在大量儿科患者群体中,心声学心肌动脉工作的正常值
Pietro Marchese1,2, Marco Scalese3, Nadia Assanta1
1Fondazione G. Monasterio CNR-Regione Toscana, 54100 Pisa, Italy.
Diagnostics (Basel, Switzerland)
|May 24, 2024
概括
儿童的心肌回声图 (MW) 值随着年龄和体型的增加而增加,女性显示的值更高. 这些发现确定了正常的儿科MW范围,用于评估心脏病.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 心血管生理学心血管生理学
背景情况:
- 心肌回声图 (MW) 是一种新的,负载独立的方法,用于评估左心室 (LV) 缩功能.
- 确定正常参考值对于解释儿童群体MW至关重要.
研究的目的:
- 为了确定正常的心声回声学心肌工作值在一个大队伍的健康儿童.
- 为儿科MW参数提供年龄和大小调整的参考数据.
主要方法:
- 从516名健康儿童 (1天到18岁) 的4室,2室和3室视图回声心脏图像视频的离线分析.
- 全球心肌工作 (GMW),全球建设性工作 (GCW),全球浪费工作 (GWW) 和全球工作效率 (GWE) 的量化.
- 统计分析包括年龄,体重,身高,心率和身体表面积 (BSA).
主要成果:
- MW参数 (GMW,GCW,GWW) 随着体重,身高和BSA (p <0.01) 的增加而显著增加.
- GMW和GCW与年龄呈正相关性 (ρ分别为0.653和0.507).
- 调整为BSA后,与男性相比,女性的GMW和GCW平均值较高 (p < 0.002),导致性别特定的Z-score方程.
结论:
- 这项研究在包括新生儿和婴儿在内的大型儿科队列中提供了第一个全面的MW值.
- 儿科MW随着年龄和身体大小的增加而增加,观察到明显的性别差异.
- 已建立的诺姆图表是使用MW分析诊断和管理儿科心脏病的重要基准.
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