About the need of organization of clinical examination of young people with small developmental heart abnormalities.

Authors

  • Y. P. Lyulka
  • O. O. Dukelsky
  • O. P. Maksimenko
  • M. A. Kuznetsova

DOI:

https://doi.org/10.26641/2307-0404.2014.1.24733

Keywords:

small malformations of the heart development, mitral valve prolapse, physical exercises, echocardiography

Abstract

Due to the signifi­cant increase of complications developing in young people suffering from low cardiac abnormalities, detection of this disease is important. The aim of the study was to analyze the prevalence and structure of cardiovascular diseases in persone aged 18-21 years who have referred to the medical center of Dnepropetrovsk Medical Academy in the period from 2012 to 2013 in order to determine the mode of physicol exercises. We examined 268 students of 1-2 courses of medical academy, who, along with the clinical examination underwent standard echocardiography 2 times a year. It is established that in the structure of cardiovascular diseases in the studied group small anomalies of the heart occupy the first place; valve pathology the second place. In the structure of small abnormality of the heart, mitral valve prolapse is detected the most frequently. Since this anomaly affects the level of tolerance to physical stress and can lead to heart disorder, routine screening of patients with this disease is mandatory and must be carried out to address the choice of the level of physical activity.

Author Biographies

Y. P. Lyulka

SE «Road clinical hospital» Dnepropetrovsk SE «Prydniprovska railway»
Kedrin str., 55, Dnepropetrovsk, 49008, Ukraine

O. O. Dukelsky

SE «Road clinical hospital» Dnepropetrovsk SE «Prydniprovska railway»
Kedrin str., 55, Dnepropetrovsk, 49008, Ukraine

O. P. Maksimenko

SE «Road clinical hospital» Dnepropetrovsk SE «Prydniprovska railway»
Kedrin str., 55, Dnepropetrovsk, 49008, Ukraine

M. A. Kuznetsova

SE "Dnipropetrovsk medical academy of Health Ministry of Ukraine"
medical center
Oktyabrskaya Sq., 2, Dnipropetrovsk, 49027, Ukraine
e-mail:oksanamax@meta.ua
Department of hospital therapy № 2*
Dzerzhinsky str., 9, Dnepropetrovsk, 49044, Ukraine

References

Веденская Т.С. Клинико-инструментальная характеристика кардиопатий у подростков обусловленной малыми структурными аномалиями сердца: автореф. дис. на соискание учен. степени канд. мед. наук.: спец. 14.01.10. “Педиатрия”/ Т.С. Веденская. – Харьков,1999.- 16 с.

Выявление и тактика ведения пациентов с недифференцированной дисплазией соединительной ткани: практ. рук. для врачей / Г.И. Нечаева, В.П. Конев, И.В. Друк [и др.]. – Омск,2011.-322 с.

Дисплазия соединительной ткани в неврологии и педиатрии (клиника, диагностика, лечение): руководство для врачей / С.К. Евтушенко, Е.В. Лисовский, О.С Евтушенко. -М.: Издатель А.Ю. Заславский, 2009. – 374 с.

Леонова Н.М. Морфо-функциональное состояние сердечно-сосудистой системы у юных спортсменов с малыми аномалиями развития сердца: автореф. дис. на соискание учен. степени канд. мед. наук: спец. 14.03.11. “Восстановительная медицина, спортивная медицина, лечебная физкультура, курортология и физиотерапия” / Н.М. Леонова. - М., 2012. – 20 с.

Hаследственные нарушения соединительной ткани: российские рекомендации. – М., 2009.-24 с.

Пролапс мітрального клапана у дітей: діагностика, лікування, диспансеризація / О.П. Волосовець, С.П. Кривопустов, А.Я. Кузьменко [та ін.] // Соврем. педиатрия. - 2006. - Т. 1, №10.-С.84-91.

Пролапс митрального клапана: современные представления о номенклатуре, эпидемиологии, диагностике, прогнозе и тактике ведения / А.И. Дядык, А.Э. Багрий, Д.В. Гришин [и др.] // Укр. ревматол. журнал. — 2003. — Т. 11, № 1. — С. 23-28.

Реброва О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTICA / О. Ю. Реброва. -М.: Медиа Сфера, 2002. - 312 с.

Рыбакова М.К. Практическое руководство по ультразвуковой диагностике. Эхокардиография / М.К. Ры¬бакова, М.Н. Алехин, В.В. Митьков .- Изд. 2-е.-М.: Видар-М., 2008.-537с.

Чурилина А.В / Пролапс митрального клапана в педиатрии: классификация, современные взгляды на этиологию, клинику, диагностику/ А.В. Чурилина, М.А. Мацыгина // Здоровье ребенка.-2007.-№3(6).- С.103-108.

Artificial chordate for pediatric mitral and tricuspid valve repair / R.Boon, M. Hazekamp, G. Hoohenkerk [et al ] // Eur. J. Cardiothorac. Surg. -2007.-Vol. 32, N1.- P. 143- 148.

