评估心率变化在患有 mitra 门脱落的儿童
Meryem Beyazal1, Senem Ozgur2, Ilker Ufuk Sayici2
1Pediatric Cardiology Department, Dr. Sami Ulus Gynecology, Obstetrics, and Child Health and Diseases Training and Research Hospital, Yenimahalle, 06560, Ankara, Turkey. drmeryemce@hotmail.com.
Pediatric cardiology
|April 15, 2024
概括
患有 mitra valve prolapse (MVP) 的儿童的心率变化 (HRV) 可能会受到损害,特别是在女孩和昏迷的儿童中. 低频 (LF) 值可能表明MVP患者的巴罗反射敏感性降低.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 自主神经系统功能 自主神经系统功能
- 心脏门疾病 心脏门疾病
背景情况:
- mitra 门脱落 (MVP) 是一种常见的心脏门异常.
- 患有MVP的患者经常表现出自主神经系统 (ANS) 活动的改变,同情性音调增加和阴道活动减少.
- 了解儿科MVP中的ANS调节对于管理相关症状和心律失常至关重要.
研究的目的:
- 调查诊断为MVP的儿童的心率变化 (HRV) 参数.
- 为了确定与健康对照组相比,MVP儿童是否表现出自主调节受损.
- 探索HRV,临床特征和儿科MVP中的性别之间的潜在相关性.
主要方法:
- 对MVP儿童的人口统计数据,临床表现和心电图发现的回顾性分析.
- 24小时的霍尔特监测用于评估MVP患者的HRV参数,以及寻求参加体育运动的儿童的对照组.
- 统计分析比较群体之间的HRV参数,并确定显著差异 (p < 0.05).
主要成果:
- MVP患者的PR间隔较短;昏迷与PR间隔较长有关,这表明潜在的心房静脉阻塞.
- MVP组的最低心率明显低于对照组;MVP患者的低频率 (LF) 值更高.
- 总体HRV参数在MVP的女孩中较低,而MVP的男孩的最低,最高和平均心率较低.
结论:
- 儿科MVP中HRV受损可能与年龄,性别和症状呈现有关.
- MVP患者的低LF值可能表明巴罗反射敏感性受损.
- 需要进一步的研究来阐明MVP,ANS功能和临床结果之间的复杂相互作用.
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