在有问题的昏迷患者中使用扩展监测策略. 揭露调查人员的调查人员
1Division of Cardiology, University of Western Ontario, London, Ontario, Canada. akrahn@julian.uwo.ca
Circulation
|January 26, 1999
概括
使用植入式循环记录器进行长时间的心脏监测可以有效地诊断复发性. 这种安全的策略可以在许多患者中发现心律失常,在传统方法失败时有助于临床诊断.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
背景情况:
- 传统的昏迷诊断使用短期心电图,倾斜测试或电生理学测试.
- 由于昏迷的不可预测性质,获得症状节律相关性是具有挑战性的.
研究的目的:
- 评估长期心脏监测的有效性和安全性,以诊断复发性未被诊断的昏迷.
主要方法:
- 在85名患有复发性昏迷的患者中,使用了可植入的循环记录器进行心脏监测长达18个月.
- 在随访期间分析症状复发,检测出心律失常以及临床诊断.
主要成果:
- 在68%的患者中,症状在平均10.5个月内复发.
- 在42%的患者中检测到心律失常,这些患者在症状期间记录了心律;在18名患者中检测到胸心梗塞,在3名患者中检测到心律失常.
- 在7名患者中诊断出神经介导性昏迷;昏迷前患者不太可能出现心律失常 (24%vs70%).
结论:
- 用植入式循环记录器进行长时间的监测是有问题的昏迷的有效和安全策略.
- 这种方法有助于诊断昏迷,当标准调查是不确定的.
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