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51.
Sílvia Aguiar Rosa Pedro Silva Cunha Ana Lousinha Bruno Valente Ana Sofia Delgado Ricardo Pimenta Manuel Brás Madalena Coutinho Cruz Guilherme Portugal André Viveiros Monteiro Mário Oliveira Rui Cruz Ferreira 《Revista portuguesa de cardiologia》2019,38(1):11-16
Introduction
Implantable cardioverter-defibrillator (ICD) monitoring zones (MZ) provide passive features that do not interfere with the functioning of active treatment zones. However, it is not known for certain whether programming an MZ affects arrhythmia detection by the ICD. The aim of the present study is to assess the clinical relevance of MZ in a population of patients with ICDs.Methods
In this retrospective analysis of patients with ICDs, with or without cardiac resynchronization therapy, for primary prevention under remote monitoring, the MZ was analyzed and recorded arrhythmias were assessed in detail.Results
A total of 221 patients were studied (77% men; age 64±12 years). Mean ejection fraction was 30±12%. The mean follow-up was 63±35 months. One hundred and seventy-four MZ events were documented in 139 patients (62.9%): 74 of non-sustained ventricular tachycardia (NSVT), 42 of supraventricular tachycardia, 44 of atrial fibrillation/atrial flutter, and five cases of noise. Among the 137 patients who presented with arrhythmias in the MZ (excluding two cases with noise detection only), 22 (16.1%) received appropriate shocks and/or antitachycardia pacing (ATP), while of the other 84 patients, 15.5% received appropriate ICD treatment (p=NS). In patients who presented with NSVT in the MZ, 15 (20.5%) received appropriate shocks and/or ATP. In accordance with the MZ findings, physicians decided to change outpatient medication in 41.7% of all patients in whom arrhythmic events were reported.Conclusion
Ventricular and supraventricular arrhythmias are common findings in the MZ of ICD patients. Programming an MZ is valuable in the diagnosis of arrhythmias and may be a useful tool in clinical practice. 相似文献52.
53.
Nicolás Menéndez Granados Manuel Vaquero Abellán Manuel Toledano Estepa Manuel Modesto Pérez Díaz Rosa Redondo Pedraza 《Gaceta sanitaria / S.E.S.P.A.S》2019,33(1):38-44
Objective
To describe the distribution of frequent attenders (FA) through the different primary care practices in Cordoba-Guadalquivir Health District (Córdoba, Spain).Methods
An ecological study was performed, including data from 2011 to 2015. Defining FA as those subjects who made12 or more appointments per year; independently analysed for nursing, general practice and paediatrics. Prevalence of frequent attendance and FA/professional ratio were used as dependent variables. Demographic characteristics from district population, number of health professionals and use of general facilities were also examinated. Aiming to understand FA distribution, primary health settings were classified according to facility size and environmental location (urban, suburban and rural).Results
The mean prevalence for FA was 10.86% (0.5 SE) for nursing; general practice 21.70% (0.7 SE) and for paediatrics 16.96% (0.7 SE). FA/professional ratios for the different professional categories were: 101.07 (5.0 SE) for nursing, 239.74 (9.0 SE) for general practice and 159.54 (9.8 SE) for paediatrics.Conclusions
A major part of primary health care users make a high number of consultations. From this group, women overuse nursing and general practitioner services more compared to men. A higher prevalence of FAs was observed in smaller settings, in rural areas. Although taking the FAs:professional ratio as the bar, medium-size practices are more highly overused. 相似文献54.
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《Science & Sports》2022,37(7):564-571
ObjectiveObesity is the most common childhood illness in developed countries and its prevalence continues to increase. The objective was to analyze the influence of obesity on the motor coordination of children between 6 and 9 years old.Equipment and methodsA number of 52 pupils of both genders participated for evaluation of the prevalence of obesity using the measurement of the abdominal perimeter and the Body Mass Index (BMI) categorized as Normal-Weighted, Excess Weight and Obesity. The assessment of motor coordination was performed by the KTK test. SPSS (version 19.0) was used for statistical purposes.ResultsGirls had lower levels of performance rather than boys, and the pupils presented worse levels of motor performance as the age progressed. Regarding the prevalence of obesity, the two-gender obtained high mean values for the Normal-weighted category, whereas 25% is overweight. Regarding the level of motor coordination, 57.7% of the pupils had Normal Coordination and 40.4% had coordinative difficulties. Pupils with higher values of BMI and abdominal perimeter obtains lower results of motor coordination. 相似文献
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