捆绑分支阻塞和起器节奏作为危急心脏病患者死亡率的独立预测因素
Abed Qadan1, Ranel Loutati1, Louay Taha1
1For the Jerusalem Platletes Thrombosis, Intervention in Cardiology (JUPITER-20) Study Group, Jesselson Integrated Heart Center, The Eisenberg R&D Authority, Shaare Zedek Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Israel.
接受密集心血管护理的捆绑分支阻塞 (BBB) 患者的预后在4年内更差. 正确的BBB (RBBB) 和心脏起器节奏独立地预测不良结果,特别是在急性冠状动脉综合征中.
科学领域:
- 心脏病学 心脏病学
- 电心电图是指心电图.
- 预测研究 预测研究
背景情况:
- 捆绑分支区块 (BBB) 与心脏病有关,但其在密集心血管护理单位 (ICCU) 患者的预后,特别是右侧BBB (RBBB),研究不足.
- 在ICCU入院的ECG发现需要进一步调查长期患者的结果.
研究的目的:
- 为了确定左BBB (LBBB) 和RBBB在入院第三级护理ICCU时的预后意义.
- 评估与严重心血管疾病患者先前存在的BBB相关的长期预后.
主要方法:
- 分析了2019年7月至2021年12月期间2552名ICCU入院患者的心电图 (ECG).
- 对患者进行长达4年的随访,以评估长期预后.
- 多变量分析以确定不良预后的独立预测因素.
主要成果:
- 与没有BBB (21%) 患者相比,LBBB (42%) 或RBBB (47%) 患者的4年死亡率更高.
- 心脏起器节奏显示了最高的死亡率 (54%).
- 在多变量分析中,RBBB和心脏起器节奏是预后不良的独立预测因素;RBBB是急性冠状动脉综合征患者中唯一的独立预测因素.
结论:
- 预先存在的BBB在ICCU入院时与不良的4年预后有关,无论住院原因如何.
- 在入院时识别BBB可以帮助心血管患者的风险分层.
更多相关视频
09:44Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
08:52Generation of Murine Cardiac Pacemaker Cell Aggregates Based on ES-Cell-Programming in Combination with Myh6-Promoter-Selection
Published on: February 17, 2015
相关概念视频
Electrophysiology of Normal Cardiac Rhythm
Introduction to Test of Independence
The test statistic for a test of independence is similar to that of a goodness-of-fit test:
Hypothesis Test for Test of Independence
H0: The two variables (factors)...
Pulse rhythm
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Law of Independent Assortment
Critical Region, Critical Values and Significance Level
In hypothesis testing, a sample statistic is converted to a test statistic using z, t, or chi-square distribution. A critical region is an area under the curve in probability distributions demarcated by the critical value. When the test statistic falls in this region, it suggests that the null hypothesis must be rejected. As this region contains all those values of the...
