Disturbance of intracardiac hemodynamics in children with chronic rheumatic cardiac disease.
DOI:
https://doi.org/10.26641/2307-0404.2013.4.21525Ключові слова:
children, chronic rheumatic cardiac disease, Doppler echocardiography, hemodynamics, inhibitors of angiotensin-converting factorАнотація
By means of Doppler echocardiography there have been studied disturbances of intracardiac hemodynamics in 44 children aged 8-17 years with chronic rheumatic cardiac disease and developed mitral aortal and combined heart defects, as well as in chronic rheumatic cardiac disease without developed valvar defect. Differential approach has been defined to administration of inhibitors of angiotensin-converting factor in rheumatic heart defects: developed insufficiency of mitral and/or aortal valves II-III stage leads to remodeling of the left heart portions with developing chronic insufficiency of blood circulation, being an index for prolonged, not less than a year usage of the angiotensin-converting factor. In the presence of isolated mitral regurgitation, I stage in children with chronic rheumatic cardiac disease usage of the angiotensin-converting factor may be cancelled due to insignificant disturbances of valvar hemodynamics and a small risk of developing blood circulation insufficiency. Timely sanation of chronic infection foci in nasopharynx (conservative and surgical treatment of chronic tonsillitis, adenoid vegetations, therapy of hemolytic streptococcus presence) decreases risk of developing rheumatic heart defect in children suffered acute rheumatic fever.Посилання
Банадига Н. В. Прогностичні критерії ризику формування хронічної ревматичної хвороби серця у дітей / Н. В. Банадига, О. Р. Боярчук, Н.І. Ярема // Пе¬діатрія, акушерство та гінекологія. – 2012. - №2. - С. 17, 85.
Богмат Л.Ф. Ремоделювання серця й стан сис¬тем регуляції при патології міокарда у дітей / Л.Ф. Бог¬мат, Л.И. Рак, Е.Л. Ахназарянц // Педіатрія, аку¬шерство та гінекологія. – 2007. - №4. - С. 76.
Клінічна допплерівська ультрасонографія / за ред. Пола Л. Аллана, Пола А. Даббінса, Мирона А. Поз¬няка, В. Нормана МакДікена [пер. з англ.]. - Львів: Медицина світу, 2007.- 374 с.
Кондратьев В.А. Сердечно-сосудистые заболе¬вания у детей в практике педиатра и семейного врача / В.А. Кондратьев, Л.И. Вакуленко. – Днепропетровск : Литограф, 2012. – С. 134-137.
Лапач С. Н. Статистические методы в медико-биологических исследованиях с использованием Excel / С.Н. Лапач, А.В. Чубенко, П.Н. Бабич. – К.: МОРИОН, 2001.- 401 с.
Нагорная Н. В. Ингибиторы АПФ. Возмож¬ности применения в педиатрической практике / Н. В. Нагорная, С. А. Паршин // Здоровье ребенка. - 2010. - № 3 (24). - С. 113-115.
Шиллер Н. Клиническая эхокардиография.- изд. 2-е / Н. Шиллер, М. А. Осипов.- М.: Практика, 2005. - 344 с.
C. Bruch. Diagnostic usefulness and prognostic implications of mitral E/Е ratio in patients with heart failure and severe secondary mitral regurgitation / C. Bruch, I. Klem, G. Breithardt [et al.] // Am. J. Cardiol. - 2007. - Vol. 100, N 5. – P. 860-865.
Echocardiography screening for rheumatic heart disease in Ugandan Schoolchildren / А. Вeaton, Е. Okello, Р. Lwabi [et al.] // Circulation. - 2012. - Vol. 125. – P. 3127-3132.
High prevalence of rheumatic heart disease de¬tected by Echocardiography in School Children / M. Bhaya, S. Panwar, R. Beniwal, R.B. Panwar // Echo¬cardiography. – 2010. – Vol. 27. – P. 448-453.
Mechanisms of mitral valvar insufficiency in chil¬dren and adolescents with rheumatic heart disease: an echocardiographic study with clinical and epidemio¬lo¬gical correlations / E.J.N. Cấmara, C. Neubauer, G.F. Cấ¬mara, A. A. Lopes // Cardiol Young. – 2004. – Vol. 14. – P. 527-532.
Momma K. ACE Inhibitors in Pediatric Patients with Heart Failure / K. Momma // Pediatr Drugs. – 2006. – Vol. 8, N 1. – Р. 55-69.
Banadyga NV, Boyarchuk OR, Yarema NI. Prognostic criteria of risk of formation of chronic rheu¬matic cardiac disease in children. Pediatrics, obstetrics and gynecology. 2012;2:17,85.
Bogmat LF, Rak LI, Ahnazaryants EL. Remo¬deling of the heart and state of regulatory system in myo¬cardial pathology in children. Pediatrics, obstetrics and gynecology. 2007;4:76.
Allan PollL, Dabbins PollA, Poznyak MyronA, MakDiken VNorman. Clinical Doppler ultrasonography [transl from English]. Lviv: Medicine of the world. 2007;374.
Kondratiev VA, Vakulenko LI. Cardio-vascular di¬seases in children in the practice of pediatrician and family doctor. Dnepropetrovsk: «Litograph». 2012;134-7.
Lapach SN, Chubenko AV, Babich PN. Statistic methods in medico-biologic researches with the usage of Excel. K.: MORION. 2001;401.
Nagornaya NV, Parshin SA. Ingibitors of APF. Possibilities of usage in pediatrics. Health of a child. 2010;3(24):113-5.
Shiller N, Osipov MA. Clinical echocar¬dio¬gra¬phy. 2-nd edition - M.: Practice. 2005;344.
Bruch C, Klem I, Breithardt G, Wichter T, Gra¬daus R. Diagnostic usefulness and prognostic implications of mitral E/Е ratio in patients with heart failure and se¬vere secondary mitral regurgitation. Am J Cardiol. 2007;100:860-5.
Вeaton A, Okello E, Lwabi P, Mondo C, McCar¬ter R, Sable C. Echocardiography screening for rheumatic heart disease in Ugandan Schoolchildren. Cir¬culation. 2012;125:3127-32.
Bhaya M, Panwar S, Beniwal R, Panwar RB. High prevalence of rheumatic heart disease detected by Echo¬cardiography in School Children. Echocardiography. 2010;27:448-53.
Cấmara EJN, Neubauer C, Cấmara GF, Lopes AA. Mechanisms of mitral valvar insufficiency in chil¬dren and adolescents with rheumatic heart disease: an echo¬cardiographic study with clinical and epidemio¬lo¬gical correlations. Cardiol Young. 2004;14:527-32.
Momma K. ACE Inhibitors in Pediatric Patients with Heart Failure. Pediatr Drugs. 2006;8(1)55-69.
##submission.downloads##
Опубліковано
Як цитувати
Номер
Розділ
Ліцензія
Авторське право (c) 2017 Медичні перспективи
Ця робота ліцензується відповідно до Creative Commons Attribution-NonCommercial 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.
