相关实验视频

Updated: Jan 14, 2026

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

植入式循环记录器的临床价值在不清楚病因的综合:一个单中心的经验

Mamoon Ahmed¹, Joseph Morris², Sree M Bommireddi¹

¹Internal Medicine, Northern General Hospital, Sheffield, GBR.

|October 22, 2025

概括

植入式循环记录器 (ILR) 有效地诊断心律不整的患者,不明原因昏迷. 这项研究发现,在超过47%的病例中,ILR检测到显著的心律失常或缺乏心律失常,有助于诊断.

科学领域:

心脏病学心脏病学
电子生理学电子生理学
医疗器械医疗器械

背景情况:

昏迷的零星性质使病因诊断复杂化.
植入式循环记录器 (ILR) 建议在怀疑心脏时使用,当病因不明确时.
在昏迷管理中ILRs的实际诊断实用性需要进一步阐明.

研究的目的:

评估ILR器件在患有未确定的昏迷的患者的诊断产量.
根据ILR发现,以确定心脏植入式电子设备 (CIED) 插入率.
分析临床上显著的事件,并比较患者的特征,并没有检测到心律失常.

主要方法:

针对因昏迷而接受ILR插入的患者电子病历的单中心,回顾性审查 (2017年1月 - 2022年6月).
异常的ILR节奏条被心脏生理学家和心脏病学顾问评估为临床意义.
使用非参数分析来比较群体之间的基线特征.

主要成果:

在215名患者中,43% (20%) 由于ILR发现而接受CIED.
在103名患者 (47.9%) 中发现了临床显著事件 (CSEs),症状性心律失常是最常见的.
鼻腔暂停>6秒是最常见的心律失常;没有ILR并发症需要解释.

结论:

在42.7%的患者中,ILR检测到临床显著的心律失常,在5.1%的患者中,失眠期间没有心律失常.
ILR对于未确定的昏迷患者来说是一个有价值的诊断工具.
对ILRs在管理中的成本效益进行进一步的研究是合理的.

关键词:

节律失常 (arrhythmia) 是一种心律失常.心脏监测是指对心脏进行监测.诊断收益率是指诊断收益率.可植入的循环记录器综合症综合症是什么

更多相关视频

Network Analysis of Foramen Ovale Electrode Recordings in Drug-resistant Temporal Lobe Epilepsy Patients

Network Analysis of Foramen Ovale Electrode Recordings in Drug-resistant Temporal Lobe Epilepsy Patients

Published on: December 18, 2016

Surgical Implant Procedure and Wiring Configuration for Continuous Long-Term EEG/ECG Monitoring in Rabbits

Surgical Implant Procedure and Wiring Configuration for Continuous Long-Term EEG/ECG Monitoring in Rabbits

Published on: January 24, 2025

相关概念视频

Pulse rhythm

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...

Dysrhythmias V: Evaluating Dysrhythmias

Dysrhythmias V: Evaluating Dysrhythmias

Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...

Holter Monitor: 24-Hour Monitoring

Holter Monitor: 24-Hour Monitoring

Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...