在小学儿童中进行心血管疾病查
Alena Bagkaki1, Fragiskos Parthenakis1, Gregory Chlouverakis1
1School of Medicine, University of Crete, 71 003 Heraklion, Crete, Greece.
Children (Basel, Switzerland)
|January 25, 2025
概括
在学校的儿科心血管疾病 (CVD) 查发现了许多风险因素和心脏异常. 通过病史,心电图和心电图的早期检测有助于儿童及时干预.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 公共卫生查 公共卫生查
- 预防医学 预防医学
背景情况:
- 儿童心血管疾病 (CVD) 查对于早期检测和预防至关重要.
- 关于查工具在未经选择的儿科群体中有效性的数据有限.
研究的目的:
- 评估小学儿童心血管疾病查计划的表现.
- 该计划利用了病史,12导电心电图 (ECG) 和心声图.
主要方法:
- 展望性研究涉及6岁以上小学儿童的自愿参与.
- 数据收集包括标准化问卷,身体评估,数字心电图 (PCG) 和12导电图.
- 阶段性评估包括初始查,使用决策支持算法进行专家验证和儿科心脏病评估.
主要成果:
- 在944名儿童中,83.7%的儿童有初始转诊指示,在32.9%的儿童中得到确认.
- 普遍存在的危险因素包括肥胖 (10.8%) 和高血压 (3.2%).
- 在7.3%的参与者中检测到异常的心脏病发现,包括结构性心脏病和心电图异常,其中0.6%具有潜在的重大发现,如LQT综合征.
结论:
- 学校的心血管疾病查有效地检测儿童的风险因素和一般健康问题.
- 心脏听力和心电图对于识别结构性和心律失常性心脏病非常有价值.
- 为了广泛实施,需要对组件性能,解释准确性和成本效益进行进一步的研究.
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
270
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
270
Assessment of the Cardiovascular System II: Inspection
172
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
172
Preventive Healthcare Services
960
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
960
Assessment of apical pulse
819
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
819
Pre-Procedural Guidelines for Assessing Blood Pressure
520
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
520
Imaging Studies for Cardiovascular System I:Echocardiography
291
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
291


