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1.
目的 探讨M型超声结合房室梯形图分析诊断胎儿心律失常的价值。方法 回顾性分析2016年1月至2020年10月期间重庆市妇幼保健院经胎儿超声心动图检查应用M 型超声取样线获取房室壁、房室瓣及半月瓣的活动曲线,结合房室梯形图法分析及诊断胎儿心律失常类型。结果 M型超声结合房室梯形图法共诊断165例胎儿心律失常,其中房性早搏76例(46.1%),室性早搏6例(3.6%),窦性心动过速43例(26.0%),室上性心动过速8例(4.8%),其中房性心动过速1例(0.6%),心房扑动1例(0.6%),窦性心律过缓22例(13.3%),房室传导阻滞9例(5.5%)。结论 M型超声结合房室梯形图诊断胎儿心律失常可行,此方法简单、直观,能明确胎儿心律失常类型。  相似文献   
2.
目的 探讨专科护理门诊个案管理对永久性起搏器植入患者复诊及服药依从的影响。方法 将首次植入永久起搏器患者134例采用随机数字表法分为对照组和干预组各67例。对照组给予微信或电话方式进行常规随访,干预组实施专科护理门诊个案管理,即通过线上及专科护理门诊方式对患者进行随访与个性化健康教育。比较两组出院后1、3、6个月的复诊率、服药依从性。结果 出院后1、3、6个月干预组复诊率、服药依从性显著高于对照组(P<0.05,P<0.01)。结论 对永久性起搏器植入患者实施专科护理门诊个案管理,促进患者出院后专业化护理的延续和全程管理,可以显著提高其术后复诊率、服药依从性。  相似文献   
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The pathogenesis of arrhythmias is complex and multifactorial. The role of inflammation in the pathogenesis of both atrial and ventricular arrhythmias (VA) has been explored. However, developing successful pharmacotherapy regimens based on those pathways has proven more of a challenge. This narrative review provides an overview of five common arrhythmias impacted by inflammation, including atrial fibrillation (AF), myocardial infarction, arrhythmogenic cardiomyopathy, cardiac sarcoidosis, and QT prolongation, and the potential role for anti-inflammatory therapy in their management. We identified arrhythmias and arrhythmogenic disease states with the most evidence linking pathogenesis to inflammation and conducted comprehensive searches of United States National Library of Medicine MEDLINE® and PubMed databases. Although a variety of agents have been studied for the management of AF, primarily in an effort to reduce postoperative AF following cardiac surgery, no standard anti-inflammatory agents are used in clinical practice at this time. Although inflammation following myocardial infarction may contribute to the development of VA, there is no clear benefit with the use of anti-inflammatory agents at this time. Similarly, although inflammation is clearly linked to the development of arrhythmias in arrhythmogenic cardiomyopathy, data demonstrating a benefit with anti-inflammatory agents are limited. Cardiac sarcoidosis, an infiltrative disease eliciting an immune response, is primarily treated by immunosuppressive therapy and steroids, despite a lack of primary literature to support such regimens. In this case, anti-inflammatory agents are frequently used in clinical practice. The pathophysiology of arrhythmias is complex, and inflammation likely plays a role in both onset and duration, however, for most arrhythmias the role of pharmacotherapy targeting inflammation remains unclear.  相似文献   
4.
目的:观察稳心颗粒联合尼可地尔治疗缺血性心肌病合并房性心律失常患者的效果。方法:选取103例缺血性心肌病合并房性心律失常患者作为研究对象,以电脑随机数字表法将其分为研究组51例和对照组52例。两组均开展常规基础治疗,在此基础上,对照组采用尼可地尔治疗,研究组在对照组基础上联合稳心颗粒治疗,比较两组治疗前后心功能指标[左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)、左室射血分数(LVEF)]水平、P波最大时限、P波离散度、6 min步行试验(6MWT)距离和不良反应发生率。结果:治疗后,研究组LVEDD和LVESD水平均低于对照组,LVEF水平高于对照组,6MWT距离长于对照组,差异有统计学意义(P<0.05);治疗后,研究组P波最大时限和P波离散度均小于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:稳心颗粒联合尼可地尔治疗缺血性心肌病合并房性心律失常患者可改善心功能指标水平,延长6MWT距离,减小P波最大时限和P波离散度,效果优于单纯尼可地尔治疗。  相似文献   
5.
