, Nicholas D'Ambrosio1, Kevin Kulshrestha1
1Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio.
The Journal of surgical research
|October 21, 2024
概括
经过心周切除术 (心周的手术打开) 的创伤患者患心律失常的风险为12.3%. 高龄和伤机制是心脏切除术后心律失常的关键风险因素.
科学领域:
- 创伤外科 手术 创伤外科
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 心周切除术是诊断和治疗创伤患者心脏损伤的关键手术.
- 在创伤环境中进行心脏切除术后心律失常的发生率和危险因素尚未得到充分证实.
- 这项研究解决了有关创伤人群中心脏切除术后心律失常的知识差距.
研究的目的:
- 确定创伤患者心脏切除术后心律不整的频率.
- 为了确定与心脏切除术后心律失常症发展相关的危险因素.
- 分析患者人口统计和损伤特征对心律失常发育的影响.
主要方法:
- 回顾性单中心队列研究.
- 从2011年1月到2020年12月的创伤数据库分析.
- 包括接受心周切除术的16岁以上的患者,但不包括鼻肌梗塞和心动减速.
主要成果:
- 12.3%的创伤患者在心脏切除术后24小时以上存活,患有心律失常.
- 心律失常患者年龄较大,受伤严重程度得分较高,受伤机制较.
- 后勤回归确定了年龄的增长,粗的机制和腹腔切除术作为显著的危险因素.
结论:
- 经过心周切除术的创伤患者面临12.3%的心律失常风险.
- 诸如年龄和受伤类型等不可修改的危险因素显著影响心律失常的发展.
- 需要进行进一步的研究,以探索减少这种患者群中的心律失常发病率的干预措施.
更多相关视频
相关概念视频
Mechanism of Cardiac Arrhythmias
892
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.
892
Cardiomyopathy VII: Pre and Post Operative Nursing Management
2
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
2
Disturbances in Heart Rhythm
909
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...
909
Dysrhythmias V: Evaluating Dysrhythmias
3
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
3
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
193
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
193
Pericarditis IV: Nursing Management
2
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
2


