Peculiarities of cardiac performance in children with bronchial asthma against chronic tonsillitis.

Authors

  • V. А. Kondratiev
  • А. V. Reznik
  • А. V. Yegoreynko

DOI:

https://doi.org/10.26641/2307-0404.2015.4.56134

Keywords:

children, cardio-vascular system, bronchial asthma, chronic tonsilitis

Abstract

Acomparativeassessmentofcardiacperformancebythedataofclinical-instrumentalexaminationof 50 patientsaged 5-15 yearswithpersistingformofpartially-controlledatopicbronchialasthmain the period between the attacks of the disease was made. Children were divided into two groups depending on presence of concomitant chronic tonsillitis (18 patients)or absence of the latter (32 patients). Inallcasesbythedataofspirographyinchildrenagainstchronictonsillitisintheperiodbetweentheattacksofthediseasetherewererevealedventillationdisordersinthelungsbyobstructiontype, thispromotedelevationofpressureinthepulmonaryartery.Only in this group of patients in 27,8% of cases pulmonary arterial hypertension of moderate severity was revealed. Byechocardiographydatainchildrenwithasthmaagainstchronictonsillitisreliablymoreoften(р<0,01) therewasrevealeddecreaseofcontractilefunctionofmyocardiumoftheleftcardiacventricle; thiswascausedbythepresenceofmetabolicdisturbancesinthemyocardiuminthemajorityofcases(83,3%). These changes were registered on the electrocardiogram in the form of repolarisation changes of the ventricular complex.Presenceofconcomitantchronictonsillitisinchildrenwithbronchialasthmafavoredformationofpulmonaryhypertensionontheonesideandworseningofcontractileabilityofmyocardiumoftheleftcardiacventricleontheotherside;thisrequiredperformingtherapeutic-preventive measures for sanation  of chronic infectious focus in the nasopharynx to prevent formation of chronic cardiac insufficiency during asthma course.

Author Biographies

V. А. Kondratiev

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
pediatric department 2
Dnipropetrovsk, 49044, Ukraine

А. V. Reznik

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
pediatric department 2
Dnipropetrovsk, 49044, Ukraine

А. V. Yegoreynko

SE «Dnipropetrovsk regional children clinical hospital» *
Dnipropetrovsk, 49100, Ukraine

References

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Published

2015-11-25

How to Cite

1.
Kondratiev VА, Reznik АV, Yegoreynko АV. Peculiarities of cardiac performance in children with bronchial asthma against chronic tonsillitis. Med. perspekt. [Internet]. 2015Nov.25 [cited 2024Mar.29];20(4):34-9. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/56134

Issue

Section

CLINICAL MEDICINE