SOVREMENNAYA PEDIATRIYA.2017.8(88):59-67; doi 10.15574/SP.2017.88.59

Oshlianska O. A., Chaikovskyi  I. A., Artsymovych A. H., Dordiienko M. O.
Shupyk National Medical Academy of Postgraduate Education, Kуiv, Ukraine
SI «Institute of Pediatrics, Obstetrics and Gynecology of NAMS of Ukraine», Kyiv, Ukraine
Glushkov Institute of Cybernetics of National Academy of Sciences of Ukraine, Kуiv, Ukraine
G.V. Kurdyumov Institute for Metal Physics of the N.A.S. of Ukraine, Kуiv, Ukraine

Objective: to investigate the effectiveness of the 4th generation electrocardiography in the early diagnosis of cardiovascular changes in children with rheumatic diseases.
Material and methods. In total 27 hospitalized patients with rheumatic diseases were examined. Clinical and laboratory tests were conducted; ECG was registered by means of the hardware-software complex «Cardio-plus P» as well as a traditional 12-channel ECG.
Results and discussion. According to the standard 12-channel ECG, only 4 patients had no changes. However, the revealed changes were minimal, generally of a functional nature and not diagnostically significant for the detection of a certain cardiac pathology. Summarizing the results of the analysis of neuron-endocrine regulation of heart function, the functional status of the myocardium, the evaluation of rhythm disturbances and the psychoemotional state according to ECG data registered by HSC «Cardio-plus P», it was possible to note the presence of hidden disorders in all those areas of CVS. In general, the complex index of the functional status of the cardiovascular system in patients with rheumatic diseases was also reduced — 60.17391±1.91, and it was more than 70% only in 4 patients (14.8%).
Conclusion. The damages of CVS in children with rheumatic diseases develop not only due to autoimmune disorganization of the myocardium, but also as a result of metabolic disorders. For the most part, they are non-indicative, have a subclinical nature and are not recorded using standard research methods. Using the HSC «Cardio-plus P» allows to increase by threefold of the CAS changes detection in children with rheumatic diseases by evaluating complex indicators, reveal hidden cardiac rhythm disturbances.
Key words: electrocardiography, rheumatic diseases, children.

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