コビッド-19で入院した子どものエコーカルディオグラフィー:イラン南東部における横断的な研究
Mohammad Mehdi Bagheri1, Reza Sinaei1,2, Fateme Dortaj3
1Department of Pediatrics, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
ARYA atherosclerosis
|September 2, 2025
まとめ
小児のCOVID-19患者はしばしば心臓の出血や弁の機能不全などの心臓異常を示します. エコーカルディオグラフィは,COVID-19の子どもたちの診断と集中治療室 (ICU) の入院を導くのに役立ちます.
科学分野:
- 小児心臓科
- 感染症
- エコーカルディオグラフィー
背景:
- 心血管の合併症は,小児科のCOVID-19において深刻な懸念事項である.
- 低所得国や中所得国のエコーカルディオグラフィーデータは限られている.
- この研究は,イラン南東部の入院児のエコーカルディオグラフィの発見に焦点を当てた.
研究 の 目的:
- 入院中の小児COVID-19患者のエコーカルディオグラフィの発見を調査する.
- 常見の心臓異常とその流行を特定する.
- エコーカルディオグラフィの発見,臨床的重症,炎症マーカーの間の関連性を調べる.
主な方法:
- イランのケルマンで入院している小児COVID-19患者188人を対象とした横断的な研究 (2020年3月~2022年3月).
- 臨床記録とトランストラシックエコーカルジオグラムの評価
- 人口統計データ,エコーカルディオグラフィの発見 (LV機能障害,冠動脈/弁の問題,心周流出),および血清炎症マーカー (ESR,NT-proBNP) の評価.
主要な成果:
- 患者の92%は異常な心声検査結果を示した.
- 常見の異常は,心帯流出 (55. 9%),弁機能障害 (44. 1%),冠動脈関わり (36. 7%),およびLV機能障害 (19. 1%) を含む.
- LV機能障害と弁の異常は,機械呼吸器の必要性,ICU入院,および死亡率の増加と相関しています.
結論:
- COVID-19で入院している子どもは,高頻度の心拍異常を示しています.
- エコーカルディオグラフィーは,機械呼吸器とICU入院に関するリスクの階層化に価値があります.
- 小児のCOVID-19生存者における長期的な心的結果に関するさらなる研究が必要である.
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