• Age features of clinical manifestations of aortic coarctation in children

Age features of clinical manifestations of aortic coarctation in children

SOVREMENNAYA PEDIATRIYA.2017.8(88):68-73; doi 10.15574/SP.2017.88.68

Khapchenkova D. S., Mokrik I. Yu.
Donetskiy National Medical University, Lyman, Ukraine
SI «Heart Institute of the Ministry of Health of Ukraine», Kyiv, Ukraine

Abstract. The article presents the results of own observations of children with coarctation of the aorta. Based on these data, we revealed that the clinical manifestations of congenital heart disease vary depending on the age of the child.
Objective. To analyze the clinical symptoms of coarctation of the aorta in children, depending on age.
Material and methods. A retrospective chart review of 69 children with coarctation of the aorta (complaints, past medical history, physical examination data, the results of clinical and instrumental methods) was performed.
Results. During the neonatal period coarctation of the aorta may be manifested by an acute heart failure, due to its combination with other cardiac anomalies. In infants the clinical manifestations of the defect may be prolonged anxiety, worse after eating, poor weight gain, cold lower limbs. In children older than one year, there are signs of congestive heart failure, hypertension, and hemodynamic overload of the left ventricle. In this case, children of all age groups have the main diagnostic criteria of the discussed pathology: the absence or sharp weakening of pulsation on the femoral artery and arterial hypertension.
Conclusions. Clinical manifestations of CoA differ depending on the age of child. There is a late diagnosis of the defect in 41.7% of patients, the reasons of which are non-compliance with such clinical research methods as pulse determination on the femoral artery and control blood pressure, underestimation of the age-related features of CoA clinical manifestations.
Key words: children, coarctation of the aorta, heart failure, arterial hypertension.


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