CLINICAL MANIFESTATIONS ASSOCIATED WITH MINOR HEART ANOMALIES IN CHILDREN
https://doi.org/10.51523/2708-6011.2018-15-2-4
Abstract
Objective: to define clinical manifestations associated with minor heart anomalies (MHAs) in children. Material and methods. We have surveyed 168 children aged 2-17. Results. MHAs were determined echocardiographically in all the age periods. Clinical manifestations were characterized by polymorphism in the children. 72.55 % (95 % CI 64.76-79.44) of the children observed a high proportion of concomitant dysplastic changes. Factors associated with multiple abnormally located cords of the left ventricle have been found (sensitivity - 79.16 %, specificity - 90.24 %). Conclusion. The frequency of detection of MHAs increases with age. Сardiac (51.98 % (95% CI 42.78-59.14)), arrhythmic (54.71 % (95% CI 56.58-72.25)), cerebroasthenic (13.07 % (95 % CI 8.17-19.46)), lipothymic manifestations (7.84 % (95 % CI 4.12-13.3)) are marked in the clinical picture of MHA, 18.30 % (95 % CI 12.52-25.35) of the cases have an asymptomatic clinical course.
About the Authors
N. V. Tomchyk
Grodno State Medical University
Belarus
Belarus
S. A. Lyalikov
Grodno State Medical University
Belarus
Belarus
References
1. Домницкая ТМ. Аномально расположенные хорды сердца. Москва, РФ; Медпрактика-М; 2007.
2. Земцовский ЭВ, Малеев ЭВ. Малые аномалии сердца и диспластические фенотипы. СПб, РФ; ИВЭСЭП; 2012.
3. Домбялова ЭС, Баркун ГК, Лысенко ИМ, Журавлева ЛН, Иванова ЛГ, Нищаева НФ. Клиническая значимость малых аномалий сердца в структуре кардиоваскулярной патологии у детей и подростков. Охрана материнства и детства. 2015;2(26):79-83.
4. Трисветова ЕЛ, Юдина ОА. Анатомия малых аномалий сердца. Минск, РБ: Белпринт; 2006.
5. Borg AN, Miller C, Schmitt M. Localised myocardial scar related to left ventricular false tendons. Eur Heart J Cardiovasc Imaging. 2012;13:795-96.
6. Ferrer F, Ferrer ML, Grima Murcia MD, Ferrer M, Campo F Study and Clinical Implications of Left Ventricular False Tendon. Is it Associated With Innocent Murmur in Children or Heart Disease? Rev Esp Cardiol. 2015;68:700-5.
7. Bonow RO, Carabello BA, Chatterjee K, de Leon AC Jr, Faxon DP, Freed MD [et al.] 2008 Focused update incorporated into the ACC /AHA 2006 Practice guidelines for the management of patients with valvular heart disease. Circulation. 2008;118:e523-e661.
8. American Heart Association, American College of Cardiology Foundation. Prevention of Torsade de Pointes in Hospital Settings. A Scientific Statement from the American Heart Association and American College of Cardiology Foundation. Circulation. 2010;121(8):1047-60.
9. Kleinman ME, Chameides L, Schexnayder SM. Epidemiology of Left Ventricular False Tendons: Clinical Correlates in the Framingham Heart Study. J Am Soc. Of Echocardiogr. 2009; 22(6):739-45.
10. Kleinman ME, Chameides L, Schexnayder SM. Part 14: pediatric advanced life support: 2010 American Heart Association Guidelines for Cardiopulmonary. Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;112.
11. Ляликов СА, Ляликова ВИ. Периодизация детского возраста на основании антропометрических показателей. Журнал ГрГМУ. 2008;4:28-32.
Review
For citations:
Tomchyk N.V., Lyalikov S.A. CLINICAL MANIFESTATIONS ASSOCIATED WITH MINOR HEART ANOMALIES IN CHILDREN. Health and Ecology Issues. 2018;(2):19-24. (In Russ.) https://doi.org/10.51523/2708-6011.2018-15-2-4
Views: 382
Email this article 