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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳佳慧(Chia-Hui Chen) | |
| dc.contributor.author | Pei-Chin Sun | en |
| dc.contributor.author | 孫佩勤 | zh_TW |
| dc.date.accessioned | 2021-06-08T01:44:46Z | - |
| dc.date.copyright | 2016-08-26 | |
| dc.date.issued | 2016 | |
| dc.date.submitted | 2016-08-16 | |
| dc.identifier.citation | 林亮宇、陳文鍾（2014）•心室心律不整•於內科主治醫師合著，內科學（第七版第一冊，357-365頁）•台北市：力大圖書。
林于凱、俞菘維、林沛練、王玉純（2015）•台灣不同地區之氣溫與全死因及心血管疾病死亡風險之相關分析•臺灣公共衛生雜誌，34（1），103-114•doi：10.6288/TJPH201534103039 林于凱,吳祐誠,黃鈴雅,林嘉明,吳聰能,周昌弘,...&王玉純.（2011）.極端氣溫對台灣都會區65歲以上族群心肺疾病死亡之風險趨勢分析.臺灣公共衛生雜誌，30（3），277-289•DOI：10.6288/TJPH2011-30-03-08 交通部中央氣象局•（2015）•台灣氣候特徵簡介-台灣的溫度•RetrievedMay2,2015,http://www.cwb.gov.tw/V7/climate/climate_info/statistics/statistics_1_3.html 謝炎堯（2014）•異常心律的藥物治療•於內科主治醫師合著，內科學（第七版第一冊，366-388頁）•台北市：力大圖書。 Abhilash, S. P., & Namboodiri, N. (2014). Sudden cardiac death–Historical perspectives. Indian heart journal, 66, S4-S9.doi: 10.1016/j.ihj.2014.01.002 Anand, K., Aryana, A., Cloutier, D., Hee, T., Esterbrooks, D., Mooss, A. N., & Mohiuddin, S. M. (2007). Circadian, daily, and seasonal distributions of ventricular tachyarrhythmias in patients with implantable cardioverter-defibrillators. The American Journal of Cardiology, 100(7), 1134-1138. doi: 10.1016/j.amjcard.2007.04.063 Antezano, E. S., & Hong, M. (2003). Sudden cardiac death. Journal of Intensive Care Medicine, 18(6), 313-329. doi: 10.1177/0885066603258140 Aizawa, Y., Takatsuki, S., Kaneko, Y., Noda, T., Katsumata, Y., Nishiyama, T., ... & Kurita, T. (2016). Comparison of circadian, weekly, and seasonal variations of electrical storms and single events of ventricular fibrillation in patients with Brugada syndrome. IJC Heart & Vasculature, 11, 104-110. doi: 10.1016/j.ijcha.2016.05.008 Baccini, M., Biggeri, A., Accetta, G., Kosatsky, T., Katsouyanni, K., Analitis, A., ... & Michelozzi, P. (2008). Heat effects on mortality in 15 European cities. Epidemiology, 19(5), 711-719. doi: 10.1093/aje/kwn266. Barrett-Connor, E., Suarez, L., Khaw, K. T., Criqui, M. H., & Wingard, D. L. (1984). Ischemic heart disease risk factors after age 50. Journal of Chronic Diseases, 37(12), 903-908. Basu, R. (2009). High ambient temperature and mortality: a review of epidemiologic studies from 2001 to 2008. Environ Health, 81(1), 40. doi: 10.1186/1476-069X-8-40. Borne, R. T., Varosy, P. D., & Masoudi, F. A. (2013). Implantable cardioverter- defibrillator shocks: epidemiology, outcomes, and therapeutic approaches. JAMA Internal Medicine, 173(10), 859-865. doi: 10.1001/jamainternmed.2013.428. Charach, G., Shochat, M., Argov, O., Weintraub, M., Charach, L., Rabinovich, A., ... & George, J. (2013). Seasonal changes in blood pressure: Cardiac and cerebrovascular morbidity and mortality. World Journal of Hypertenssion, 3, 1-8. Connolly, S. J., Dorian, P., Roberts, R. S., Gent, M., Bailin, S., Fain, E. S., ... & Optimal Pharmacological Therapy in Cardioverter Defibrillator Patients (OPTIC) Investigators. (2006). Comparison of β-blockers, amiodarone plus β-blockers, or sotalol for prevention of shocks from implantable cardioverter defibrillators: The OPTIC study: A randomized trial. JAMA, 295(2), 165-171. doi: 10.1001/jama.295.2.165. Cornelissen, V. A., & Smart, N. A. (2013). Exercise training for blood pressure: A systematic