Padhi Suzanne, Patel Nasreen, Driscoll Darcy, Budgell Brian
private practice, Toronto, Canada.
private practice, Thorold, Ontario, Canada.
J Can Chiropr Assoc. 2014 Sep;58(3):238-45.
The prevalence of arrhythmias in chiropractic practice (the proportion of current patients who currently have arrhythmias) is unknown, but thought to be increasing. As arrhythmias influence management of chiropractic patients, the objective of this study was to determine the feasibility of screening for cardiac arrhythmias in a chiropractic clinic.
With a convenience sample from one clinic, ECG data were recorded and analyzed to identify arrhythmias.
Seventy-six of ninety contacted patients participated in this study. Only 8 (∼26%) of 31 patients with known or suspected cardiovascular abnormalities demonstrated arrhythmias versus 7 (∼16%) of 45 subjects who were not previously aware of having an arrhythmia.
The screening of patients for cardiac arrhythmias in a community based chiropractic clinic is feasible. A 3-minute recording of ECG activity at rest is not a highly sensitive method of identifying patients with previously recognized arrhythmias, but is capable of identifying previously undiagnosed arrhythmias.
整脊疗法实践中的心律失常患病率（当前患有心律失常的现患患者比例）尚不清楚，但据认为正在上升。由于心律失常会影响整脊疗法患者的管理，本研究的目的是确定在整脊诊所筛查心脏心律失常的可行性。
采用来自一家诊所的便利样本，记录并分析心电图数据以识别心律失常。
九十名联系患者中有七十六名参与了本研究。在31名已知或疑似心血管异常的患者中，只有8名（约26%）出现心律失常，而在45名之前未意识到有心律失常的受试者中，有7名（约16%）出现心律失常。
在社区整脊诊所对患者进行心脏心律失常筛查是可行的。静息状态下3分钟的心电图活动记录不是识别先前已确诊心律失常患者的高敏感方法，但能够识别先前未诊断出的心律失常。
