大小是否重要? 对心脏大小和功能的缩放与身体大小的临床应用
Frederick E Dewey1, David Rosenthal, Daniel J Murphy
1Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Circulation
|April 30, 2008
概括
成年人的心血管测量应该根据身体大小进行校正,类似于儿科. 调整身体大小可以改善成人心血管疾病的诊断和治疗.
科学领域:
- 心血管生理学心血管生理学
- 一个全度测量法.
- 生物医学工程 生物医学工程
背景情况:
- 心血管结构和功能尺度与物种间的身体大小.
- 身体尺寸校正是儿科的标准,但在成年人中经常被忽视.
- 成年人体大小的广泛变化需要大小调整的心血管评估.
研究的目的:
- 审查身体大小在心血管医学中的关键作用.
- 为了说明身体大小对心血管测量的混乱影响.
- 提供证据和应用程序,用于缩放心血管参数.
主要方法:
- 对有关心血管缩放的现有文献的综述.
- 分析身体尺寸的混效应.
- 介绍了用于缩放功能参数的理论和实验证据.
主要成果:
- 目前在成年人中的缩放实践有局限性.
- 适当缩放的参数可以改善诊断和治疗决策.
- 特定的疾病状况,如缩性心肌病和充血性心力衰竭从缩放的参数中受益.
结论:
- 身体大小是成人心血管医学的一个关键因素.
- 缺乏体型调整可能会对心血管疾病的识别和治疗产生不利影响.
- 需要大规模的研究来建立成年人的规范性规模关系.
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