在脊髓灰质炎患者下肢动脉不一致
Sagi Levental1, Isabella Schwartz2, Jonathan Lorber1
1Department of Vascular Surgery, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
The Israel Medical Association journal : IMAJ
|November 13, 2024
概括
脊髓灰质炎患者单边腿显示不同的下肢动脉大小,有利于更强的腿. 这项研究在这些患者中没有发现外周动脉动脉瘤.
科学领域:
- 血管医学 血管医学
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 周围动脉动脉瘤是罕见的 (<2%的患病率).
- 病例报告表明脊髓灰质炎,单侧腿和对侧外周围动脉瘤之间存在联系.
- 脊髓灰质炎幸存者的这些动脉瘤的病因仍然不清楚.
研究的目的:
- 为了比较脊髓灰质炎患者的下肢动脉直径.
- 用于查脊髓灰质炎患者的外围动脉瘤.
- 在脊髓灰质炎幸存者中调查潜在的血管适应.
主要方法:
- 预期超声波双重查77名参与者 (年龄大于55岁),有脊髓灰质炎病史.
- 在患有单边腿,双边/没有的患者和健康对照者之间进行比较.
- 测量了九条下肢动脉:大动脉,腹腔动脉,大腿动脉和大腿动脉.
主要成果:
- 在脊髓灰质炎患者中观察到下肢动脉直径的平均值有显著差异,在更强壮的腿部有更大的直径.
- 在任何研究参与者中都没有检测到外围动脉动脉瘤.
- 在受影响和不受影响的四肢之间注意到动脉直径的差异.
结论:
- 脊髓灰质炎患者单侧腿表现出不对称的下肢动脉直径,有利于更强大的肢体.
- 该研究没有在这个队列中发现外围动脉瘤风险增加.
- 需要进一步的研究来了解脊髓灰质炎幸存者的长期血管影响.
相关概念视频
01:27Assessment of the Cardiovascular System III: Palpation
199
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
199
01:20Arteries of Lower Limbs
1.2K
The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
1.2K
01:11Pulse Assessment Sites
962
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
962
01:21Sites for measruring blood pressure
1.5K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.5K
01:29Cardiovascular System Abnormal Findings I: Inspection and Palpation
264
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
264
01:24Arteries of the Lower Limbs
178
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
178