根据超声心动图结果评估转诊至德黑兰Rasoul Akram和Firoozabadi医院的哮喘儿童的心室功能

IF 1.3 Q3 PEDIATRICS International Journal of Pediatrics Pub Date : 2021-09-21 DOI:10.22038/IJP.2021.59039.4602
M. Fallahpour, M. Radgoudarzi, Mojtaba Didar Shetaban, Mohammad Bagher Didarshetaban
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引用次数: 0

摘要

目的:哮喘是一种导致右心室肥大和扩张的慢性炎症性疾病。目的评价和比较2019年德黑兰Hazrat Rasouland Firoozabadi医院中重度哮喘患儿和非哮喘患儿的心脏左、右心室收缩和舒张功能。方法:对50例确诊为中重度哮喘的患者(病例组)和50例健康人群(对照组)进行临床及超声心动图指标的比较研究。记录所有儿童的血压、心率、身高和体重。年龄60 ~ 60岁的患者采用肺量测定法进行肺功能检查。由一名经验丰富的儿科心脏病专家对两组进行常规和TDI超声心动图检查,并收集超声心动图数据。结果:哮喘患者左室全搏容量明显降低。此外,在右心室SV中,研究组患者的值明显低于健康人(P=0.01)。两组的E/A比均高于1组,病例组的平均值和标准差分别为1.72±0.26和1.92±0.32,差异无统计学意义。结论:哮喘可影响儿童心室收缩。与以往的研究相反,尽管在哮喘患者中观察到心脏收缩功能障碍,但即使通过组织多普勒超声心动图也未观察到这些患者的舒张功能障碍。关键词:哮喘,心功能,超声心动图
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Evaluation of the Ventricular Function based on Echocardiographic Findings in Asthmatic Children Referred to Rasoul Akram and Firoozabadi Hospitals of Tehran
Objective: Asthma is a chronic inflammatory disease of the lead to hypertrophy and dilatation of the right ventricle. Aim of study to evaluate and compare left and right ventricular systolic and diastolic function of the heart based on echocardiographic criteria in children with moderate to severe asthma and non-asthmatic children referred to Hazrat Rasouland Firoozabadi Hospitals of Tehranin 2019. Methods: In this case-control study, 50 patients with a definite diagnosis of moderate to severe asthma(case group) and 50 healthy individuals (control group) were studied and compared in terms of clinical and echocardiographic measures. Blood pressure, heart rate, body height and weight of all children were recorded. The patients who were >6 years underwent pulmonary function tests using spirometry. Conventional and TDI echocardiography was performed bya single experienced pediatric cardiologist on two groups blindly and echocardiographic data was collected.Results: The results showed that the left ventricular stroke volume was significantly lower in patients with asthma. Also, in the right ventricular SV, significantly lower values were found in the group of patients under study than healthy individuals (P=0.01). The E/A ratio in both groups was higher than one with a mean and standard deviation of 1.72±0.26 in the case group compared to 1.92±0.32 which was not significantly different.Conclusion: The results of this study showed that asthma can affect ventricular contraction in children. Contrary to previous studies and despite the observation of cardiac systolic dysfunction in patients with asthma, diastolic dysfunction in these patients was not observed even by tissue Doppler echocardiography.Keywords: Asthma, Cardiac function, Echocardiography
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来源期刊
CiteScore
3.90
自引率
0.00%
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0
审稿时长
4 weeks
期刊介绍: International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.
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