A study on the rapid diagnosis of chronic heart failure by measuring the difference in pulse oxygen saturation before and after arm compression

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Noninvasive Electrocardiology Pub Date : 2023-02-27 DOI:10.1111/anec.13049

Jian-feng Jia MD, Li-fei Wang MD, Xing-li Gao MD

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Abstract

Background

Clinically, the pulse oxygen saturation of patients with chronic heart failure does not decrease significantly, and the clinical manifestations of labor-related dyspnea are not typical. As such, it is difficult to make a rapid diagnosis.

Objective

To investigate changes in pulse oxygen saturation in patients with chronic heart failure and examine the relationship between B-type natriuretic peptide (BNP) and normal pulse oxygen saturation.

Methods

A total of 80 hospitalized patients with chronic heart failure and increased BNP were randomly selected as the study group; the family members of 60 patients without dyspnea were randomly selected as the control group. The researchers measured the value of pulse oxygen saturation before and after upper arm compression, calculating the difference and analyzing the correlation between this difference and BNP values. The data were statistically analyzed using the SPSS Statistics 17.0 program.

Results

The decrease in pulse oxygen saturation in the study group was greater than in the control group; the decrease in pulse oxygen saturation of patients with chronic heart failure positively correlated with BNP.

Conclusion

The value of pulse oxygen saturation in patients with chronic heart failure decreased more than in the control group, and this difference positively correlated with BNP. The measurement of pulse oxygen saturation before and after upper arm compression is a simple and effective method for diagnosing and evaluating chronic heart failure.

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通过测量压臂前后脉搏血氧饱和度差快速诊断慢性心力衰竭的研究

临床研究背景慢性心力衰竭患者脉搏血氧饱和度没有明显下降，分娩相关呼吸困难的临床表现也不典型。因此，很难做出快速诊断。目的观察慢性心力衰竭患者脉搏血氧饱和度的变化，探讨b型利钠肽(BNP)与正常脉搏血氧饱和度的关系。方法随机选择80例慢性心力衰竭合并BNP增高的住院患者作为研究组;随机选取60例无呼吸困难患者的家属作为对照组。研究人员测量了上臂压缩前后的脉搏血氧饱和度值，计算差异，并分析了差异与BNP值之间的相关性。采用SPSS 17.0统计软件对数据进行统计学分析。结果研究组脉搏血氧饱和度下降幅度大于对照组;慢性心力衰竭患者脉搏血氧饱和度降低与BNP呈正相关。结论慢性心力衰竭患者脉搏血氧饱和度较对照组下降幅度更大，且与BNP呈正相关。上臂按压前后脉搏血氧饱和度的测定是诊断和评价慢性心力衰竭的一种简单有效的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.