Adenotonsiller Hipertrofisi Olan Hastalarda Kardiyak Fonksiyonların Değerlendirilmesi

Amaç: Bu çalışmanın amacı, adenotonsiller hipertrofisi (ATH) olan ve olmayan çocuklardakardiyak fonksiyonları değerlendirmektir.Materyal ve Metod: Pediatri polikliniği tarafından adenotonsiller hipertrofi tanısı konmuşdoksan bir çocuk (26 kız, 65 erkek) ve 23 sağlıklı olgu, yaş ve cinsiyet eşleştirilmeli sağlıklıçocuklar (10 kız, 13 erkek) çalışmaya dahil edilmiştir. Tüm hastalara 2D ekokardiyografi veDoppler tetkiki yapılmıştır.Bulgular: Ortalama mitral E, A dalgaları ve deselerasyon zamanı, ATH olan grupta daha uzunbulunmuştur. Aynı zamanda kalp boşlukları ve hacimleri de daha yüksek ölçülmüştür. Pulmonerve mitral regurjitasyon oranı, ATH olan grupta daha sık saptanmıştır. Adenotonsiller grade,ortalama pulmoner arterial basınçla ilişkili bulunmuştur. (r: 0.44 p

Anahtar Kelimeler:

Adenotonsiller hipertrofi, apne, kardiyak fonksyion, romatizmal kalphastalığı, horlama, subklinik kardit

Assessment Of Cardiac Functions In Patients With Adenotonsillar Hypertrophy

Background: The aim of this study is to compare cardiac function in children with and withoutadenotonsillar hypertrophy (ATH).Materials and methods: Ninety-one children (26 female 65 male) who were diagnosed as ATHin 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. Alsochamber areas and volumes were bigger. Pulmonary and mitral regurgitation were statisticallymore frequent in ATH group. Adenotonsillar grade was positively related with mean pulmonaryarterial pressure (r: 0.44 p

Keywords:

Adenotonsillar hypertrophy, apnea, cardiac function, rheumatic heart disease, snoring, subclinical carditis,

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