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对心律失常的交感切除术:历史演变和21世纪的复苏
Dianela Perdomo1, Albert Leng, Nkosi Alvarez
1From the Division of Thoracic Surgery, Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD.
Cardiology in review
|August 4, 2025
概括
交感切除术显示,人们对治疗心律失常的兴趣日益增加. 研究趋势表明,与心脏相关的出版物显著增加,突出显示其在治疗心律障碍方面的重要性日益增加.
科学领域:
- 心脏病学 心脏病学
- 神经外科 神经外科
- 医学史 医学史 医学史
背景情况:
- 交感切除术是一种手术程序,在过去二十年中,人们对治疗耐火性心律失常症的兴趣重新兴起.
- 之前的同情切除术应用包括过,高血压和病理等疾病,出版趋势各不相同.
研究的目的:
- 为了回顾共感切除术的历史背景.
- 分析不同医学领域与交感切除相关的出版趋势.
- 评估当前的证据和对心律失常管理中的交感切除术的未来方向.
主要方法:
- 从1904年到2024年,在Scopus上使用术语"交感切除"进行了全面的文献搜索.
- 分析了文章关键词,以确定关键研究领域.
- 用Kendall排名相关性测试对前五个域进行了评估,以评估出版趋势.
主要成果:
- 总共有16,507篇文章被确定,其中超,高血压,病理,心律失常和数字缺血是最重要的领域.
- 关于心律失常的出版物在过去24年中显示出显著的积极趋势 (τ = 0.73,P < 0.001).
- 病理和高血压的趋势保持稳定,而过和数字缺血症没有显著变化.
结论:
- 对于耐火性心律失常症的共感切除术的使用有着显著的复苏,受到越来越多的出版趋势的支持.
- 在临床指南中存在一个显著的差距,用于在心律不整的情况下选择患者进行交感切除术.
- 未来的研究应该调查遗传因素,dysautonomia分数和长期结果,以完善患者选择和治疗疗效.
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