过早的心房收缩及其与密码性中风的关联
Muhammad Kamran Khan1, Maheen Fayaz2, Raja Farhat Shoaib3
1Department of Internal Medicine, Shifa International Hospital, Islamabad, Pakistan;.
JPMA. The Journal of the Pakistan Medical Association
|April 24, 2025
概括
早收缩在密码性中风患者中非常普遍,这表明这些心律失常和中风之间存在联系. 长时间的心脏监测对于在中风幸存者中识别隐性心房动至关重要.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 流行病学 流行病学
背景情况:
- 密码性中风仍然是一个诊断挑战,往往需要对潜在的心脏病因学的调查.
- 提前心房收缩 (PAC) 越来越多地被认为是潜在的中风原因,特别是在密码性病例中.
研究的目的:
- 评估过早心房收缩和密码性中风之间的关联.
- 为了比较加密性与非加密性中风患者中PACs的患病率.
主要方法:
- 从2020年1月到2021年4月,一项涉及118名缺血性中风患者的回顾性,横截面研究.
- 患者被分为密码化 (A组) 和非密码化 (B组) 的中风组.
- 分析了人口统计数据,中风特征,风险因素和心脏评估.
主要成果:
- 在97.7%的密码性中风患者中检测到过早的心房收缩,而在非密码性中风患者中,这一比例为2.3% (p<0.05).
- 在密码性中风中,PACs与心房动,血脂不良,心肌狭窄和左心室缩功能障碍有显著的关联.
- 在非密码性中风中,PAC与心房动,心肌梗塞,左心房扩张和动脉狭窄有关.
结论:
- 在密码性中风中出现过早心房收缩的高患病率表明存在显著的关联.
- 长时间的心脏监测对于在中风患者中检测隐性心房动至关重要.
- PACs与中风患者的各种心脏风险因素有显著联系.
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