Прогнозирование и диагностика сердечно-сосудистых осложнений у детей с бронхиальной астмой

Резник, А.В. (2020) Прогнозирование и диагностика сердечно-сосудистых осложнений у детей с бронхиальной астмой. SWorldJournal, 2 (06-02). pp. 45-49. ISSN 2663-5712

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Abstract

В работе представлены данные, позволяющие улучшить прогнозирование и диагностику сердечно-сосудистых осложнений у детей с бронхиальной астмой. This work presents data that make it possible to improve the prediction and diagnosis of cardiovascular complications in children with bronchial asthma. Introduction. Bronchial asthma (BA) already in childhood can be accompanied by cardiovascular complications in the form of acute pulmonary heart disease, ventricular dysfunction, metabolic cardiomyopathy, rhythm and conduction disorders, which not only aggravates the course of the disease, but also reduces the quality of life of patients. The heart remodeling in AD is preceded by clinical manifestations of heart failure and can independently deepen systolic and diastolic dysfunction of the ventricles. The purpose of the study: to improve the prediction of the development of cardiovascular complications in the period of exacerbation of bronchial asthma in children by identifying the risk factors for the development of ventricular dysfunction and developing additional informative clinical and echocardiographic diagnostic criteria for right ventricular heart failure (PCHSN). Materials and methods: Under our supervision there were 55 children with asthma aged 5 to 17 years; pulse oximetry, spirography, ECG, Doppler, and echocardiography were performed. The examination was carried out in the period of exacerbation of asthma during hospitalization of the patient and during the period of improvement, on the days 5-6 of staying. The criteria for inclusion in the study were allergic and mixed persistent mediastinum and severe asthma during the period of exacerbation. Results. The prognostic clinical risk factors for the development of systole-diastolic dysfunction of the cardiac ventricles in case of a possible attack of bronchial asthma were ascertained: the presence of a severe bronchial asthma in a sick child; presence of tachycardia alone; violation of the ventricular myocardial reparation in the electrocardiogram; presence of concomitanat chronic tonsillitis; bacteria carrying in the nasopharynx; female sex in a patient with asthma. Additional informative diagnostic criteria for the development of right ventricular heart failure during the period of exacerbation of bronchial asthma in children have been developed. Conclusions. The issue of improving the possibilities of predicting the development of cardiac ventricular dysfunction and timely diagnosis of cardiovascular complications in the period of exacerbation of bronchial asthma in children is solved by identifying clinical risk factors for the development of ventricular dysfunction and developing additional informative clinical and echocardiographic diagnostic criteria for right ventricular heart failure

Item Type:	Article
Additional Information:	https://doi.org/10.30888/2410-6615.2020-06-02-079
Uncontrolled Keywords:	бронхиальная астма, дисфункция желудочков сердца, диагностика, прогноз, дети; bronchial asthma, dysfunction of the cardiac ventricles, diagnostics, prediction, children
Subjects:	Pediatrics
Divisions:	Departments > Department of Pediatrics 2 (formerly - hospital pediatrics 1)
Depositing User:	Елена Шрамко
Date Deposited:	11 Nov 2021 08:57
Last Modified:	11 Nov 2021 08:58
URI:	http://repo.dma.dp.ua/id/eprint/7088

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