首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >The role of cardiac disease parameters in predicting the results of Holter monitoring in patients with acute ischaemic stroke
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The role of cardiac disease parameters in predicting the results of Holter monitoring in patients with acute ischaemic stroke

机译:心脏病参数在预测急性缺血性卒中患者动态心电图监测结果中的作用

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摘要

There is limited evidence supporting the routine use of Holter monitoring (HM) in patients with acute ischaemic stroke. This study aimed to assess the diagnostic yield of HM and determine whether any cardiac disease parameter(s) would permit more focused targeting of HM. We performed a retrospective evaluation of HM in patients with acute ischaemic stroke admitted to our hospital over a one-year period to assess diagnostic yield and whether certain cardiac disease parameters were correlated with HM results. The diagnostic yield was 9%, the number needed to screen was 11, and the cost to detect one clinically significant case was AUS$1,300. Apart from age, stratifying patients by cardiac disease parameters did not predict HM result. This strengthens the use of HM in all patients presenting with acute ischaemic stroke of unknown aetiology.
机译:仅有有限的证据支持在急性缺血性中风患者中常规使用动态心电图监测(HM)。这项研究旨在评估HM的诊断率,并确定是否有任何心脏疾病参数可以更明确地靶向HM。我们对一年来入院的急性缺血性脑卒中患者的HM进行了回顾性评估,以评估诊断结果以及某些心脏病参数是否与HM结果相关。诊断产率为9%,需要筛查的数目为11,而检测到一例具有临床意义的病例的成本为1,300澳元。除年龄外,按心脏病参数分层的患者不能预测HM结果。这在所有病因不明的急性缺血性卒中的患者中加强了HM的使用。

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