组织多普勒心电图作为预测早期亚临床右心室扩张功能障碍在喘儿童
Ahmed Mohammad Abbas1, Hany Hussein Mousa2, Reda Biomy3
1Department of Paediatrics, Kafrelsheikh University,Egypt.
JPMA. The Journal of the Pakistan Medical Association
|July 24, 2023
概括
儿童喘可能会导致微妙的右心室透静功能障碍,即使常规方法显示正常结果,也可以通过组织多普勒回声心脏图检测到. 这突显了喘儿童早期心脏变化.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 呼吸系统医学 呼吸系统医学
- 心血管生理学心血管生理学
背景情况:
- 喘是儿童常见的慢性呼吸道疾病.
- 慢性呼吸道疾病可能会影响心脏功能.
- 早期发现心脏功能障碍对于治疗儿科喘至关重要.
研究的目的:
- 评估喘对儿童心脏缩和放缩功能的影响.
- 调查儿科喘患者心脏缩和透缩功能的关系.
主要方法:
- 一项涉及120名患有喘的儿童 (5-15岁) 和匹配的健康对照的病例控制研究.
- 使用螺旋计,常规回声心脏学和组织多普勒回声心脏学.
- 计算了心肌性能指数,并将组之间的参数进行了比较.
主要成果:
- 两组之间没有左/右心室尺寸或肺动脉压力的显著差异.
- 在喘儿童中,右心室终端透气直径显著更高 (p=0.046).
- 组织多普勒检测显示了侧环状峰速,异体度放松时间和心肌性能指数 (p<0.05) 的显著差异.
结论:
- 组织多普勒回声心力学可以在患有喘的儿童中识别亚临床右心室扩张性功能障碍.
- 这种功能障碍甚至可能存在于正常的临床发现和常规心声回声学.
- 突出了先进的心声回声学在检测儿科喘早期心脏变化的有用性.
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