在患有高血压和/或糖尿病的患者中使用手持心声扫描对心力衰竭的查:试点研究
Zi-Xuan Yang1, Yu Kang2, Xue-Ke Zhong3
1Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Global heart
|June 23, 2025
概括
手持心声回声学 (HHE) 查有效地识别高风险高血压和/或糖尿病患者的早期心力衰竭 (HF). 使用症状,NT-proBNP和HHE的综合策略对于社区初级保健是可行的,具有成本效益和准确的.
科学领域:
- 心脏病学 心脏病学
- 主要护理医学 医疗保健
- 医疗技术 医疗技术 医学技术
背景情况:
- 高血压和糖尿病是心力衰竭 (HF) 的重要危险因素.
- 早期检测HF,特别是B和C阶段,对于及时干预和改善患者结果至关重要.
- 基于社区的查计划可以提高风险人群获得心血管保健的机会.
研究的目的:
- 评估手持心声回声扫描 (HHE) 的可行性和成本效益,以选B或C阶段心力衰竭.
- 为了评估一个阶段性查策略的诊断准确性,将症状,NT-proBNP和HHE结合起来.
- 促进社区卫生机构对高血压和/或糖尿病患者的早期诊断和加强护理.
主要方法:
- 从两个社区卫生中心招募高血压和/或糖尿病患者,而没有先前HF诊断.
- 用症状评估,NT-proBNP水平 (切断值≥125 pg/ml) 和HHE结果将患者分为甲,乙和C阶段.
- 对比各种预先规定的查策略的诊断准确性和成本效益.
主要成果:
- 在423名参与者中,67.0%显示HHE异常,最常见的是腹膜间隔膜加厚 (47.0%).
- 在4.3%的患者中发现左心室缩功能障碍.
- 使用症状,NT-proBNP和HHE的逐步策略实现了100%的准确性,并将成本降低了31.3%,将56.7%重新归类为B阶段和13.9%作为C阶段的HF.
结论:
- 在高风险人群中,基于HHE的查有效地识别了许多B期和轻度C期HF的病例.
- 整合症状,NT-proBNP和HHE的逐步查方法是可行的和具有成本效益的.
- 这种综合查策略应在社区基础的初级保健机构中实施,以早期检测HF.
相关概念视频
Imaging Studies for Cardiovascular System I:Echocardiography
493
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
493
Imaging Studies for Cardiovascular System II:Types of Echocardiography
399
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
399
Hypertension III: Clinical Manifestations and Diagnostic Studies
59
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
59
Assessing Blood pressure using a doppler ultrasound
1.7K
To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
1.7K
Heart Failure VII: Nursing Interventions
147
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
147


