在学龄儿童的射频废除后心肌损伤进展
Sissy Lara de Melo1, Alberto Pereira Ferraz1, Stephanie Ondracek Lemouche1
1Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo , São Paulo , SP - Brasil.
Arquivos brasileiros de cardiologia
|February 7, 2024
概括
针对儿科心律不整的射频导管切除没有显示肌肉心脏损伤进展或冠状动脉病变的风险增加. 这项研究为这项重要的儿科干预提供了关键的安全数据.
科学领域:
- 心脏病学 心脏病学
- 儿科电子生理学 儿科电子生理学
- 医疗成像医学成像
背景情况:
- 导管切除是一种常见的心律失常的治疗方法.
- 虽然在成年人中安全,但对儿科患者的数据有限.
- 有关痕扩张和儿童的长期影响存在担忧.
研究的目的:
- 评估儿科患者在射频导管切除后心肌损伤进展的风险.
- 评估在这个年龄组中切除后的潜在冠状动脉损伤.
主要方法:
- 对20名儿科患者进行了回顾性研究.
- 用心脏磁共振和冠状动脉血管造影进行了随访.
- 评估心肌纤维化和冠状动脉完整性.
主要成果:
- 切除时的中位数年龄为15.1岁;随访MRI中位数为21岁.
- 最常见的诊断:节点再入心力衰竭和沃尔夫-帕金森-怀特综合征.
- 3名患者的轻微心室肌纤维化 (<0.6厘米3);没有观察到心室功能障碍或冠状动脉病变.
结论:
- 儿科患者的射频导管切除并没有导致心肌损伤进展的增加.
- 摘除后没有发现冠状动脉病变的证据.
- 在这个人群中,这项程序在心肌和冠状动脉完整性方面似乎是安全的.
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