关于青年血管协会"专家共识文件"的评论
1Emeritus Professor of Cardiovascular Medicine, King's College London, UK.
Journal of hypertension
|October 1, 2025
概括
儿童时期的动脉硬,用脉冲波速度 (PWV) 测量,随着时间的推移跟踪,就像血压一样. 儿童的早期检测和干预为心血管健康提供了重要的预防机会.
科学领域:
- 心血管生理学心血管生理学
- 儿科健康 儿科健康
- 生物医学工程 生物医学工程
背景情况:
- 儿童动脉硬是一种新兴的研究领域,对儿童脉冲波速度 (PWV) 的研究现在延伸到成年.
- 通过PWV索引的动脉刚性,显示了与血压 (BP) 类似的跟踪,随着时间的推移而上升.
- 从心脏到大动脉分叉的测量途径对于评估动脉硬度至关重要.
研究的目的:
- 审查目前的文献和评估儿童动脉功能的方法.
- 突出PWV作为小儿病患者动脉硬的指标的重要性.
- 探索干预研究在预防长期心血管问题的潜力.
主要方法:
- 对儿童动脉功能和PWV测量现有文献的综述.
- 讨论各种测量技术,包括多普勒测量,度测量和基于袖口的方法.
- 强调需要精确的长度校准和同时记录BP.
主要成果:
- 像BP一样,PWV从童年到成年都会跟踪,这表明动脉硬度上升.
- 动脉是有用的指标,但心脏到动脉通道至关重要.
- 现有的多普勒和度等方法在速度,校准和同时记录BP方面存在局限性.
结论:
- 干预研究,特别是儿童和青少年的随机试验,对于解决动脉硬性至关重要.
- 早期了解和管理儿童时期的动脉硬性提供了重要的预防机会.
- 学校的教育举措可以提高儿童对心血管健康概念的理解.
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