在患有姿势性心跳动综合征的儿童中血压变化的变化
Shuangshuang Gu1, Shuo Wang2, Yuwen Wang1
1Department of Pediatric Cardiovasology, Children's Medical Center, The Second Xiangya Hospital, Central South University, Changsha 410011, China.
Children (Basel, Switzerland)
|July 29, 2023
概括
患有姿势性心动减速综合征 (POTS) 的儿童表现出血压变化 (BPV) 的增加,特别是在心动减速和心动减速指标中. 女性性别是儿童患者POTS预后不佳的重要危险因素.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 自主神经系统障碍 自主神经系统障碍
- 心血管生理学心血管生理学
背景情况:
- 姿势性心跳动综合征 (POTS) 是一种复杂的自主性疾病,影响儿童.
- 了解血压变化 (BPV) 对于诊断和管理POTS至关重要.
- 关于儿科POTS中的BPV及其预后影响的研究有限.
研究的目的:
- 为了比较POTS儿童和健康对照儿童之间的BPV.
- 调查BPV和POTS诊断之间的关联.
- 确定儿童BPV和POTS预后之间的关系.
主要方法:
- 47名患有POTS的儿童和30名健康儿童接受了24小时的门诊血压监测 (24hABPM).
- 分析了BPV参数,包括标准偏差和变化系数.
- 33名POTS患者进行了随访,以评估治疗反应和预后.
主要成果:
- 与对照组相比,患有POTS的儿童的BPV (24hDSD,DDSD,NSSD,DDCV,NSCV) 显着更高.
- 增加的DDSD,NSSD和NSCV独立地与更高的POTS风险有关.
- 女性性别和较低的身高与POTS患者的预后较差有关.
结论:
- 儿科POTS的特点是正常的昼夜血压模式和升高的BPV.
- 特定的BPV指标 (DDSD,NSSD,NSCV) 是POTS的独立风险因素.
- 女性是儿童POTS预后不佳的重要独立风险因素.
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