在患有阻塞性睡眠呼吸暂停的儿童中,左心室质量,几何图案和透心肌功能
Ibrahim Ahmadu1, Ibrahim Aliyu2, Abdulazeez Ahmed3
1Department of Paediatrics, Aminu Kano Teaching Hospital, Kano, Nigeria.
Heart views : the official journal of the Gulf Heart Association
|December 2, 2024
概括
患有阻塞性睡眠呼吸暂停 (OSA) 的儿童有较高的左心室缩 (LVH),心脏几何异常和腹功能障碍. 这些心脏问题在患有OSA的儿童中更为普遍,特别是那些有异常LV几何形状的儿童.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 睡眠医学 睡眠医学
- 心血管研究研究心血管研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是儿童心血管疾病的已知危险因素.
- 在睡眠期间反复出现的上呼吸道阻塞是OSA的特征.
- 这项研究调查了小儿OSA心脏影响.
研究的目的:
- 在患有OSA的儿童中确定左心室缩 (LVH) 的患病率.
- 在儿科OSA中评估异常的左心室 (LV) 几何图案.
- 评估与对照组相比,患有OSA的儿童的 LV 透缩功能障碍.
主要方法:
- 75名患有OSA的儿童和75名健康对照 (年龄为2-14岁) 的横截面比较研究.
- 用于LV结构和透气功能评估的跨胸腔心声学.
- 在OSA患者和匹配的对照者之间比较心脏参数.
主要成果:
- 与对照组相比,患有OSA的儿童的LV质量指数平均值明显高 (P=0.008).
- 在8.0%的OSA患者中存在LVH,而对照组为0%.
- 在患有OSA的儿童中,异常的LV几何 (29.3%对1.3%) 和腹功能障碍 (6.7%对0%) 较为常见.
结论:
- 在患有OSA的儿童中, LVH,异常的LV几何形状和腹功能障碍更为频繁.
- 儿科OSA与心脏结构和功能异常的患病率增加有关.
- 患有OSA和异常LV几何形状的儿童更有可能患上LV透静功能障碍.
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