,呼吸障碍和儿童轻微的心电图异常之间的关联
See Wai Chan1, Angela Chun2, Linh Nguyen3
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
患有的儿童经历了发作,显示出更多的轻微心电图异常,特别是呼吸困扰. 增加的呼吸支与患者儿童的这些心脏变化有关.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 神经学 神经学
- 关键护理医学 关键护理医学
背景情况:
- 电心电图 (ECG) 异常可能发生在急性发作期间.
- 发作期间呼吸系统障碍很常见,可能会影响心脏功能.
研究的目的:
- 调查急性发作和呼吸系统问题的影响儿童心脏电气特性.
- 分析这些因素与的诊断之间的相互作用.
主要方法:
- 对因发作或而访问急诊中心的回顾性审查 (1/2011-12/2013).
- 包括24小时内ECG的儿童,不包括那些有先前心脏病的儿童.
- 1:1年龄和性别匹配对照对象.
- 多变量逻辑回归确定了临床因素和异常心电图之间的关联.
主要成果:
- 与对照组 (29%) 和非发作患者 (36%) 相比,患有的儿童患有较小的心电图异常的患病率更高 (49%).
- ,需要补充氧气和机械通风独立与轻微的心电图异常有关.
- 呼吸支水平显示出与心电图异常的独立关联,特别是在组.
结论:
- 增加的呼吸支与患者儿童的轻微心电图异常独立相关.
- 这表明呼吸状况对儿科患者心脏电活动的潜在影响.
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