快速的运动后静脉补充时间是慢性静脉缺陷的一个独立因素
Hossam Elbenawi1, Atefeh Ghorbanzadeh1, David Liedl2
1Department of Cardiovascular Diseases, Division of Vascular Medicine, Mayo Clinic, Rochester, MN; Gonda Vascular Center, Mayo Clinic, Rochester, MN.
概括
快速的运动后静脉补充时间 (P-EVRT) 与更严重的慢性静脉功能不足 (CVI) 和有关. 这一发现强调了P-EVRT作为评估CVI严重性的关键因素.
科学领域:
- 血管医学 血管医学
- 弗莱博学 (Phlebology) 是一种神经病学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 慢性静脉功能不全 (CVI) 会导致下肢严重的并发症,包括疼痛,和.
- 门无能和静脉阻塞已知是导致CVI的因素.
- 运动后静脉补充时间 (P-EVRT) 是CVI的一个研究不足的生理参数.
研究的目的:
- 调查快速P-EVRT与心血管炎的临床严重程度之间的关联.
- 确定快速P-EVRT是否是静脉的独立预测因素.
主要方法:
- 一项涉及4755名患者和9510名下肢的横截面研究.
- 静脉空气囊造影用于评估P-EVRT,将四肢分为快速 (<20秒) 和正常组.
- 进行了统计分析,包括单变量和多变量调整.
主要成果:
- 快速P-EVRT与更高的CEAP分数和更高的活跃/先前的患病率显著相关.
- 在多变量调整后,快速P-EVRT独立预测了活跃/先前的 (OR, 1.44).
- 即使在没有其他静脉病理的四肢中,快速P-EVRT与CEAP分数增加和发病率增加相关.
结论:
- 快速P-EVRT是了解CVI严重性的重要生理参数.
- 这项研究表明P-EVRT对评估CVI患者临床结果的独特贡献.
- 静脉空气囊造影和P-EVRT评估为CVI病理生理学提供了宝贵的见解.
相关概念视频
Venous Return
7.1K
The circulatory system plays a crucial role in ensuring the optimal functioning of the human body. One of its critical components is venous return - the process that completes the blood circulation cycle. This article will delve into the concept of venous return, how it works, and its significance to our health.
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
What is Venous Return?
Venous return refers to the rate at which blood flows back to the heart from the body's peripheral veins. It's an integral part of the circulatory system...
7.1K
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
37
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
37
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22
Venous Thrombosis IV: Nursing Management
24
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
24
Varicose Veins I: Introduction
26
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
26
Peripheral Artery Disease V: Postoperative Nursing Management
25
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
25


