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与沃尔夫-帕金森-怀特综合征中心室功能障碍相关的危险因素
Hiroko Asakai1, Sharmila Udupa2, Christine Chiu-Man3
1Heart Centre for Children, Children's Hospital at Westmead, Westmead, New South Wales, Australia.
CJC pediatric and congenital heart disease
|April 2, 2025
概括
室内功能障碍发生在4.5%的儿科沃尔夫-帕金森-怀特综合征 (WPW) 病例中,特别是右侧辅助通路. 建议对这些患者进行早期评估和切除.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 电力生理学 电力生理学
- 心脏解剖学 心脏解剖学
背景情况:
- 沃尔夫 - 帕金森 - 怀特综合征 (WPW) 即使没有持续的动脉节律失调,也可能出现心室功能障碍.
- 了解儿科WPW中心室功能障碍的患病率和风险因素至关重要.
研究的目的:
- 为了确定患有WPW综合征的儿童心室功能障碍的患病率.
- 在这个人群中识别与心室功能障碍相关的风险因素.
主要方法:
- 对患有WPW综合征和正常心脏解剖的儿科患者 (<18岁) 的回顾性分析.
- 电子生理学研究和废弃数据在14年内进行了审查.
- 室腔功能障碍定义为喷射率<55%.
主要成果:
- 在305名患者中,有14名患者 (4.5%) 呈现心室功能障碍.
- 在28%的功能障碍病例中,心力衰竭是主要症状.
- 右侧辅助通路,特别是右前,前和前侧位置,在功能障碍患者中更为普遍.
结论:
- 心室功能障碍影响4.5%的儿科WPW综合征患者,特定的右侧通路位置增加了风险.
- 这些通路的位置使心室功能障碍的风险增加了4倍.
- 建议对所有儿科WPW患者进行心室功能的连续评估,并考虑切除,特别是那些具有已确定的风险因素的患者.
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