Effect of face mask on pulmonary artery pressure during echocardiography in children and adolescents.

IF 3.2 Q1 PEDIATRICS Clinical and Experimental Pediatrics Pub Date : 2024-03-01 Epub Date: 2024-01-23 DOI:10.3345/cep.2023.01172
Alireza Ahmadi, Mohammad Reza Sabri, Zohreh Sadat Navabi
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Abstract

Background: Face masks have become an important tool for preventing the spread of respiratory diseases. However, we hypothesized that face masks with reduced nasal airflow may alter pulmonary artery systolic pressure (PASP).

Purpose: This study aimed to evaluate the effect of face masks on PASP in children and adolescents.

Methods: This case-control study was conducted between March 2021 and April 2022 at the Pediatric Cardiovascular Research Center in Isfahan, Iran. Using a convenience sampling method, a total of 120 children and adolescents, boys and girls aged 3-18 years, were allocated into 2 groups of 60 each (case group with congenital heart disease (CHD), control group of healthy subjects). For each patient in the case and control groups, echocardiography (ECHO), heart rate (HR), and blood oxygen saturation (SpO2) were performed and measured twice-once with a surgical mask and once without a surgical mask-by a pediatric cardiologist at 10-min intervals.

Results: A total of 110 participants were analyzed. The mean patient age was 9.58±3.40 years versus 10.20±4.15 years in the case (n=50) and control (n=60) groups, respectively. Approximately 76.0% (n=38) of the participants in the case group versus 60.0% of those in the control group were male. In the case and control groups, there was a statistically significant reduction in the mean changes in tricuspid regurgitation (P=0.001), pulmonary regurgitation (P=0.002), and PASP (P=0.001) after face mask removal. Although this study showed a reduction in pulmonary arterial pressure after face mask removal in patients with CHD and healthy subjects, no significant changes in HR (P=0.535) or SpO2 (P=0.741) were observed in either group.

Conclusion: Wearing a face mask increased PASP in healthy children and adolescents with CHD; however, the SPO2 and HR remained unchanged. Therefore, mask removal during ECHO is recommended.

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面罩对儿童和青少年进行超声心动图检查时肺动脉压力的影响。
背景:口罩已成为预防呼吸道疾病传播的重要工具。目的:本研究旨在评估口罩对儿童和青少年肺动脉收缩压(PASP)的影响:这项病例对照研究于 2021 年 3 月至 2022 年 4 月在伊朗伊斯法罕的小儿心血管研究中心进行。采用方便抽样法,将 120 名 3-18 岁的儿童和青少年(男孩和女孩)分为两组,每组 60 人(先天性心脏病(CHD)病例组和健康人对照组)。对病例组和对照组的每位患者进行超声心动图(ECHO)、心率(HR)和血氧饱和度(SpO2)测量,并由儿科心脏病专家每隔 10 分钟测量两次--一次戴手术面罩测量,一次不戴手术面罩测量:共对 110 名参与者进行了分析。病例组(n=50)和对照组(n=60)患者的平均年龄分别为(9.58±3.40)岁和(10.20±4.15)岁。病例组约 76.0%(38 人)和对照组 60.0%的参与者为男性。在病例组和对照组中,摘除面罩后三尖瓣反流(P=0.001)、肺动脉反流(P=0.002)和 PASP(P=0.001)的平均变化均有统计学意义的显著降低。尽管该研究显示,摘除面罩后,心脏病患者和健康受试者的肺动脉压均有所下降,但两组患者的心率(P=0.535)或血氧饱和度(P=0.741)均无明显变化:结论:戴面罩会增加患有心脏病的健康儿童和青少年的 PASP,但 SPO2 和 HR 保持不变。因此,建议在 ECHO 期间摘下面罩。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.00
自引率
2.40%
发文量
88
审稿时长
60 weeks
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