使用动态心电事件监测仪评估妊娠期心悸
Navya, A., Z, R., P, D., I, B., T, N., S, V., A, S., M, J., & EA, C. (2026). Evaluation of palpitations in pregnancy using an ambulatory event monitor. American Heart Journal Plus. https://doi.org/10.1016/j.ahjo.2026.100740
Navya A, Z R, P D, I B, T N, S V, et al. Evaluation of palpitations in pregnancy using an ambulatory event monitor. American Heart Journal Plus. 2026; doi: 10.1016/j.ahjo.2026.100740
Navya A, Z R, P D, et al. Evaluation of palpitations in pregnancy using an ambulatory event monitor[J]. American Heart Journal Plus. 2026. DOI: 10.1016/j.ahjo.2026.100740.
@article{navya2026,
author = {Akula Navya and Ramy Z and Devansh P and Beshoy I and Nour T and Varun S and Sadeer A and Judy M and Chantal EA},
title = {Evaluation of palpitations in pregnancy using an ambulatory event monitor},
journal = {American Heart Journal Plus},
year = {2026},
doi = {10.1016/j.ahjo.2026.100740},
note = {PMID: 41853613},
}
TY - JOUR AU - Akula Navya AU - Ramy Z AU - Devansh P AU - Beshoy I AU - Nour T AU - Varun S AU - Sadeer A AU - Judy M AU - Chantal EA TI - Evaluation of palpitations in pregnancy using an ambulatory event monitor T2 - American Heart Journal Plus PY - 2026 DO - 10.1016/j.ahjo.2026.100740 AN - PMID:41853613 ER -
心悸是妊娠期常见的主诉,但动态心脏监测在该人群中的临床意义和诊断价值尚不清楚。本单中心回顾性研究纳入了111名因心悸被转诊至产科心脏病学诊所的妊娠患者,分析了人口统计学和临床特征、超声心动图发现及动态心电事件监测仪数据。主要终点为心律失常检出率,次要终点包括医疗管理变化及母婴结局。在111名患者中,61名(55%)接受了动态心脏监测,其中28名(46%)检出了心律失常。症状与心律异常的相关性在13名(46%)心律失常患者中有记录。7名(25%)检出心律失常的患者启动或继续使用β受体阻滞剂,但与未检出心律失常的患者相比无统计学差异。心律失常检出与患者年龄、孕产次、孕周或既往心律失常或瓣膜病史无显著关联。妊娠和胎儿结局在心律失常检出方面无显著差异。研究支持选择性监测策略,强调需要更大规模的研究来确定最可能获益的患者。