review and meta‐analysis. Journal of the American Heart Association, 2(1), e004473. doi: 10.1161/JAHA.112.004473 Cook, N. S., & Ubben, D. (1990). Fibrinogen as a major risk factor in cardiovascular disease. Trends in Pharmacological Sciences, 11(11), 444-451. De Jong, M. D., Coombs, V., Rempher, K., Obias-Mann, D., & Gordon, C. (2005). Patient management: Cardiovascular system. In P. G. Morton, D. K. Fontaine, C. M. Hudak, & B. M. Gallo (Eds.), Critical care nursing: A holistic approach (8th ed., pp. 361－364). Philadelphia: Lippincott Williams & Wilkins. Donaldson, K., Stone, V., Seaton, A., & MacNee, W. (2001). Ambient particle inhalation and the cardiovascular system: potential mechanisms.Environmental health perspectives, 109(Suppl 4), 523. Fares, A. (2013). Winter cardiovascular diseases phenomenon. North American Journal of Medical Sciences, 5(4), 266. doi: 10.4103/1947-2714.110430 Fries, R. P., Heisel, A. G., Jung, J. K., & Schieffer, H. J. (1997). Circannual variation of malignant ventricular tachyarrhythmias in patients with implantable cardioverter-defibrillators and either coronary artery disease or idiopathic dilated cardiomyopathy. The American journal of cardiology, 79(9), 1194-1197. doi:10.1016/S0002-9149(97)00081-7 Furman, M. I., Dauerman, H. L., Goldberg, R. J., Yarzbeski, J., Lessard, D., & Gore, J. M. (2001). Twenty-two year (1975 to 1997) trends in the incidence, in-hospital and long-term case fatality rates from initial Q-wave and non-Q-wave myocardial infarction: a multi-hospital, community-wide perspective. Journal of the American College of Cardiology, 37(6), 1571-1580. doi: 10.1016/S0735-1097(01)0123-7. Grimes, D. S., Hindle, E., & Dyer, T. (1996). Sunlight, cholesterol and coronary heart disease. QJM, 89(8), 579-590. doi: org/10.1093/qjmed/89.8.579 579-590 Goldberger, Z., & Lampert, R. (2006). Implantable cardioverter-defibrillators: expanding indications and technologies. JAMA, 295(7), 809-818. doi: 10.1001/jama.295.7.809. Gordon, D. J., Trost, D. C., Hyde, J., Whaley, F. S., Hannan, P. J., Jacobs, Dr. Jr., & Ekelund, L. G. (1987). Seasonal cholesterol cycles: The lipid research clinics coronary primary prevention trial placebo group. Circulation, 76(6), 1224-1231. doi: 10.1161/01.CIR.76.6.1224 Gouni-Berthold, I., Krone, W., & Berthold, H. K. (2009). Vitamin D and cardiovascular disease. Current Vascular Pharmacology, 7(3), 414-422. doi: org/10.2174/157016109788340686 Hatamizadeh, P., Fonarow, G. C., Budoff, M. J., Darabian, S., Kovesdy, C. P., & Kalantar-Zadeh, K. (2013). Cardiorenal syndrome: Pathophysiology and potential targets for clinical management. Nature Reviews Nephrology, 9(2), 99-111. doi: 10.1038/nrneph.2012.279 Issa, Z., Miller, J. M., & Zipes, D. P. (2012). Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald's Heart Disease: Expert Consult: Online and Print. Elsevier Health Sciences. p42-p43 Kassi, E., Adamopoulos, C., Basdra, E. K., & Papavassiliou, A. G. (2013). Role of vitamin D in atherosclerosis. Circulation, 128(23), 2517-2531. doi: 10.1161/CIRCULATIONAHA.113.002654 Khaw, K. T., Barrett-Connor, E., Suarez, L., & Criqui, M. H. (1984). Predictors of stroke-associated mortality in the elderly. Stroke, 15(2), 244-248. Klein, R. C., Raitt, M. H., Wilkoff, B. L., Beckman, K. J., Coromilas, J., Wyse, D. G., ... & Greene, H. (2003). Analysis of implantable