在健康儿童中预测未解决的早产腹腔综合体的预测因素
Seongjin Choi1, Jae Suk Baek2, Mi Jin Kim1
1Department of Pediatrics, Division of Pediatric Cardiology, Asan Medical Center Children's Hospital, Ulsan University College of Medicine, 88, Olympic-Ro 43-Gil, Seoul, Songpa-Gu, 05505, South Korea.
BMC pediatrics
|February 26, 2025
概括
在健康的儿童中,更高的发病年龄和女性性别预测未解决的早发性心室综合体 (PVCs). 这表明需要针对这些群体进行量身定制的监测,尽管PVC的预后一般是有利的.
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
- 临床儿科 临床儿科
背景情况:
- 早发性心室综合体 (PVCs) 通常在心脏结构正常的儿童中是良性的.
- 然而,高的PVC负担可能表明潜在的腹腔动脉短心症或左腹腔功能障碍.
- 了解这种人群中PVCs的自然历史至关重要.
研究的目的:
- 研究结构正常的心脏儿童中PVCs的自然史.
- 确定与PVC的持久性或溶解相关的因素.
- 为了告知临床管理和监测策略.
主要方法:
- 从确诊PVC的儿科患者 (<18岁) 的人口统计和临床数据的回顾性分析.
- 包括12导电心电图 (ECG) 和24小时霍尔特监测数据.
- 评估后续数据以确定PVC解决状态.
主要成果:
- 分析了113名儿童 (平均年龄8.35岁,62.8%的男性),平均随访时间为44.9个月.
- 最初的PVC负担平均为13.54%.
- 较高的发病年龄 (OR 1.09) 和女性性别 (OR 2.25) 与未解决的PVC有显著的关联.
结论:
- 初始发病时的年龄较大和女性性别是健康儿童持续PVC的关键预测因素.
- 这些发现强调了针对特定儿科子组的个性化监测方法的重要性.
- 尽管存在潜在的持久性,但健康儿童的PVC通常具有良好的预后.
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