由于心房动而接受选择性DC心脏转移的患者的结果:一个地区普通医院的体验
A Abdullah1, G S Ramewal1, C Wright1
1The Dudley Group NHS Foundation Trust, Russells Hall Hospital, Dudley, UK.
Journal of healthcare quality research
|September 28, 2025
概括
早期DC心脏转变 (DCCV) 对于心房 (AF) 是有效的. 我们机构的DCCV延迟很大,影响了鼻节律的维持. 在DCCV后使用阿米奥达龙改善了长期节律控制.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗审计 医学审计
背景情况:
- 早期的直流心脏转变 (DCCV) 有效地恢复心房动 (AF) 中的鼻节律.
- 这次审计评估了DCCV结果和预测我们机构的鼻节律恢复的预测因素.
- 在DCCV中观察到显著的延迟,特别是当率控制首先启动时.
研究的目的:
- 评估接受DCCV.的患者的结果.
- 确定预测DCCV后成功恢复和维持鼻节律的因素.
- 评估治疗延迟对DCCV成功率的影响.
主要方法:
- 对2021年执行的可选DCCV程序的回顾性审计.
- 包括243名患者,拥有完整的电子病例记录数据.
- 分析患者人口统计,治疗延迟,手术成功和随访时的节律状态.
主要成果:
- 立即DCCV成功率为93.1%,其中91.5%的患者在出院时保持了鼻节律.
- 节律维持在6个月后降至48.6%,在一年后降至39.7%.
- 较少的冲击和持续使用阿米奥达龙预测了更好的长期鼻节律维护.
结论:
- 选择性DCCV应在AF管理的早期考虑,避免长时间的速率控制试验.
- 这所机构的DCCV显著延迟会影响长期节律控制.
- 在DCCV后使用阿米奥达龙与改善一年的鼻节律维持有关.
关键词:
我们的朋友正在和我们交往.艾米奥达龙是一种阿米奥达龙.心房动是一种心房动.耳前1 耳前1在CHA2DS2-VASc分数中获得的分数.电动心脏转变 (英语:Cardioversión eléctrica) 是一种电动心脏转变.电流心脏转变是一直流心脏转变.一个心声回声图 (Echocardiogram) 是一个心声回声图.一个心脏生态图 (Ecocardiogram)梯度 CHA(2)DS(2)-VAScc 这样一个梯度.耳膜动 耳膜动 耳膜动节奏控制控制节奏控制节奏控制节奏更多相关视频
相关概念视频
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
469
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
469
Dysrhythmias VI: Management of Dysrhythmias
432
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
432
Disturbances in Heart Rhythm
2.5K
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
2.5K
Cardiomyopathy II: Dilated Cardiomyopathy
470
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
470
Dysrhythmias IV: Characteristics of Bradyarrhythmias
499
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
499
Cardiopulmonary Resuscitation III: AED Use
536
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
536