cardioverter defibrillator therapy in the Antiarrhythmics Versus Implantable Defibrillators (AVID) Trial. Journal of Cardiovascular Electrophysiology, 14(9), 940-948. doi: 10.1046/j.1540-8167.2003.01554.x Kowey, P. R. (1996). An overview of antiarrhythmic drug management of electrical storm. The Canadian Journal of Cardiology, 12, 3B-8B. Kuriachan, V. P., Sumner, G. L., & Mitchell, L. B. (2015). Sudden cardiac death. Current Problems in Cardiology, 40(4), 133-200. doi: 10.1016/j.cpcardiol.2015.01.002 Latha, K. M., & Badarinath, K. V. S. (2005). Seasonal variations of PM 10 and PM 2. 5 particles loading over tropical urban environment. International Journal of Environmental Health Research, 15(1), 63-68. doi: 10.1080/09603120400018964 Li, Y., Du, T., Lewin, M. R., Wang, H., Ji, X., Zhang, Y., ... & Wu, J. S. (2011). The seasonality of acute coronary syndrome and its relations with climatic parameters. The American Journal of Emergency Medicine, 29(7), 768-774. Martin, S. L., Cakmak, S., Hebbern, C. A., Avramescu, M. L., & Tremblay, N. (2012). Climate change and future temperature-related mortality in 15 Canadian cities. International Journal of Biometeorology, 56(4), 605-619. Masugata, H., Senda, S., Inukai, M., Himoto, T., Hosomi, N., Okada, H., & Goda, F. (2014). Analysis of association between brain natriuretic peptide levels and blood pressure variability. Experimental and Therapeutic Medicine, 8(1), 21-24. doi: 10.3892/etm.2014.1692 Mehra, R. (2007). Global public health problem of sudden cardiac death. Journal of Electrocardiology, 40(6), S118-S122. McGuinn, L., Hajat, S., Wilkinson, P., Armstrong, B., Anderson, H. R., Monk, V., & Harrison, R. (2013). Ambient temperature and activation of implantable cardioverter defibrillators. International Journal of Biometeorology, 57(5), 655-662. doi: 10.1007/s00484-012-0591-1 Miller, G. J., Wilkes, H. C., Meade, T. W., Bauer, K. A., Barzegar, S., & Rosenberg, R. D. (1991). Haemostatic changes that constitute the hypercoagulable state. The Lancet, 338(8774), 1079. Muller, D., Lampe, F., Wegscheider, K., Schultheiss, H. P., & Behrens, S. (2003). Annual distribution of ventricular tachycardias and ventricular fibrillation. American HeartJjournal, 146(6), 1061-1065. doi: 10.1016/S0002-8703(03)00426-5 Moschos, N., Christoforaki, M., & Antonatos, P. (2004). Seasonal distribution of acute myocardial infarction and its relation to acute infections in a mild climate. International Journal of Cardiology, 93(1), 39-44 Movahed, M. R., Hashemzadeh, M., & Jamal, M. (2007). Increased prevalence of ventricular fibrillation in patients with type 2 diabetes mellitus. Heart and Vessels, 22(4), 251-253. Nakanishi, N., Nishizawa, S., Kitamura, Y., Nakamura, T., Matsumuro, A., Sawada, T., & Matsubara, H. (2011). Circadian, weekly, and seasonal mortality variations in out-of-hospital cardiac arrest in Japan: analysis from AMI-Kyoto Multicenter Risk Study database. The American Journal of Emergency Medicine, 29(9), 1037-1043. Natale, A., & Raviele, A. (2009). Ventricular Tachycardia/fibrillation Ablation: The State of the Art Based on the VeniceChart International Consensus Document. John Wiley & Sons. pp66-74 National Institute for Health and Clinical Excellence. (2014).Implantable cardioverter defibrillators and cardiac resynchronisation therapy for arrhythmias and heart failure(review