结构正常的心脏的儿童和青少年的轻微的动脉反:生理或病理?
James J Joyce1,2, Thomas R Joyce2,3, Sunita J Ferns1,4
1Pediatric Cardiology Division, Wolfson Children's Hospital, Jacksonville, FL, USA.
Cardiology in the young
|May 31, 2023
概括
在健康的儿童中,轻微的大动脉反是不常见的,但在青少年中可能会出现. 这一发现通常与大动脉链和心肌吐有关,但通常会随着时间的推移而消失,不会恶化.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 膜心脏疾病 膜心脏疾病
背景情况:
- 轻微的大动脉反是健康儿童和青少年中罕见的发现.
- 这种偶然的心声回声学发现需要进一步调查其呈现和预后.
研究的目的:
- 为了评估小儿科患者微不足道的大动脉反的呈现时间.
- 为了确定这些患者的相关心脏病状况.
- 评估小儿科队列中微不足道的大动脉反的中期预后.
主要方法:
- 对小儿科患者的回顾性分析,其中有轻微的大动脉吐和正常的心声回声图.
- 在呈现和随访时收集和分类临床和心声回声学参数.
- 评估大动脉反的解决方案和随着时间的推移相关条件的变化.
主要成果:
- 60名儿科患者 (平均年龄14.8岁) 在13年内被确定.
- 大动脉链 (28%) 和生理上部反 (32%) 是常见的相关发现.
- 在随访期间,大动脉反症在28%的患者中消失 (中位数为2.1年),没有恶化病例.
结论:
- 其他健康儿童的轻微主动脉反在青少年中更为普遍.
- 与此相关的发现,如大动脉链和心肌吐是常见的,但并不表明病理.
- 这种情况似乎是生理上的,预后有利,在生长过程中有可能得到解决.
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