在儿童运动实验室内,对患有心血管植入式电子设备的患者进行运动压力测试
Leon Przybylowski1,2, Garett J Griffith3, Kendra Ward4
1Division of Cardiology, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 East Chicago Avenue, Chicago, IL, USA. leon.przybylowski@nationwidechildrens.org.
Pediatric cardiology
|November 9, 2025
概括
运动压力测试 (EST) 经常导致心血管植入式电子设备 (CIED) 的儿科患者的编程变化. 在这个人群中,EST期间心律失常也很常见,这凸显了这些测试对CIED管理的重要性.
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
- 医疗器械技术 医疗器械技术
背景情况:
- 心血管植入式电子设备 (CIED) 对于治疗儿科和先天性心脏病 (CHD) 患者的心脏病至关重要.
- 运动压力测试 (EST) 是一种常见的诊断工具,但它对CIED编程和这种特定人群中的心律失常发生的影响需要详细评估.
研究的目的:
- 确定在接受EST的儿科/心脏病患者中CIED编程调整的频率.
- 在这个患者群体中评估EST期间心律失常的发生率.
- 确定影响CIED编程变化和心律失常的因素.
主要方法:
- 对119名患有CIED的儿科/CHD患者进行了回顾性图表审查,这些患者完成了EST.
- 对CIED查询数据和EST调查结果的分析.
- 由儿科电生理学专家进行监督.
主要成果:
- 38.7%的患者需要CIED编程更改,最常见的是与速率相关的参数和速率响应.
- 启用速度响应能力的患者更有可能进行编程调整.
- 在EST期间,65.6%的患者经历了外心病或心律失常,包括复杂的室内外心病和非持续的室内心力衰竭.
- 抗心律失常药物的使用与复杂心室外皮症的可能性更高有关.
结论:
- 对于评估和管理患有CIED的儿科/心脏病患者,EST是必不可少的.
- 在这个队列中,在EST期间,心律失常和异位症很普遍.
- 了解抗心律失常药物的使用可以帮助在EST期间对心律失常的风险分层.
相关概念视频
01:26Exercise Stress Test
1.1K
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
1.1K
01:29Electrocardiogram
5.3K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
5.3K
01:30Pulse rhythm
1.3K
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
1.3K