在儿科亚临床甲状腺功能低下症中评估心率变化,QT分散和Tp-e间隔
Nilay Aktar Ulukapi1, Birgul Kirel2, Hikmet Kiztanir3
1Eskişehir Osmangazi University Faculty of Medicine, Department of Pediatrics, Eskisehir, Turkey. nilayaktar@gmail.com.
Pediatric research
|November 24, 2024
概括
儿童的亚临床甲状腺功能低下症 (SH) 与心脏自主功能障碍和对心室节律失常的敏感性增加有关. 建议对心律失常进行早期评估,同时对SH诊断进行内分泌学随访.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 心脏病学 心脏病学
- 自主神经系统功能 自主神经系统功能
背景情况:
- 儿童的亚临床甲状腺功能低下症 (SH) 缺乏明确的临床效应理解.
- 研究SH对儿科心脏自主和导电系统的影响至关重要.
研究的目的:
- 用心率变化 (HRV) 来评估SH儿童的心脏自主功能.
- 通过ECG参数 (如QT分散和Tp-e间隔) 来评估SH儿童的心律失常易感性.
主要方法:
- 包括47名SH儿童 (3-17岁) 和46名匹配对照.
- 用心率变化 (HRV) 来评估自主功能.
- 使用心电图参数 (QT分散,P分散,Tp-e) 来评估心律失常风险.
主要成果:
- 患有SH的儿童在正常-正常间隔中表现出较低的标准偏差,这表明自主功能障碍.
- 在SH组中观察到更长的最大和最小纠正的QT间隔.
- 两组之间在其他HRV或ECG参数中没有发现显著差异.
结论:
- 儿童的亚临床甲状腺功能低下与心脏自主功能障碍有关.
- 由于长时间的心室再极化,SH似乎使儿童易患心室节律失常.
- 研究结果表明,在儿科SH病例中,需要在内分泌学监测的同时对心律失常进行评估.
相关概念视频
Electrocardiogram
2.2K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.2K
Special considerations while measuring pulse
563
Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
563
Decreased pulse rate
534
Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
534
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
7
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
7
ECG Interpretation of Rhythms
509
An electrocardiogram (ECG)graphically represents the heart's electrical activity on ECG paper or a monitor.
Components of the Electrocardiogram
The primary components of a normal ECG waveform in Normal sinus rhythm(NSR) include the P wave, PR interval, QRS complex, ST segment, T wave, and occasionally a U wave.
ECG waveforms are divided by vertical and horizontal lines at standard intervals.
The horizontal axis measures time and rate, and the vertical axis measures amplitude or voltage....
Components of the Electrocardiogram
The primary components of a normal ECG waveform in Normal sinus rhythm(NSR) include the P wave, PR interval, QRS complex, ST segment, T wave, and occasionally a U wave.
ECG waveforms are divided by vertical and horizontal lines at standard intervals.
The horizontal axis measures time and rate, and the vertical axis measures amplitude or voltage....
509
Exercise Stress Test
172
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
172