of TA95 and TA120) Published date: 25 June 2014 Retrieved July 20, 2015 from https://www.nice.org.uk/guidance/ta314/ documents/arrythmias-icds -heart-failure-cardiac-resynchronisation-fad-document2 Page, R. L., Zipes, D. P., Powell, J. L., Luceri, R. M., Gold, M. R., Peters, R., ... & AVID Investigators. (2004). Seasonal variation of mortality in the Antiarrhythmics Versus Implantable Defibrillators (AVID) study registry. Heart Rhythm, 1(4), 435-440. doi: 10.1016/j.hrthm.2004.06.001 Palacios-Ceña, D., Losa-Iglesias, M. E., Álvarez-López, C., Cachón-Pérez, M., Reyes, R. A. R., Salvadores-Fuentes, P., & Fernández-de-las-Peñas, C. (2011). Patients, intimate partners and family experiences of implantable cardioverter defibrillators: qualitative systematic review. Journal of Advanced Nursing, 67(12), 2537-2550. doi: 10.1111/j.1365-2648.2011.05694.x Pell, J. P., & Cobbe, S. M. (1999). Seasonal variations in coronary heart disease. QJM, 92(12), 689-696. Peters, A., Liu, E., Verrier, R. L., Schwartz, J., Gold, D. R., Mittleman, M., ... & Dockery, D. W. (2000). Air pollution and incidence of cardiac arrhythmia. Epidemiology, 11(1), 11-17. Peters, A., Dockery, D. W., Muller, J. E., & Mittleman, M. A. (2001). Increased particulate air pollution and the triggering of myocardial infarction. Circulation, 103(23), 2810-2815.doi: 10.1161/01.CRI.103.23.2810 Pimentel, M., Grüdtner, L., & Zimerman, I. (2006). Seasonal variation of ventricular tachycardia assessed by 24-hour Holter Monitoring. Arquivos Brasileiros de Cardiologia, 87, 362-365. Pilz, S., Marz, W., Wellnitz, B., Seelhorst, U., Fahrleitner-Pammer, A., Dimai, H. P., ... & Dobnig, H. (2008). Association of vitamin D deficiency with heart failure and sudden cardiac death in a large cross-sectional study of patients referred for coronary angiography. The Journal of Clinical Endocrinology & Metabolism, 93(10), 3927-3935. doi: org/10.1210/jc.2008-0784 Plasqui, G., & Westerterp, K. R. (2004). Seasonal variation in total energy expenditure and physical activity in Dutch young adults. Obesity Research, 12(4), 688-694. doi: 10.1038/oby.2004.80 Radke, K. J., & Izzo, J. L. (2010). Seasonal variation in haemodynamics and blood pressure-regulating hormones. Journal of Human Hypertension, 24(6), 410-416. Ridolfi, R. L., & Hutchins, G. M. (1977). The relationship between coronary artery lesions and myocardial infarcts: ulceration of atherosclerotic plaques precipitating coronary thrombosis. American Heart Journal, 93(4), 468-486. doi: 10.1016/S0002-8703(77)80410-9 Rigotti, N. A., Munafo, M. R., & Stead, L. F. (2007). Interventions for smoking cessation in hospitalised patients. Cochrane Database Systemic Review (3). doi: 10.1002/14651858.CD001837.pub2 Rossato, S. L., Olinto, M. T. A., Henn, R. L., Anjos, L. A. D., Bressan, A. W., & Wahrlich, V. (2010). Seasonal effect on nutrient intake in adults living in Southern Brazil. Cadernos de Saúde Pública, 26(11), 2177-2187. doi: org/10.1590/S0102-311X2010001100019 Scherlag, B. J., Patterson, E., & Lazzara, R. (1990). Seasonal variation in sudden cardiac death after experimental myocardial infarction. Journal of Electrocardiology, 23(3), 223-230. doi: 10.1016/0022-0736(90)90160-4 Shahar, D. R., Froom, P., Harari, G., Yerushalmi, N., Lubin, F., & Kristal-Boneh, E. (1999). Changes in dietary intake account for seasonal changes in