Division of Pediatric Nephrology, Cohen Children's Medical Center of New York, 269-01 76th Avenue, 11040, New Hyde Park, NY, USA.
Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Curr Hypertens Rep. 2016 Aug;18(8):65. doi: 10.1007/s11906-016-0672-3.
The purpose of this review is to provide background on the importance of left ventricular hypertrophy (LVH) in children with hypertension, to highlight various diagnostic modalities and measures for defining LVH, and to demonstrate the need for standardization and a consensus definition for LVH in the pediatric population.
There is no clear consensus among specialists performing echocardiograms and treating clinicians on the definition of LVH in children with hypertension. In fact, there is considerable variation in every step of the evaluation of pediatric LVH. There is variation in every step of the assessment of LVH in the pediatric population. This variation exists in imaging modality, the type of measurement used, the method of calculating left ventricular mass (LVM), the method of indexing LVM to body size, the normalization method for the index used, the reference data used, the inclusion of confounders, the implementation in clinical practice, and the format for echocardiography reporting.
本文旨在介绍左心室肥厚（LVH）在高血压儿童中的重要性，重点介绍用于定义 LVH 的各种诊断方式和测量方法，并论证在儿科人群中对 LVH 进行标准化和达成共识定义的必要性。
在进行超声心动图检查的专家和治疗临床医生中，对于高血压儿童中 LVH 的定义尚无明确共识。事实上，在评估儿科 LVH 的每一步都存在相当大的差异。在儿科人群中评估 LVH 的每一步都存在差异。这种差异存在于成像方式、使用的测量类型、计算左心室质量（LVM）的方法、将 LVM 索引到身体大小的方法、所使用的索引归一化方法、所使用的参考数据、混杂因素的纳入、在临床实践中的实施以及超声心动图报告的格式。
