尼日利亚儿童的人类免疫缺陷病毒相关心脏病:一个持久而艰难的临床挑战
1Department of Paediatrics, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.
The Nigerian postgraduate medical journal
|March 17, 2025
概括
儿童心脏病是人类免疫缺陷病毒 (HIV) 感染的重要并发症,全球影响38.2%75.9%. 由于资源有限和并发症,发展中国家的管理具有挑战性.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 心脏病是人类免疫缺陷病毒 (HIV) /艾滋病患者常见的末端器官损伤.
- 全球艾滋病毒相关心脏病的发病率在20%至40%之间.
研究的目的:
- 审查发展中国家儿童艾滋病毒相关心脏病的患病率和管理挑战.
- 突出艾滋病毒感染儿童常规心血管查的必要性.
主要方法:
- 通过使用关键词进行文献搜索,例如"HIV"",心脏病"",HAART"",HIV感染终端器官"",心声学"和"儿童".
- 关于患病率和管理挑战的数据是从已发表的研究中提取的.
主要成果:
- 全球艾滋病毒相关心脏病的患病率很高 (38.2%75.9%),包括左心室 (LV) 透析和静脉功能障碍,扩张性心肌病,心周溢血和LV过高.
- 在受影响的儿童中,发现了特定的心声回声检测结果,如心肌峰值E/A比率升高和延长减速时间.
- 管理方面的挑战包括缺乏心声回声专业知识,以及由于贫血和腹疾病等并发症而难以使用利尿剂.
结论:
- 与艾滋病毒相关的心脏病是儿童中普遍存在的疾病,在发展中国家提出了重大管理挑战.
- 在基线和随访期间对心血管异常进行常规查对于早期检测和管理至关重要.
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