摘要
儿童室性早搏是儿科临床上最常见的心律失常之一,其发病率随年龄增加而增加。儿童室性早搏临床症状差异较大,轻者可无不适,重者可发生恶性室性心律失常、心搏骤停等危及生命的事件。如何评估室性早搏、指导室性早搏儿童生活和活动具有现实的重要意义。平板运动试验通过调节平板移动的速度和坡度,调节受检者的运动量,使心脏做功增加,心率增快,可发现在静止状态下不表现的心律失常,或使得原来的心律失常改变或消失。平板运动试验在我国的开展已达30余年,虽然已积累一定临床经验,但仍存在大量问题。该文就平板运动试验评估儿童室性早搏的现状和发展作相关综述。
Premature ventricular contraction is one of the most common arrhythmias in pediatric.Its incidence increases with age.The clinical symptoms of children′s premature ventricular beats vary greatly, and the pediatric patients may have no discomforts, while the serious patients may have life-threatening events such as malignant ventricular arrhythmia and cardiac arrest.How to evaluate premature ventricular contraction and to guide the life and activities of children with premature ventricular contraction is of great significance.By adjusting the speed and slope of the plate, the motion of the subject is adjusted to increase the work and increase the heart rate, then the arrhythmia that is absent in the static state can be found or the original arrhythmia can be changed or disappeared.Treadmill test has been carried out in China for more than 30 years.Though some clinical experience has been accumulated, but there are still a lot of problems.This article reviews the present state and precision management of treadmill test′s effect on children with ventricular premature contraction.
作者
李泽蔚(综述)
杨世伟
秦玉明(审校)
Li Zewei;Yang Shiwei;Qin Yuming(Department of Pediatrics, Children's Hospital of Nanjing Medical University, Nanjing 210000, China)
出处
《国际儿科学杂志》
2019年第2期92-95,共4页
International Journal of Pediatrics
关键词
室性早搏
平板运动试验
心律失常
Ventricular premature contraction
Treadmill test
Arrhythmia