与COVID-19相关的心脏并发症:伊朗南部的一项单中心研究
Marjan Tariverdi1, Mohammadbagher Rahmati2, Maryam Mohammadian1
1Department of Pediatrics, Clinical Research Development Center of Children's Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Frontiers in pediatrics
|March 31, 2025
概括
患有COVID-19住院的儿童中心脏异常很常见,特别是那些肺部受影响的儿童. 早期的心脏评估对于管理儿科COVID-19并发症至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 儿童通常比成年人更容易出现COVID-19的症状.
- 儿科COVID-19病例中已经注意到心血管并发症.
- 了解儿童COVID-19中的心脏参与是必不可少的.
研究的目的:
- 确定COVID-19住院儿童心脏病的发生频率.
- 调查心脏异常与疾病严重程度 (肺部参与) 之间的关联.
- 探索心脏异常与患者年龄之间的关系.
主要方法:
- 对475名住院患有COVID-19的儿科患者 (1个月-14岁) 的横截面研究.
- 排除标准包括负的SARS-CoV-2RT-PCR,非COVID-19肺部参与或先前存在的心脏疾病.
- 心脏评估包括临床评估,心电图,心声图和胸部CT扫描;后勤回归分析了关联.
主要成果:
- 在儿童COVID-19患者的35.2%中发现心脏异常.
- 常见的异常包括心律失常 (20.2%),心力衰竭 (7.6%) 和异常心声回声 (13.1%).
- 心脏异常的更高几率与单边 (3.3x) 和双边 (5.9x) 肺部参与有显著的相关性;年龄较大显示出轻微的反向关联.
结论:
- 儿科COVID-19中的心脏异常与肺部参与和疾病严重程度有显著联系.
- 建议进行常规心脏评估,以便在儿科COVID-19中早期检测和管理并发症.
- 研究结果支持在儿童中COVID-19爆发期间心脏监测的重要性.
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