评估儿童COVID-19患者的心电图发现:全面分析
Mohammadreza Naghibi1, Shirin Sadat Ghiasi2, Rasoul Raesi3,4
1Pediatric Interventional Cardiology, Pediatric and Congenital Cardiology Division, Pediatric Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
患有COVID-19的儿童的心电图 (ECG) 发现可能表明心肌损伤. 异常的心电图结果,特别是ST-T变化,与更严重的心脏参与和较差的结果有关.
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
- 医学诊断 医学诊断 医学诊断
背景情况:
- COVID-19可以通过直接的病毒影响或全身炎症在儿童中引起心肌损伤.
- 评估儿童COVID-19病例中的心脏参与对于了解疾病进展和潜在并发症至关重要.
研究的目的:
- 评估一组被诊断患有COVID-19的儿童的心电图 (ECG) 发现.
- 确定特定心电图异常与儿科COVID-19患者心脏参与严重程度之间的关联.
主要方法:
- 一项涉及764名COVID-19儿童的前性横截面研究.
- 数据收集包括临床信息和医疗记录,使用描述性和统计测试进行分析.
主要成果:
- 超过一半的患者 (58%) 呈现出心声学变化,包括膜衰竭和心周溢血.
- 发现了心电图异常,如AV节点阻塞 (3.4%) 和异常的ST-T段 (3.3%).
- 在重症监护室 (ICU) 的患者显示,心电图参数变化的患病率更高.
结论:
- 电脑心电图的结果对于预测儿科COVID-19中心肌干扰的存在和严重性是有价值的.
- 在ST-T段和PR间隔的异常表明心脏参与的可能性更高,并且可能有更糟糕的预后.
- 在AV节点阻塞,心律失常和临床状况之间存在显著的关联,特别是在重症儿科患者中.
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