在患有先天性心脏病的青少年中,血红蛋白A1c查实践和特征
Jonathan A Wheeler1, Phillip S Cheng2,3, Chance Alvarado3,4,5
1Division of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Pediatric cardiology
|November 6, 2025
概括
儿科先天性心脏病患者患心血管疾病的风险更高. 在这些儿童中,高血红蛋白A1c (HbA1c) 的查往往被遗漏,尽管它对于预测未来心血管风险的重要性很重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 患有先天性心脏病 (CHD) 的患者面临心血管疾病 (CV) 风险升高.
- 儿科前糖尿病和糖尿病率不断上升,需要评估血红蛋白A1c (HbA1c) 等危险因素.
- 关于儿科心血管疾病患者群体的HbA1c查实践的数据有限.
研究的目的:
- 评估患有心脏病的年轻人的HbA1c查实践.
- 为了确定选与未选的儿科心脏病患者的特征.
- 为了确定在接受查的CHD年轻人中糖尿病前期/糖尿病的流行率.
主要方法:
- 从2012-2019年对患有心脏病的年轻人进行了回顾性分析.
- 评估人类学,人口统计和实验室数据.
- 查患者与未查患者对HbA1c水平和资格的比较.
主要成果:
- 在2764名心血管疾病患者中,只有7.9%的患者有HbA1c实验室;在接受查的人中,有21.9%是糖尿病前患者/糖尿病患者.
- 被查的患者显示血压升高和超重/肥胖的比率更高.
- 在有资格接受查的患者中 (7.7%),只有27.2%接受了查,其中37.9%处于糖尿病前期/糖尿病范围.
结论:
- 目前对儿科心血管疾病患者的HbA1c查不足.
- 接受查的CHD年轻人中有很大一部分患有糖尿病前期/糖尿病.
- 加强对HbA1c和代谢综合征的查对于这种高风险人群至关重要.
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