Prematüre retinopatisinde kardiyak ejeksiyon fraksiyonu ve konjenital kalp hastalıkları

Amaç: Prematüre retinopatisi (PR) gelişen ve gelişmeyen olgularda kardiyak ejeksiyon fraksiyonu (EF) ve konjenital kalp hastalıklarının (KKH) incelenmesi.Materyal ve Metod: Prospektif özellikteki çalışmaya 57 prematüre hasta dahil edildi. PR gelişen 27 olgu Grup 1, PR gelişmeyen 30 olgu Grup 2 olarak sınıflandırıldı. Kardiyak parametreler M-mode ekokardiyografi ile ölçüldü. Veriler SPSS programında analiz edildi. Bulgular: Grupların Ort. DH’ları arasında anlamlı bir fark gözlenmezken, 1. Gruptaki olguların ort. DA’sının anlamlı olarak düşük olduğu gözlendi ( sırasıyla p = 0.12, p = 0.03). 1 . Gruptaki olgularda EF % 69±9 iken, 2. Gruptaki olgularda % 70±6 idi. Ort. EF açısından iki grup arasında fark saptanmadı ( p > 0.05). Atrial septal defekt (ASD) görülme sıklığı 1. Grupta % 40.8 , 2. Grupta % 41, patent ductus arteriozus (PDA) sıklığı ise 1. Grupta % 26., 2. Grupta % 12.5 idi. Birinci grupta gözlenen PDA sıklığının istatistiksel olarak daha yüksek olduğu gözlendi ( p < 0.05). Sonuç: PR gelişen ve gelişmeyen olgularda EF açısından fark gözlenmezken, PR gelişen olgularda KKH’lardan PDA yaklaşık 2 kat daha sık gözlenmektedir. PR gelişen olgular PDA’nın kapanması için yakından takip edilmelidir. Anahtar Kelimeler: Prematüre,retinopati,kardiyak hastalık

Anahtar Kelimeler:

Prematüre, retinopati, kardiyak hastalık

Cardiac ejection fraction and congenital hearth diseases in retinopathy of prematurity

Background: To investigate cardiac ejection fraction measurements and presence of any congenital hearth disease in premature babies with and without retinopathy of prematurityMethod: Totally 57 premature patients enrolled to the study. Twenty-seven patients with ROP defined as Group1 and 30 patients without ROP defined as Group 2. All cardiac parameters were measured by using M-mode echocardiography. Datas analyzed in SPSS programme. Results: No significant difference was found to be in terms of mean gestational age, whereas the mean GA was significantly lower in Group 1 ( respectively p = 0.12, p = 0.03). The mean ejection fractions were 69±9 % in Group 1 and 70±6 % in Group 2, there was no significant difference in EF between two groups ( p > 0.05). The incidences of ASD were 40.8% in Group 1 and 41% in Group 2. The incidences of PDA were 26% in Group 1 and 12.5% in Group 2. The incidence of PDA was significantly higher in Group 1 ( p < 0.05)Conclusion: There is no significant differences in terms of EF and ASD in patients with and without ROP, while the incidence of PDA was two times higher in patients with ROP. Patients with ROP should be closely followed for closure in PDA. Keywords: Premature, retinopathy, cardiac disease

Keywords:

Premature, retinopathy, cardiac disease,

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