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在患有乳病的儿童中,使用二维斑点跟踪回声心脏图进行心肌肌功能

Doaa El Amrousy¹, Walid Elshehaby², Radwa Elsharaby³

¹Pediatrics Department, Faculty of Medicine, Tanta University, Tanta, Egypt. doaa.moha@med.tanta.edu.eg.

European journal of pediatrics

|December 7, 2023

概括

结核病 (CD) 的心脏并发症正在增加. 二维斑点跟踪回声心电图 (2D-STE) 检测了CD儿童的早期心脏功能障碍,与疾病严重程度和营养状况有关.

科学领域:

儿童心脏病学儿童心脏病学
胃肠病学胃肠病学
生物标志物生物标志物

背景情况:

心脏并发症是儿科腹腔疾病 (CD) 的新兴问题.
在患有CD的儿童中,早期发现心肌功能障碍至关重要.
以往使用高级心声回声学对儿科CD心脏功能的研究是有限的.

研究的目的:

用二维斑点跟踪回声心脏成像 (2D-STE) 来评估患有腹腔疾病的儿童的心脏功能.
在儿科CD患者中识别心肌功能障碍的早期迹象.
为了将心脏功能参数与疾病持续时间,严重程度和营养标记相关联.

主要方法:

一项涉及40名患有CD的儿童和40名健康对照者的横截面研究.
综合性心声回声包括传统方法,组织多普勒成像 (TDI) 和2D-STE.
生物化学分析包括Hs-troponin T,tTG-IgA,血红蛋白,费里丁,白蛋白和维生素D.

主要成果:

传统的心声回声扫描显示,两组之间没有显著差异.
在患有CD的儿童中,2D-STE显著显示左下心室全球纵向应变 (LV GLS).
心肌性能指数 (MPI) 通过TDI在患有CD的儿童中较高;Hs-troponin T水平相似.
LV GLS与血红蛋白,费里丁和专蛋白正相关,与疾病持续时间和tTG-IgA相反相关.

结论:

2D-STE有效检测CD儿童的亚临床心脏功能障碍.
儿科CD中心脏损伤与疾病的持续时间,严重程度和营养不足有关.
建议对患有腹腔疾病的儿童进行心脏功能早期检测和监测.

关键词:

2D-STE可以使用.心脏功能是如何运转的结核病结核病是什么?心声回声扫描 (Echocardiography) 是一种心声回声扫描.组织多普勒.

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