儿童肥胖症与临床下左心室功能障碍有关,通过斑点跟踪心声学检测到
Bahar Dehghan1, Mohsen Sedighi2, Noushin Rostampour3
1Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Clinical pediatrics
|September 16, 2023
概括
儿童肥胖与心脏变化有关. 二维斑点跟踪回声心电图 (2D-STE) 显示,超重和肥胖儿童的左心室 (LV) 应变和应变率降低,表明亚临床心脏变化.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心血管成像 - 心血管成像
- 肥胖问题研究研究
背景情况:
- 儿童肥胖是一个日益关注的问题,与心血管疾病风险增加有关.
- 肥胖会导致心脏的结构和功能变化,即使是正常血压的儿童.
- 早期发现心脏变化对于及时干预至关重要.
研究的目的:
- 研究儿童肥胖对心脏结构和功能的影响.
- 评估正常体重,超重和肥胖儿童的左心室 (LV) 尺寸和心肌张力.
- 用2D-STE.来识别与不同程度的肥胖相关的亚临床心脏变化.
主要方法:
- 60名正常压力儿童根据BMI被分为正常体重,超重和肥胖的组.
- 采用二维斑点跟踪回声心电图 (2D-STE) 来评估心脏参数.
- 进行了统计分析,以比较组,并确定变量之间的关联.
主要成果:
- 在三组中观察到体重和BMI的显著差异 (P = .001).
- 与正常体重儿童相比,超重和肥胖儿童的LV菌株 (P = .001) 和菌株率 (P = .002) 显著降低.
- 肥胖儿童与超重儿童的 LV 质量显著增加 (P = .047).
- LV菌株与年龄,体重和身高有关.
- LV 应变率与体重相关,而左心房区域与身高相关.
结论:
- 儿童肥胖与LV尺寸和心肌纵向应变的亚临床变化有关.
- 2D-STE有效地识别了这些早期心脏变化在正常压力肥胖儿童.
- 这些发现凸显了监测肥胖儿童心脏健康的重要性.
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