在儿科中怀疑心肌梗塞:一个回顾性审查
Laura Martis1, Lavina Desai1, Katie Coons2
1https://ror.org/04zfmcq84Ward Family Heart Center, Children's Mercy Kansas City, USA.
Cardiology in the young
|March 10, 2026
概括
儿科ST升高心肌梗塞是罕见的,但需要仔细评估. 先天性心脏病很常见,在成人干预之前,在儿科中心进行早期评估至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心血管研究研究心血管研究
- 关键护理医学 关键护理医学
背景情况:
- 急性心肌梗塞 (AMI) 在儿童中不常见,关于其表现和治疗的数据有限.
- 在儿科患者中,ST升高心肌梗塞 (STEMI) 带来了独特的诊断和治疗挑战.
研究的目的:
- 审查患有STEMI的儿科患者的发病率,诊断,管理和结果.
- 确定影响这种罕见疾病患者护理和结果的关键因素.
主要方法:
- 对1天至21岁的患者进行系统的回顾性审查,这些患者表现出STEMI问题.
- 从2013年1月至2023年12月期间从儿科机构和附属成人医院收集的数据.
- 在965名查患者中,包括标准确定了13名患者.
主要成果:
- 队列 (平均年龄15岁) 主要由男性 (92%) 组成,并患有先天性心脏病 (CHD) 的流行率很高 (54%),其中一些在呈现时未被诊断出来.
- 所有患者在心电图上显示ST段变化,54%在心声图上显示正常的射出分数.
- 心脏导管检查显示23%的心脏病患者出现并发症,包括心脏骤停,需要体外膜氧化.
结论:
- 儿科STEMI评估可以在儿科中心有效管理,特别是排除潜在的先天性心脏病.
- 在考虑在成人机构进行干预之前,早期发现和管理CHD至关重要.
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