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Mirela Soare

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Articole semnate de acelasi autor in Revista Romana de Pediatrie:

Hypertrophic cardiomyopathy and mitral regurgitation in children

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 3, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Hypertrophic cardiomyopathy and mitral regurgitation in children

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REZUMAT

Hypertrophic cardiomyopathy is a condition characterised by abnormalities in the morphology and dynamics of the mitral valves, associated with systolic anterior motion, resulting both in obstruction and in mitral regurgitation. There is great individual variation in these patients regarding the predominance of one symptom or the other.

Material and method: we considered a study group of 15 children, aged between 2 and 16 years, diagnosed with hypertrophic cardiomyopathy in the Pediatric Clinic no. 2, from Timisoara. Among these, we identified by echocardiography monitoring upon admission or during the periodic health examination, a systolic anterior motion of the anterior mitral valve, manifested intermittently in 6 of the cases.

Results and discussion: we could not establish a relationship between the obstruction degree in the left ventricle ejection chamber and the value of the mitral regurgitation flow.

Key words: hypertrophic cardiomiopathy, children, pressure gradient

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CARDIOMIOPATIA HIPERTROFICA (CMH) SI REGURGITAREA MITRALA LA COPIL

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 3, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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CARDIOMIOPATIA HIPERTROFICA (CMH) SI REGURGITAREA MITRALA LA COPIL

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REZUMAT

În cadrul CMH au fost descrise anomalii ale morfologiei şi dinamicii valvelor mitrale, asociate cu deplasarea anterioară sistolică ce are drept rezultat atât obstrucţia subaortică, cât şi regurgitarea mitrală. Există variaţii mari individuale la aceşti pacienţi în ceea ce priveşte predominanţa unuia sau a altuia din fenomene.

Material şi metodă: am luat în studiu un lot de 15 copii cu vârsta între 2 şi 16 ani diagnosticaţi cu CMH la Clinica II Pediatrie. Dintre aceştia, monitorizarea ecocardiografică a surprins SAM intermitent la 6 cazuri.

Rezultate şi discuţii: nu am putut stabili o corelaţie între gradul obstrucţiei şi mărimea regurgitării mitrale. Lungimea şi motilitatea valvei mitrale posterioare a determinat în mod invers proporţional mărimea fluxului de regurgitare.

Cuvinte cheie: cardiomiopatie hipertrofică, copii, gradient presional

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Clinical aspects in dilated cardiomyopathy in newborns and infants

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 4, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Clinical aspects in dilated cardiomyopathy in newborns and infants

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ABSTRACT

Dilated cardiomyopathy (DCM) is characterized by the dilation of cavities and a reduction in the LV and/or RV force of contraction. There are idiopathic, family/genetic, viral and/or immunologic as well as alcoholic/tox cardiomyopathies, or dilated DCMs associated with known cardiac conditions where the degree of the myocardial dysfunction is not explained by the hemodynamic anomalies or by the severity of the ischemia. The cases admitted in the clinic present mostly symptoms such as: heart failure, arrhythmia, pulmonary thromboembolism and sudden death. During November 2006 and January 2007, the medical personnel in the 2nd Pediatric Clinic diagnosed 3 cases of dilated cardiomyopathy in newborns and infants. The positive diagnosis was made in the presence of heart failure (2 cases) and cardiogenic shock (1 case). In all cases of congestive heart failure with early onset in the newborn or infant period, the cardiac ultrasound has a decisive role in establishing the diagnosis of CMD. This allows applying a complex therapeutical plan and sometimes improve the progress of this affection and long term prognosis.

Key words: dilated cardiomyopathy, heart failure, newborns and infants

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ASPECTE CLINICE IN CARDIOMIOPATIA DILATATIVA (CMD) LA SUGAR SI NOU-NASCUT

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Revista Romana de PEDIATRIE | Volumul LXI, Nr. 4, An 2012
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
Ebsco Host - Medline
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ICMJE- Recommendations

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Promoting Global Health

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ASPECTE CLINICE IN CARDIOMIOPATIA DILATATIVA (CMD) LA SUGAR SI NOU-NASCUT

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REZUMAT

Cardiomiopatia (CMP) dilatativă se caracterizează prin dilatarea cavităţilor şi prin diminuarea contractilităţii VS şi/sau a VD. Se disting CMP idiopatice, familiale/genetice, virale şi/sau imunologice, alcoolice/toxice sau CMP dilatative asociate cu boli cardiace cunoscute, dar la care gradul disfuncţiei miocardice nu este explicat de anomaliile hemodinamice sau de severitatea ischemiei. Clinica este dominată de insuficenţă cardiacă, aritmii, tromboembolismul pulmonar, moarte subită. În clinica noastră, în perioada nov. 2006 – ian. 2007 s-au diagnosticat 3 cazuri de CMD la nou-născut şi la sugar. Diagnosticul pozitiv s-a realizat în prezenţa insuficienţei cardiace în 2 cazuri, şoc cardiogen 1 caz. În toate cazurile de insuficienţă cardiacă cu debut precoce în perioada de nou-născut şi sugar, ecocardiografia are rol decisiv în stabilirea diagnosticului de CMD, ceea ce permite uneori ca aplicarea unei scheme terapeutice complexe să amelioreze evoluţia bolii şi prognosticul pe termen lung.

Cuvinte cheie: cardiomiopatie dilatativă, insuficienţă cardiacă, sugar, nou-născut

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