在患有 mitra 漏的儿童中评估早期反极化模式
Mojtaba Akhavan Palangsarai1, Mahya Mobinikhaledi1, Elham Farahani2
1Amir-Kabir Hospital, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
Current health sciences journal
|February 2, 2024
概括
患有中枢脱落 (MVP) 的儿童患有早期复极化模式 (ERP) 的发病率较高,这可能是心室失常的潜在预测因素. 建议对这些儿童进行进一步的随访,特别是那些经历胸痛的儿童.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 电子生理学 电子生理学
- 膜心脏疾病 膜心脏疾病
背景情况:
- mitra 漏 (MVP) 与心室失律和心脏突然死亡的风险增加有关.
- 在心电图上早期复极化模式 (ERP) 可以预测MVP患者的心室节律失常.
- 评估MVP儿童的ERP对于风险分层至关重要.
研究的目的:
- 为了评估早期复极化模式 (ERP) 的患病率,在被诊断为心肌脱落 (MVP) 的儿童中.
- 评估ERP与MVP儿童的临床症状之间的关联.
- 为了确定与健康对照相比,MVP的儿童中ERP是否更常见.
主要方法:
- 一项横截面研究将70名患有MVP的儿童与70名年龄和性别匹配的健康对照进行了比较.
- 心声图被用来确认MVP的诊断.
- 标准的12导电心电图被记录并由两位盲目心脏病专家进行评估.
主要成果:
- 在MVP的儿童中,ERP在17.14%的儿童中被检测到,而在对照组中为11.43% (P=0.23).
- 与轻度或重度MVP相比,中度MVP的患者更频繁发生ERP.
- 患有严重MVP的儿童中,胸痛和心更常见.
结论:
- 患有MVP的儿童表现出更高的ERP发病率,特别是那些胸痛的儿童.
- 研究结果表明,MVP的儿童需要仔细的随访,因为有可能发生心律失常.
- 儿科MVP的早期再极化模式需要进一步研究其预后意义.
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