描述患有冷饮引发的心房的患者
Daniel D DiLena1, Jennifer Y Zhang1,2, Adina S Rauchwerger1
1Division of Research, Kaiser Permanente Northern California, Pleasanton, California, USA.
冷饮心脏 (CDH) 是一些患者心房动 (AF) 的触发因素. 避免冷食物和饮料有效地减少了大多数患者的AF发作,突出了简单但有影响力的生活方式改变.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 预防医学 预防医学
背景情况:
- 心房动 (AF) 是一种普遍存在的心律失常症,具有严重的健康后果.
- 确定可修改的AF生活方式触发因素对于患者管理至关重要.
- 一种被称为"冷饮心脏" (CDH) 的现象将冷饮饮食与一组患者的AF发作联系在一起,尽管文献很少.
研究的目的:
- 描述患者对CDH的体验.
- 评估避免感冒触发器在减少AF复发中的有效性.
- 评估医生对CDH的认识.
主要方法:
- 一个混合方法的研究,利用患者调查和图表审查.
- 在急诊室访问或直接接触期间招募报告CDH的患者.
- 对那些只有CDH发作的患者与那些有CDH和非CDH AF发作的患者进行比较.
主要成果:
- 包括101名患者 (75%男性,CDH发病的中位数年龄为44.5岁).
- 超过一半 (51.5%) 报告AF发作仅在冷饮后发生,通常是快速的,并与炼相关.
- 避免冷饮在86.4%的病例中是有效的,只有CDH患者的成功率为100%.
- 医生意识很低,超过一半的人报告了蔑视的态度.
结论:
- 冷饮心脏 (CDH) 是心房动的一个未被认可的触发因素.
- 避免感冒触发器在减少AF复发方面表现出很高的有效性,特别是在仅使用CDH的患者中.
- 需要进一步的研究来验证这些发现,并加强医疗保健提供者对CDH的教育.
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