Disturbance of intracardiac hemodynamics in children with chronic rheumatic cardiac disease
Journal Title: Медичні перспективи - Year 2013, Vol 18, Issue 4
Abstract
. 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.
Authors and Affiliations
V. Kondratiev, N. Porokhnya, Ye. Kunak
Keywords
Related Articles
- EP ID EP146846
- DOI -
- Views 98
- Downloads 0
Rare clinical case: solid pseudopapillary tumor of the pancreas
Solid pseudopapillary tumor of the pancreas (Frantz's tumor) is a very rare disease with uncertain malignant potential. This tumor occurs in young women at the age before 35 years. Asymptomatic disease course leads to gr...
Forecasting of development of acute poisonings in agricultural workers while using combined formulations based on difenoconazole
In the general structure of occupational diseases, a large proportion belongs to acute poisoning with pesticides (mainly group cases). However, today it is impossible to drop the use of pesticides in agriculture. Their a...
Donosological diagnostics of pre-pathological mental states in students of Professional Agrarian Lyceum using the «Agrotest» computer program
Modern ideas about the role of psycho-physiological functions in the formation of personality indicate that the prognostic value of the main properties of the central nervous system (CNS) is the physiological basis of th...
Biological age and aging rate of patients with vibration disease caused by the actions of the whole-body vibration in the post-exposure period
The problem of occupational morbidity in Ukraine has a great importance in the system of health protection of workers. Vibration disease (VD) in the structure of occupational diseases occupies one of the first places. Mo...
The relationship between leptin and resistin levels and parameters of the ambulatory blood pressure monitoring in patients with type 2 diabetes and arterial hypertension
To explore the relationship between leptin and resistin content in plasma and parameters of ambulatory blood pressure monitoring (ABPM) in patients with diabetes mellitus (DM) type 2 and arterial hypertension (AH) I and...