cardiovascular disease risk factors. European Journal of Clinical Nutrition, 53(5), 395-400. doi: 10.1038/sj.ejcn.1600761 Sherman, D. L. (2000). Exercise and endothelial function. Coronary Artery Disease, 11(2), 117-122. Stecker, E. C., Reinier, K., Marijon, E., Narayanan, K., Teodorescu, C., Uy-Evanado, A., ... & Chugh, S. S. (2014). Public health burden of sudden cardiac death in the United States. Circulation: Arrhythmia and Electrophysiology, CIRCEP-113. doi: 10.1161/CIRCEP.113.001034 Stephenson, E. A., Collins, K. K., Dubin, A. M., Epstein, M. R., Hamilton, R. M., Kertesz, N. J., ... & Berul, C. I. (2002). Circadian and seasonal variation of malignant arrhythmias in a pediatric and congenital heart disease population. Journal of Cardiovascular Electrophysiology, 13(10), 1009-1014. doi: 10.1046/j.1540-8167.2002.01009.x Stout, R. W., & Crawford, V. (1991). Seasonal variations in fibrinogen concentrations among elderly people. The Lancet, 338(8758), 9-13. doi: 10.1016/0140-6736(91)90004-9 Stuber, T., Eigenmann, C., & DelacrÉTaz, E. (2006). Seasonal variations of ventricular arrhythmia clusters in defibrillator recipients. Pacing and clinical electrophysiology, 29(8), 816-820. doi: 10.1111/j.1540-8159.2006.00446.x Sun, Y., Zhuang, G., Tang, A., Wang, Y., & An, Z. (2006). Chemical characteristics of PM2. 5 and PM10 in haze-fog episodes in Beijing. Environmental Science & Technology, 40(10), 3148-3155. doi: 10.1021/es051533g Takigawa, M., Noda, T., Shimizu, W., Miyamoto, K., Okamura, H., Satomi, K., ... & Kurita, T. (2008). Seasonal and circadian distributions of ventricular fibrillation in patients with Brugada syndrome. Heart Rhythm, 5(11), 1523-1527. doi: 10.1016/j.hrthm.2008.08.022 Ukena, C., Mahfoud, F., Kindermann, M., Kindermann, I., Bals, R., Voors, A. A., . . . Böhm, M. (2010). The cardiopulmonary continuum systemic inflammation as ‘common soil’of heart and lung disease. International Journal of Cardiology, 145(2), 172-176. doi: 10.1016/j.ijcard.2010.04.082 Virmani, Renu, Burke, Allen P, & Farb, Andrew. (2001). Sudden cardiac death. Cardiovascular Pathology, 10(5), 211-218. doi: 10.1016/S1054-8807(01)00091-6 Vaseghi, M., & Shivkumar, K. (2008). The role of the autonomic nervous system in sudden cardiac death. Progress in Cardiovascular Diseases, 50(6), 404. doi: 10.1016/j.pcad.2008.01.003 Warren-Gash, C., Smeeth, L., & Hayward, A. C. (2009). Influenza as a trigger for acute myocardial infarction or death from cardiovascular disease: a systematic review. The Lancet Infectious Diseases, 9(10), 601-610. doi: 10.1016/S1473-3099(09)70233-6 Willich, S. N., Maclure, M., Mittleman, M., Arntz, H. R., & Muller, J. E. (1993). Sudden cardiac death. Support for a role of triggering in causation. Circulation, 87(5), 1442-1450. doi: 10.1161/01.CIR.87.5.1442 Wit, A. L., Allessie, M. A., Bonke, F. I., Lammers, W. I. M., Smeets, J., & Fenoglio, J. J. (1982). Electrophysiologic mapping to determine the mechanism of experimental ventricular tachycardia initiated by premature impulses: experimental approach and initial results demonstrating reentrant excitation. The American Journal of Cardiology, 49(1), 166-185. doi: 10.1016/0002-9149(82)90292-2. Woodhouse, P. R., Khaw, K., Plummer, M., Meade, T. W., & Foley, A. (1994). Seasonal variations of plasma fibrinogen and factor VII activity in the elderly: Winter infections