在患有严重急性营养不良的儿童中,基于心声图的心脏评估
Muhammad Sohail Arshad1, Saadia Khan2, Ibad Ali2
1Department of Pediatric Cardiology.
概括
心声扫描显示,严重急性营养不良的儿童左心室质量减少和射出分数缩短. 这些心脏变化表明,有可能在营养不良的儿童中早期发现心脏问题.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 营养科学 营养科学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 严重急性营养不良 (SAM) 对全球儿童构成重大健康风险.
- 心脏功能可能会受到营养不良的影响,但SAM中的特定心声学变化需要进一步阐明.
- 在SAM中早期发现心脏并发症对于改善结果至关重要.
研究的目的:
- 在被诊断患有严重急性营养不良的儿童中,以心声学为基础识别心肌变化.
- 为了比较SAM儿童和健康对照儿童之间的心脏参数.
- 评估回声心脏学在检测SAM心脏功能障碍中的实用性.
主要方法:
- 一项前性研究涉及150名1至60个月龄的儿童,其中75名被诊断患有SAM,75名健康对照.
- 专家心脏病学家进行了心声图评估,以测量左心室质量,喷射率缩短,E/A波比和环状平面缩出行.
- 营养不良被使用世界卫生组织标准分类,并使用SPSS 21分析数据.
主要成果:
- 与对照组相比,SAM儿童的左心室质量和左心室质量指数显著减少.
- 在SAM组中,左心室喷射分数缩短也明显较低.
- 两组之间没有观察到E/A波比或部和三柱环状平面缩外流的显著差异.
结论:
- 患有严重急性营养不良的儿童显示左心室参数减少.
- 对这些参数的心声学评估可以作为在SAM中及时识别心脏功能障碍的重要指标.
- 对SAM中心脏参与的进一步研究是有必要的.
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