代谢综合征作为患有慢性病的儿童左心室缩的危险因素
Monika Drożdż1, Anna Moczulska1, Andrzej Rudziński2
1Department of Pediatric Nephrology and Hypertension, Jagiellonian University Medical College, Kraków, Poland.
Frontiers in endocrinology
|June 16, 2023
概括
代谢综合征 (MS) 和高血压是患有慢性病 (CKD) 的儿童左心室缩 (LVH) 的关键危险因素. 增长赤字也为LVH在这个脆弱人群中的发展做出了重大贡献.
科学领域:
- 儿科脏病学 儿科脏病学
- 心脏病学 心脏病学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 代谢综合征 (MS) 在患有慢性病 (CKD) 的儿童中很普遍.
- 左心室缩 (LVH) 是CKD患者显著的心血管风险.
- 识别儿科慢性瘤中LVH风险因素对于心血管风险管理至关重要.
研究的目的:
- 确定患有慢性病 (CKD) 的儿童左心室缩 (LVH) 最重要的风险因素.
主要方法:
- 71名患有CKD第1-5期的儿童接受了评估.
- 使用德费兰蒂 (DF) 标准诊断的代谢综合征 (MS).
- 进行了心声学,门诊血压监测 (ABPM) 和实验室测试.
主要成果:
- 在29.6%的儿童中检测到左心室缩 (LVH).
- 代谢综合征 (MS) 诊断 (OR=24.11),高平均动脉压 (MAP SDS) (OR=2.812) 和低身高的SDS (OR=0.078) 是LVH的显著预测因素.
- 结核病5期和低身高SDS是最强的单变体风险因素.
结论:
- 代谢综合征 (MS),高血压,晚期CKD阶段和生长缺陷是儿童CKD中LVH的重要贡献者.
- 这些发现凸显了儿童慢性瘤中LVH的多因素性质.
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