and death from cardiovascular disease. The Lancet, 343(8895), 435-439. doi: 10.1016/S0140-6736(94)92689-1 Zipes, Douglas P, & Wellens, Hein JJ. (1998). Sudden cardiac death. Circulation, 98(21), 2334-2351. doi: 10.1161/01.CIR.98.21.2334 Zhu, Z, Zhu, S., Zhu, J., van der Giet, M., & Tepel, M. (2002). Endothelial dysfunction in cold-induced hypertensive rats. American Journal of Hypertension, 15(2), 176-180. doi: 10.1016/S0895-7061(01)02268-3 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/19091 | - |
| dc.description.abstract | 植入體內去顫器被公認為致命性心室心律不整標準治療，經由電擊傳導即時矯正心律，減少心因性猝死的風險。但研究顯示季節月份伴隨不同的心室心律不整發生率(以體內去顫器電擊為指標)。本研究目的，在描述518位體內去顫器病人，在各季節月份適當電擊的發生率；次系統分析不同病人基本屬性【包括年齡、性別、居住地、適應症初級預防及二級預防、結構性心臟病及非結構性心臟病、有無冠狀動脈疾病、有無糖尿病、左心室射出率、有無發生電風暴】，是否呈現不同的季節月份適當電擊的發生率。以民國84年2月16日開始的第一例體內去顫器病人至103年12月31日止所有在本院裝體內去顫器為收案個案，總共收案518人，經兩位心臟科專家仔細審查，登錄體內去顫器發生電擊時間，篩選出適當電擊次數。另外，扣除死亡、接受心臟移植及流失個案的追蹤年月截止月，算出真正在本院的追蹤月份數。所有資料以SPSS統計軟體進行分析。
結果發現：(1)台灣某醫學中心裝置體內去顫器518人，追蹤平均月數為50±44月，平均年齡55.7±18.6歲；男性占70.8%，追蹤期間有發生VT/VF的171人（33%）無發生過VT/VF有347人（67%）；發生VT/VF的171人與無發生過VT/VF有347人，在追蹤平均月份數，兩者有明顯差異（P<.001）。整體而言，VT/VF平均月發生率為5.6%，季節月份的VT/VF發生率以秋季與初冬（9-12月）最低，平均發生率落在2.2-3.6%；最高為晚春(5月)及早夏(6月)其VT/VF發生率為8.4%-8.5%。(2)次系統顯示有電風暴的病人，平均VT/VF的月發生率（44.7%）顯著高於其他樣本，季節差異也類似；呈現秋季及初冬VT/VF發生率（13.7-19.1%）最低，晚春(5月)及早夏(6月)其VT/VF發生率（87.4%-98.7%）仍為高峰。 總結，觀察到體內去顫器病人VT/VF發生率在季節有明顯變化，次系統中不同病人基本屬性其VT/VF發生率在季節也有明顯變化，秋季和初冬的VT/VF發生率多為最低。未來研究應針對體內去顫器病人，進一步釐清台灣季節變化伴隨不同VT/VF發生率的機轉。 | zh_TW |
| dc.description.abstract | The implantable cardioverter-defibrillator (ICD) has become a standard treatment for individual at risk for life-threatening ventricular arrhythmia. Electrical shock is delivered to restore the heart rhythm but recent studies have demonstrated that the incidence of ventricular arrhythmia (i.e. appropriate shock) was related to seasonal factors. The aim of this study was to describe seasonal variation of appropriate shock incidences over 12 months in 518 ICD recipients. As a subgroup analysis, shock incidences over 12-month were stratified by 9 patient characteristics of old age, gender, residential area, indication for ICD (primary/secondary, structure/non-structure heart disease), diabetic or coronary heart disease comorbidities, lower ejection fraction (<50%), and electric storm (yes/no) for the shock group. The incidences and dates of ICD shock were independently coded from carefully reviewing all stored ICD device-generated electrocardiography by two cardiologists. Consecutive 518 patients (55.7±18.6 years; 70.8% males) receiving ICD between 1995 and 2014 at a 2000-bed, tertiary, academic medical center in Taiwan were included in the study with an average follow-ups of 50.3±44.0 months. During the follow-ups, 171(33%) recipients experienced appropriate shocks with a mean shock incidence of 5.6% per month for the whole sample. There is no significant differences in patient characteristics between shock (n=171) and non-shock groups (n=347) except for duration of follow-up (68.2±43.8 vs. 41.0±41.4 for non-shock group; P<0.001). Seasonal variation was evident with autumn/early winter (September to December) had lower shock incidences (2.2-3.6%) and late spring/early summer (May and June) had slightly higher incidences (8.4-8.5%). Subgroup analysis showed that ICD recipients with electric storms had significant higher mean shock incidences of 44.7% per month with a similar seasonal variation of autumn/early winter (November to January) having lower incidences (13.7 to 19.1%) but peak in May and June (87.4 to 98.7%). In conclusion, seasonal variation is observed in ICD recipients with some subgroups having more dramatic patterns than others. Autumn and early winter typically have lower shock incidences regardless of patient characteristics. Future studies are indicated to explore the mechanism of this seasonal variation of ICD shocks in Taiwan and beyond. