摘要
体位性心动过速综合征(POTS)是儿童及青少年神经介导性晕厥的主要血流动力学类型之一,以直立不耐受症状为主要临床表现,且直立后心率较平卧时过度增快。目前对POTS的治疗主要有非药物治疗(健康教育、自主神经功能锻炼、增加水和盐的摄入)和药物治疗(α受体激动剂、β受体阻滞剂)。血流动力学参数及生物学标志物对POTS的诊断及预后估测具有较好的效果。心率和血压为基本生命体征之一,临床上容易获取,现就心率和血压对儿童及青少年POTS预后的估测价值进行评价。
Postural tachycardia syndrome(POTS)is one of the main hemodynamic types of nerve-mediated syncope in children and adolescents,mainly manifested with orthostatic intolerance symptoms,and an excessive increase in heart rate from the supine position to the upright position.The current main treatments of POTS include non-drug therapies(health education,autonomic nervous function exercise,and the intake of water and salt)and drug therapies(α-adrenergic receptor agonists andβ-adrenergic receptor blockers).Hemodynamic parameters and biomarkers have a good effect on the diagnosis and prognosis estimation of POTS.Heart rate and blood pressure are one of the basic vital signs that are readily available clinically.In this review,the prognostic value of heart rate and blood pressure in children and adolescents with POTS are evaluated.
作者
王成
肖海辉
王硕
Wang Cheng;Xiao Haihui;Wang Shuo(Department of Pediatric Cardiovasology,Children′s Medical Center,the Second Xiangya Hospital,Central South University,Changsha 410011,China;Jishou University School of Medicine,Jishou 416000,Hunan Province,China;Department of Pediatrics,the First People′s Hospital of Changde City,Changde 415003,Hunan Province,China)
出处
《中华实用儿科临床杂志》
CSCD
北大核心
2020年第13期965-968,共4页
Chinese Journal of Applied Clinical Pediatrics
关键词
体位性心动过速综合征
心率
血压
儿童
青少年
Postural tachycardia syndrome
Heart rate
Blood pressure
Child
Adolescents
