从严重的COVID-19中恢复过来的个人倾向于发展心房动
Mücahid Yılmaz1, Çetin Mirzaoğlu1
1University of Health Sciences, Elazığ Fethi Sekin City Hospital, Department of Cardiology, Elazığ, Turkey.
International journal of general medicine
|August 18, 2025
概括
由于自主功能障碍,严重的COVID-19恢复可能会增加心房动的风险. 后COVID-19患者,特别是那些患有严重疾病的患者,表现出心率动 (HRT) 的改变,表明对心房动的倾向较高.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 自主神经科学 自主神经科学
背景情况:
- 自主功能障碍是心房动 (AF) 发展的关键因素.
- 心率动荡 (HRT) 是评估自主神经系统 (ANS) 功能的一种验证度量.
- COVID-19的长期心血管影响,特别是对AF倾向的影响,需要进一步调查.
研究的目的:
- 分析COVID-19在康复后阶段对心房的倾向的影响.
- 在COVID-19感染后出现心的患者中评估心房HRT测量.
主要方法:
- 包括407名健康对照和328名康复的COVID-19患者,按胸部CT严重程度 (轻度,中度,严重) 分类.
- 利用24小时的霍尔特记录来测量心房HRT参数.
- 进行回归分析以确定异常心房HRT的预测因素.
主要成果:
- 与其他组相比,在严重的COVID-19康复组中观察到显著更高的心房HRT起始值.
- 在心房HRT开始和胸部CT严重性得分之间发现了正相关性.
- 胸部CT重度,吸烟和严重的COVID-19恢复是异常心房HRT开始的独立预测因素.
结论:
- 化心房HRT是AF的危险因素,在从严重的COVID-19中恢复过来的个人中更为普遍.
- 从严重的COVID-19中康复的患者需要仔细评估心房HRT,以评估AF风险.
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