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在接受心脏移植的儿童中出现心律失常
Eser Doğan1, Fırat Ergin1, Mehmet B Beyter1
1Department of Pediatric Cardiology, Faculty of Medicine, Ege University, İzmir, Türkiye.
Frontiers in cardiovascular medicine
|January 26, 2024
概括
儿科心脏移植 (HT) 可能导致早期节律障碍,如鼻节功能障碍,需要起器. 密切监测对于检测移植后心律失常至关重要,这可能表明移植被拒绝.
科学领域:
- 心脏病学 心脏病学
- 儿科手术 儿科手术
- 移植医学 移植医学
背景情况:
- 心脏移植 (HT) 是由于心肌病和先天性心脏缺陷导致的儿科心力衰竭的关键治疗方法.
- 在儿童中,晚期心力衰竭往往需要HT作为唯一的治疗选择.
研究的目的:
- 审查儿科心脏移植后心律失常的发生率和特征.
- 评估儿童HT后节律障碍的长期结果和潜在风险因素.
主要方法:
- 从2007年1月至2023年1月期间接受了正管HT的儿科患者 (2-18岁) 的临床数据的回顾性分析.
- 综合收集和分析临床,程序和后续数据,包括心电图监测.
主要成果:
- 在27名儿科HT接受者的33%中,在35.07个月的中位随访期间检测到心律失常.
- 常见的心律失常包括鼻节功能障碍 (需要起器),AV阻塞,鼻脉动心跳动以及捆绑分支阻塞.
- 一例心室外结与2级移植排斥有关.
结论:
- 儿科HT后早期节律障碍很常见,可能需要进行永久性心脏起器植入等干预措施.
- 常规的霍尔特心电图监测对于检测无症状节律障碍和潜在的移植排斥至关重要.
- 节律障碍可能是移植排斥的早期指标,需要进行彻底评估.
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