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-08T01:44:46Z (GMT). No. of bitstreams: 1 ntu-105-R00426031-1.pdf: 1289712 bytes, checksum: 1e3b9ecb42dbdd426199dfc04a528c05 (MD5) Previous issue date: 2016 | en |
| dc.description.tableofcontents | 目 錄
口試委員會審定書…………………………………………………………… i 誌謝…………………………………………………………………………… II 中文摘要……………………………………………………………………… III 英文摘要……………………………………………………………………… iv 第一章 緒論 ………………………………………………………………… 1 第一節 前言…………………………………………………………… 1 第二節 研究目的……………………………………………………… 3 第三節 名詞界定……………………………………………………… 4 第二章 文獻查證 …………………………………………………………… 7 第一節 氣溫變化對台灣心血管風險影響…………………………… 7 第二節 心室心律不整………………………………………………… 8 第三節 季節與心室心律不整的相關性……………………………… 10 第四節 心室心律不整發生之病理機轉……………………………… 12 第一項 冬季影響身體內在系統及外在系統……………………… 12 第二項 冬季影響身體內在系統及外在系統引起體內組織 Autonomic dysfunction 、Ischemia、Structure remodeling 16 第三項 冬季影響身體內在系統及外在系統引起體內組織 Autonomic dysfunction、Ischemia、Structure remodeling 造成心臟生理電氣不穩 20 第五節 植入體內去顫器的治療功能及適應症……………………… 22 第三章 研究方法 …………………………………………………………… 24 第一節概念設計………………………………………………………… 24 第二節研究假設………………………………………………………… 27 第三節研究架構………………………………………………………… 28 第四節研究對象………………………………………………………… 29 第五節研究工具………………………………………………………… 30 第六節資料收集………………………………………………………… 31 第七節資料處理與分析………………………………………………… 32 第八節研究倫理………………………………………………………… 33 第四章 研究結果 …………………………………………………………… 34 第一節 所有個案 VT/VF月發生率及季節分佈……………………… 35 第二節 發生VT/VF個案基本屬性及VT/VF月發生率及季節分佈… 40 第五章 研究討論…………………………………………………………… 58 第一節 所有個案VT/VF 發生率及季節分佈之國際比較…………… 58 第二節 體內去顫器病人有發生VT/VF其發生率及季節分佈之國際 比較…………………………………………………………… 59 第六章 結論與建議 ………………………………………………………… 66 第一節 結論…………………………………………………………… 66 第二節 研究限制……………………………………………………… 68 第三節 研究建議……………………………………………………… 69 參考文獻……………………………………………………………………… 70 中文部分………………………………………………………………… 70 英文部分………………………………………………………………… 70 附錄…………………………………………………………………………… 81 | |
| dc.language.iso | zh-TW | |
| dc.subject | 心室心律不整 | zh_TW |
| dc.subject | 季節月份 | zh_TW |
| dc.subject | Ventricular Arrhythmia | en |
| dc.subject | Month | en |
| dc.subject | Seasonal | en |
| dc.title | 季節月份對台灣某醫學中心植入體內去顫器病人發生心室心律不整的
研究調查 | zh_TW |
| dc.title | Seasonal Variations of Ventricular Arrhythmias
in Patients with Implantable Cardioverter-Defibrillation – A Single Medical Center Study in Taiwan– | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 104-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 劉言彬(Yen-Bin Liu),黃惠君(Hui-Chun Huang) | |
| dc.subject.keyword | 心室心律不整,季節月份, | zh_TW |
| dc.subject.keyword | Ventricular Arrhythmia,Seasonal,Month, | en |
| dc.relation.page | 81 | |
| dc.identifier.doi | 10.6342/NTU201602676 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2016-08-16 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 護理學研究所 | zh_TW |
| 顯示於系所單位： | 護理學系所 | |
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| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-105-1.pdf 未授權公開取用 | 1.26 MB | Adobe PDF |
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