在儿科人群中使用连续动态血压仪:单中心经验和文献回顾

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Research in Cardiovascular Medicine Pub Date : 2020-07-01 DOI:10.4103/rcm.rcm_31_20
Z. Begić, N. Begić, E. Begić, D. Šečić, S. Begić
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引用次数: 0

摘要

引言:动态心电图血压监测是诊断和评价高血压治疗的基本方法。儿童和青少年的高血压被定义为收缩压/舒张压升高,对于性别、年龄和身高而言,收缩压等于或高于第95百分位的血压。目的:本研究的目的是分析儿科人群中动脉高压(AH)的病因。方法:研究具有描述性和回顾性。在2006年3月至2020年4月期间,对1527例登记的连续动态心电图血压进行了分析。数据取自儿科诊所住院患者的医疗文件(连续动态心电图血压记录)。结果:在登记和分析的患者总数中,833人为男性(54.5%),主要年龄为15-19岁,774人(50.6%),学龄儿童660人(43.2%),学龄前儿童93人(6.1%)。我们有902人(59%)首次登记,626人(41%)对照登记。在52名患者中验证了AH(对他们进行了387次连续动态心电图血压记录)。原发性AH在27例患者中得到证实,继发性AH在25例患者中获得证实。单药治疗40例(76.9%),联合治疗12例(23.1%)。28%的继发性AH患者为肾脏原因,24%为内分泌原因,24%是心血管原因,16%是神经原因,8%是风湿性原因。结论:连续动态心电图是诊断儿童青少年高血压的有效方法和控制方法。它应该是日常儿科临床实践中的常规方法,尤其是在儿科心脏病学中。
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Use of continuous holter of blood pressure in pediatric population: Single-center experience and review of literature
Introduction: A Holter blood pressure monitoring is a basic method for the diagnosis and evaluation of hypertension therapy. Hypertension in children and adolescents is defined as an increase of systolic/diastolic pressure, which is equal, or above 95th percentile blood pressure for sex, age, and height. Aim: The aim of this study is to analyze the etiology of arterial hypertension (AH) in the pediatric population. Methods: Research had descriptive and retrospective character. During the period from March 2006 to April 2020, 1527 registered continuous Holters of blood pressure were analyzed. Data were taken from the medical documentation of patients that were hospitalized on Pediatric Clinic (register of continuous Holter of blood pressure). Results: Out of the total number of registered and analyzed patients 833 were male (54.5%) with dominant age 15–19 years of life 774 (50.6%), school-age children 660 (43.2%), preschool children 93 (6.1%). We had 902 (59%) first registrations and 626 (41%) control registrations. AH was verified in 52 patients (387 records of continuous Holter of blood pressure were performed to them). Primary AH was verified in 27 patients and secondary AH in 25 patients. Forty patients (76.9%) were treated with monotherapy while combined therapy was used in 12 (23.1%) of cases. Renal cause was in 28% patients, endocrine in 24%, cardiovascular in 24%, neurological in 16%, and rheumatic in 8% of patients with secondary AH. Conclusion: Continuous Holter of blood pressure represents useful diagnostic method and method of control of high blood pressure in children and adolescents. It should be routine method in everyday pediatric clinical practice especially in pediatric cardiology.
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来源期刊
Research in Cardiovascular Medicine
Research in Cardiovascular Medicine CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
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发文量
13
审稿时长
17 weeks
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