Çocukluk çağında egzersizle indüklenen göğüs ağrısı ve bronşiyal astım

Çocukluk yaş grubunda göğüs ağrısı sık karşılaşılan belirtilerdendir. Bu çalışmada ülkemizdeki çocuklarda egzersizle indüklenen göğüs ağrısı ile egzersizle indüklenen astım arasındaki ilişki zirve ekspiratuar akım hızı (PEFR) ölçümü yapılarak araştırıldı. Çalışmaya egzersizle indüklenen göğüs ağrısı dışında şikâyeti olmayıp, allerji öyküsü bulunmayan çocuklar (n=64) ile kontrol grubu kabul edilen ve herhangi bilinen bir hastalığı olmayan sağlıklı çocuklar (n=58) alındı. Göğüs ağrısı grubu ile kontrol grubu yaş ve cinsiyet bakımından benzerdi. Göğüs ağrısı grubu yaş ortalaması 11,9 yıl (9–16) ve kontrol grubu yaş ortalaması 11,5 yıl (8–14) idi. Göğüs ağrısı grubunda ortalama sistolik ve diastolik basınç ölçümleri sırasıyla, 96 / 66 mmHg ve 91 / 60 mmHg idi. Göğüs ağrısı grubunda 7 (% 10,9) çocukta egzersiz sonrası PEFR değerlerinde egzersiz öncesine oranla % 15 düzeyinde düşme saptanırken kontrol grubunda PEFR değerlerinde düşme saptanmadı (p

Exercise induced chest pain in children and bronchial asthma

Chest pain is a frequently encountered problem in childhood. In this study we aimed to asses the relationship between exertional chest pain and asthma by using the peek expiratory flow rate measurements. For this study, 64 otherwise healthy children with chest pain (chest pain group), 9-16 years of age (mean 11.9) and 58 healthy (control group), 8-11 years (mean 11.5) were compared with the use of peak flow-meter. Ages, weights, heights, systolic-diastolic blood pressures, pulses recorded. Preexertional and postexertional peak flow measurements (PEFR) at 2, 5 and 10 minutes determined. There was a decrease more than 15% in PEFR measures in 7 (10.9%) of chest pain group and in 1 (1.7%) of control group children (p<0.05). According to the results of this study, one may think that exercise induced asthma play an important role in the pathogenesis of exertional chest pain and history taking with PEFR measurements are important in this assessment.

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