Assessment of cardiac functions in patients with adenotonsillar hypertrophy
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Tarih
2011
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info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı, adenotonsiller hipertrofisi (ATH) olan ve olmayan çocuklarda kardiyak fonksiyonları değerlendirmektir. Materyal ve Metod: Pediatri polikliniği tarafından adenotonsiller hipertrofi tanısı konmuş doksan bir çocuk (26 kız, 65 erkek) ve 23 sağlıklı olgu, yaş ve cinsiyet eşleştirilmeli sağlıklı çocuklar (10 kız, 13 erkek) çalışmaya dahil edilmiştir. Tüm hastalara 2D ekokardiyografi ve Doppler tetkiki yapılmıştır. Bulgular: Ortalama mitral E, A dalgaları ve deselerasyon zamanı, ATH olan grupta daha uzun bulunmuştur. Aynı zamanda kalp boşlukları ve hacimleri de daha yüksek ölçülmüştür. Pulmoner ve mitral regurjitasyon oranı, ATH olan grupta daha sık saptanmıştır. Adenotonsiller grade, ortalama pulmoner arterial basınçla ilişkili bulunmuştur. (r: 0.44 p: 0.001). Mitral kapak kalınlığı, tonsiller hipertrofi derecesiyle güçlü bir şekilde korele saptanmıştır. (r: 0.73; p.0.001). Sonuç: ATH, hafif diastolik disfonksiyon ve kalp boşluklarında dilatasyona yol açabilmektedir. Mitral kapak kalınlığı, adenotonsiller grad ile güçlü bir şekilde korele bulunmuştur.
Background: The aim of this study is to compare cardiac function in children with and without adenotonsillar hypertrophy (ATH). Materials and methods: Ninety-one children (26 female 65 male) who were diagnosed as ATH in the pediatric outpatient clinic and twenty-three completely healthy, age-sex matched children (10 female 13 male) were included in the study. All patients underwent a complete twodimensional transthoracic echocardiographic and Doppler study. Results: Mean mitral E, A and deceleration time were significantly longer in ATH group. Also chamber areas and volumes were bigger. Pulmonary and mitral regurgitation were statistically more frequent in ATH group. Adenotonsillar grade was positively related with mean pulmonary arterial pressure (r: 0.44 p: <0.001). Mitral valve thickness was strongly correlated with tonsillar hypertrophy grade (r: 0.73; p.<0.001). Conclusions: ATH may lead to mild diastolic dysfunction and chamber dilatation. Mitral valve thickness was strongly correlated with adenotonsillar grade.
Background: The aim of this study is to compare cardiac function in children with and without adenotonsillar hypertrophy (ATH). Materials and methods: Ninety-one children (26 female 65 male) who were diagnosed as ATH in the pediatric outpatient clinic and twenty-three completely healthy, age-sex matched children (10 female 13 male) were included in the study. All patients underwent a complete twodimensional transthoracic echocardiographic and Doppler study. Results: Mean mitral E, A and deceleration time were significantly longer in ATH group. Also chamber areas and volumes were bigger. Pulmonary and mitral regurgitation were statistically more frequent in ATH group. Adenotonsillar grade was positively related with mean pulmonary arterial pressure (r: 0.44 p: <0.001). Mitral valve thickness was strongly correlated with tonsillar hypertrophy grade (r: 0.73; p.<0.001). Conclusions: ATH may lead to mild diastolic dysfunction and chamber dilatation. Mitral valve thickness was strongly correlated with adenotonsillar grade.
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13
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2
