• Clinical and instrumental characteristics of minor cardiac anomalies in children of Poltava

Clinical and instrumental characteristics of minor cardiac anomalies in children of Poltava

SOVREMENNAYA PEDIATRIYA.2017.4(84):82-85; doi 10.15574/SP.2017.84.82

Fesenko M. Ye., Kozakevich V. K., Zyuzina L. S., Kabyka T. V., Pyeshyi M. M.
Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», Poltava
Communal Healthcare Institution Poltava Primary Health Care Centre No.2, Ukraine

Objective. To identify risk factors for the formation of minor cardiac anomalies in children and analyse the incidence and patterns of other congenital anomalies associated with minor cardiac anomalies, based on the study of clinical and paraclinical features of the disease course.

Materials and methods. A comprehensive survey of 105 children aged 3 days to 15 years were carried out. All children were divided into three age groups: I — children from birth to 3 years (73 children), II — from 4 to 7 years (16 children), III — from 8 to 15 years (16 children). Examination of children were conducted with regard to gestation course, childbirth, maternal extragenital pathology and acute diseases across pregnancy. ECG and echocardiography were conducted and comorbidities were characterized depending on age.

Results. The clinical picture in children with minor cardiac anomalies was characterized by no complaints and clinical symptoms. The dominant risk factors for the development of minor cardiac abnormalities are pathologic gestation course (65.7%; a threatened miscarriage prevailed among pathology), abnormal labour (35.0%; in 15% of cases via caesarean section), maternal extragenital pathology, manifestations of acute respiratory viral infection and TORCH-infection exacerbation during 1st trimester of pregnancy (76.4%). The clinical manifestations of arrhythmia, tachycardia, bradycardia, short PQ interval in children with minor cardiac anomalies require follow up by cardiologist.

Conclusions. Patterns of minor cardiac anomalies and their direct dependence on the age were determined in the examined children with minor cardiac anomalies. The clinical manifestations of arrhythmia, tachycardia, bradycardia, and short PQ interval in this group of children require follow up by cardiologist.

Key words: minor cardiac anomalies, children, risk factors.

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