儿童的鼻节功能障碍:不同的病因,在两个中心的经验中类似的临床过程
Gulhan Tunca Sahin1, Cemil Cihad Kurt2, Hasan Candas Kafali1
1Department of Paediatric Cardiology, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Cardiology in the young
|November 18, 2024
概括
虽然很少见,但儿童的鼻节功能障碍越来越多地与结构性心脏病一起被诊断出来,特别是在心脏手术后. 永久节奏有效治疗症状病例,需要持续监测患者.
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
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 鼻节功能障碍 (SND) 在儿科患者中不常见.
- 诊断频率的增加表明与潜在的心脏疾病的潜在联系.
研究的目的:
- 评估被诊断患有鼻节功能障碍的儿科患者的临床特征.
- 评估儿童鼻节功能障碍的结果和管理.
主要方法:
- 77名被诊断患有鼻节功能障碍的儿科患者的回顾性审查.
- 2011年1月至2022年6月期间,从土耳其的两家三级儿科心脏病中心收集的数据.
主要成果:
- 大多数患者 (64.9%) 是男性,平均年龄为8.2岁.
- 年龄不相容的胸和停顿是常见的节律障碍;昏迷,昏迷前和头是常见的初始症状 (43%).
- 结构性心脏病存在于75.3%的患者中,先天性心脏缺陷 (CHD) 是最常见的,包括大动脉的转移和心房隔膜缺陷. 四名患者患有SCN5A突变,两名患者患有Emery-Dreifuss肌肉发育不良.
结论:
- 儿童的鼻节功能障碍通常与结构性心脏病有关,特别是心脏手术后.
- 持续监测对于这些患者至关重要,因为可能出现晚发性鼻节功能障碍.
- 永久节奏是儿童患者症状性鼻节功能障碍的有效治疗方法.
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