在密码性中风中检测心房动,并使用成像检查进行预测得分
Takehiro Katano1, Satoshi Suda2, Masafumi Morimoto3
1Department of Neurology, Nippon Medical School Graduate School of Medicine, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8602, Japan.
Journal of the neurological sciences
|May 13, 2025
概括
在两年内,在超过四分之一的密码性中风患者中检测到心房动 (AF). LOOK-AF得分有助于预测可插入心脏监测器 (ICM) 的患者的AF.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 阴性心房动 (AF) 是密码性中风 (CS) 的重要原因之一.
- 早期发现AF对于预防复发性中风至关重要.
- 插入式心脏监测器 (ICM) 提供长时间监测AF检测.
研究的目的:
- 用ICMs来确定CS患者的AF发病率.
- 为了表征患有CS的患者,他们发展AF.
- 在CS患者中开发AF检测的预测得分.
主要方法:
- 一个多中心,前性,在日本的观察性研究.
- 招募了202名CS患者,并移植了ICMs.
- 在24个月的时间内,评估了AF检测,临床特征,MRI和透食管心声学.
主要成果:
- 在24个月内,在26.2%的患者中检测到AF.
- 脑卒中复发发生在7.4%的患者中.
- 结合四个临床变量,LOOK-AF得分是为了预测AF而开发的.
结论:
- 超过四分之一的密码性中风患者在两年内被发现患有AF.
- 在入院时评估的LOOK-AF得分可以预测ICM监测患者的AF.
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