Guy T. Mitral Valve Prolapse / T.Guy, A. Hill // Ann. Rev. Med. -2012. - Vol.63.- P. 277- 299.

Franca H.H. An interpretation - mitral valve prolapse syndrome / H.H. Franca // Arq. Bras. Cardiol. - 2000. - Vol. 74, N 5.- P.453-458.

Kumar P.D. Is mitral valve prolapsed a manifestation of adolescent growth spurt / P.D. Kumar// Med. Hypothes. - 2000. - Vol. 54, N 2. - P. 189-192.

Mitral valve prolapsed in the general population: the benign nature of echocardiographic features in the Framingham Heart Study/ L.A. Freed, E.J. Benjamin, D. Levy [et al ] // J. Am. Coll. Cardiol. -2002.- Vol. 40.- P.1298-1304.

Mitral valve prolapsed syndrome as cause of sudden death in young adults / S. Anders, S. Said, F. Schulz [ et al] // Forensic. Sci. Int.- 2007.- Vol. 171, N 2-3 .- P.127-130.

Shah P. Current concepts in mitral valve pro¬lap¬sed-diagnosis and man-agement / P. Shah // J. Cardiol. - 2010. - Vol. 56. - P. 125-133.

Vedenskaya TS. [Clinical and instrumental characteristics of cardiomyopathies in adolescents caused by small structural abnormalities of the heart]. Avtoreferat na soiskanie nauchnoy stepeni kandidata meditsinskikh nauk.14.01.10 “Pediatriya”. 1999:16. Russian.

Nechaeva GI, Konev VP, Druk IV. [Identification and tactics of patients’ management with undifferentiated connective tissue dysplasia]. Prakt. Rukovodstvo dlya vrachey. 2011:322. Russian.

Evtushenko SK, Lisovskiy EV, Evtushenko OS. [Connective tissue dysplasia in neurology and pediatrics (clinical picture, diagnostics, treatment]. A manual for doctors. Izdatel' A.Yu. Zaslavskiy. 2009:85-95. Russian.

Leonova NM. [Morpho-functional state of the cardiovascular system in young athletes with small ano¬malies of heart development]. Avtoreferat dissertatsii na soiskanie uchenoy stepeni kandidata meditsinskikh nauk. 14.03.11. “Vosstanovitel'naya meditsina, sportivnaya meditsina, lechebnaya fizkul'tura, kurortologiya i fizio¬terapiya”. 2012:20. Russian.

[Hereditary infringements of connective tissue]. Rossiyskie rekomendatsii. 2009:24. Russian.

Volosovets' OP, Krivopustov SP, Kuz'menko AYa. [Mitral valve disease in children: diagnosis, treatment, prophylactic medical examination]. Sovremennaya pediatriya. 2006;1(10):84-91. Ukrainian.

Dyadyk AI, Bagriy AE, Grishin DV. [Mitral valve prolapse: modern ideas about the item, epidemiology, diagnosis, prognosis and tactics]. Ukrainskiy revmatologicheskiy zhurnal. 2003;11(1):23-8. Russian.

Rebrova OYu. [Statistical analysis of medical data. The application of a package of applied programs STATISTIKA]. Media Sfera. 2002:312. Russian.

Rybakova MK, Alekhin MN, Mit'kov VV. [A practical guide on ultrasonic diagnostics]. Echocardiography. 2008:537. Russian.

Churilina AV, Matsygina MA. [Mitral valve prolapse in Pediatrics: classification, the modern view on etiology, clinic, diagnostics]. Zdorov'e rebenka. 2007:3(6). Russian.

Boon R, Hazekamp M, Hoohenkerk G. Artificial chordate for pediatric mitral and tricuspid valve repair. Eur J Cardiothorac. Surg. 2007;32(1):143-8.

Guy T, Hill A. Mitral Valve Prolapse Annu Rev Med. 2012;63:277-99.

Franca HH. An interpretation - mitral valve prolapse syndrome. Arq Bras Cardiol. 2000;74(5):453-8.

Kumar PD. Is mitral valve prolapsed a manifestation of adolescent growth spurt. Med. Hypothes. 2000;54(2):189-92.

Freed LA, Benjamin EJ, Levy D. Mitral valve prolapsed in the general population: the benign nature of echocardiographic features in the Framingham Heart Study J Am Coll. Cardiol. 2002;40:1298-304.

Anders S, Said S, Schulz F. Mitral valve prolapsed syndrome as cause of sudden death in young adults. Forensic Sci Int. 2007;171(2-3):127-30.

Shah P. Current concepts in mitral valve prolapsed-diagnosis and man-agement. J. Cardiol. 2010;56:125-33.

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Published

2014-03-24

How to Cite

1.
Lyulka YP, Dukelsky OO, Maksimenko OP, Kuznetsova MA. About the need of organization of clinical examination of young people with small developmental heart abnormalities. Med. perspekt. [Internet]. 2014Mar.24 [cited 2024Apr.25];19(1):142-7. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/24733

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Section

SOCIAL MEDICINE