ObjectiveNew-onset postoperative atrial fibrillation (POAF) after cardiac surgery is common, with rates up to 60%. POAF has been associated with early and late stroke, but its association with other cardiovascular outcomes is less known. The objective was to perform a meta-analysis of the studies reporting the association of POAF with perioperative and long-term outcomes in patients with cardiac surgery.MethodsWe performed a systematic review and a meta-analysis of studies that presented outcomes for cardiac surgery on the basis of the presence or absence of POAF. MEDLINE, EMBASE, and the Cochrane Library were assessed; 57 studies (246,340 patients) were selected. Perioperative mortality was the primary outcome. Inverse variance method and random model were performed. Leave-one-out analysis, subgroup analyses, and metaregression were conducted.ResultsPOAF was associated with perioperative mortality (odds ratio [OR], 1.92; 95% confidence interval [CI], 1.58-2.33), perioperative stroke (OR, 2.17; 95% CI, 1.90-2.49), perioperative myocardial infarction (OR, 1.28; 95% CI, 1.06-1.54), perioperative acute renal failure (OR, 2.74; 95% CI, 2.42-3.11), hospital (standardized mean difference, 0.80; 95% CI, 0.53-1.07) and intensive care unit stay (standardized mean difference, 0.55; 95% CI, 0.24-0.86), long-term mortality (incidence rate ratio [IRR], 1.54; 95% CI, 1.40-1.69), long-term stroke (IRR, 1.33; 95% CI, 1.21-1.46), and longstanding persistent atrial fibrillation (IRR, 4.73; 95% CI, 3.36-6.66).ConclusionsThe results suggest that POAF after cardiac surgery is associated with an increased occurrence of most short- and long-term cardiovascular adverse events. However, the causality of this association remains to be established.  相似文献   
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目的 探讨动态心电图与常规心电图诊断冠心病患者心肌缺血及心律失常的应用效果.方法 选择2015年3月—2017年3月期间医院收治的冠心病患者70例为研究对象,随机分为两组,对照组为常规心电图,观察组为动态心电图.结果 观察组的心肌缺血阳性率低于对照组,阴性率高于对照组,有统计学意义(P<0.05);观察组的房性心律失常、室性心律失常、短阵室上速、房室传导阻滞检出率高于对照组(P<0.05).结论 将动态心电图用于心律失常中能帮助患者早期确诊,临床上可以将动态心电图与常规心电图联合诊断,达到优势互补,提高诊断准确率.  相似文献   
8.
Caregivers play an integral role in promoting children's emotion regulation, while children's individual physiology affects how they respond to the caregiving environment. Relatively little is known about how fathering influences toddler emotion regulation, particularly within African American and low-income communities, where risk related to the development of emotion regulation is higher. This study investigated relations among fathering, toddler parasympathetic regulation, and toddler emotion regulation in a sample of 92 families. Fathering was assessed during two interactions: engagement following a stressor during a triadic task and a dyadic play task. Respiratory sinus arrhythmia (resting and reactivity) was obtained as an index of toddler parasympathetic arousal. Findings demonstrated an association between fathers’ engagement poststressor and toddler emotion regulation. Toddler RSA moderated this association: toddlers with elevated levels of resting RSA benefitted from parenting engagement following a stressor. Fathering during play did not relate to toddler emotion regulation. The importance of fathering and physiologic contexts in early regulatory development is discussed.  相似文献   
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