Features of blood vessels in children with connective tissue dysplasia of heart
E.YU. ISAKOVA, T.YU. ATAMANOVA
Family Medicine Center, Chelyabinsk
Contact details:
Isakova E.Yu. — PhD (nedicine), doctor of functional and ultrasonic diagnosis
Address: 15b Vorovsky St., Russian Federation, Chelyabinsk, 454048, tel.: +7-919-339-76-72, e-mail: [email protected]
The article presents the results of a study of Doppler ultrasound (USDG) of arteries and veins of the upper and lower extremities of 68 children with connective tissue dysplasia of heart. When examining the veins, functional tests were carried out: Valsalva’s test and a test with compression by a sensor. In children with connective tissue dysplasia of heart and concomitant arterial hypertension, the failure of the valves of saphenous veins is more common. Also, the following pathologies are revealed: chronic venous insufficiency, angiodysplasia, congenital hypoplasia and aplasia of the deep veins of the lower extremities. Examination of the arteries revealed a spasm of the arteries of the upper and lower extremities with a constant thickness of intima-media, Raynaud’s syndrome. In such patients, the linear blood flow velocity decreases, mainly in the deep arteries of the upper and lower extremities. Doppler ultrasound should be used for early detection of changes in the arteries and veins of the upper and lower extremities in order to prevent and treat vascular diseases.
Key words: ultrasound Doppler, linear blood flow velocity, connective tissue dysplasia of heart, venous valve failure, angiodysplasia.
REFERENCES
- Rossiyskie rekomendatsii VNOK. Nasledstvennye displazii soedinitel’noy tkani [Russian recommendations of VNOK. Hereditary connective tissue dysplasias]. Moscow, 2012. 76 p.
- Perepecha N.B., Ryabova S.I. Kardiologiya: rukovodstvo dlya vrachey. V 2 t. [Cardiology: A Guide for Physicians. In 2 volumes]. Saint Petersburg: SpetsLit, 2008. Vol. 2. 432 p.
- Zemtsovskiy E.V., Malev E.G. Malye anomalii serdtsa i displasticheskie fenotipy [Minor heart anomalies and dysplastic phenotypes]. Saint Petersburg: Izd-vo «IVESEP», 2012. 160 p.
- Kulikov V.P. Ul’trazvukovaya diagnostika sosudistykh zabolevaniy: rukovodstvo dlya vrachey. 2-e izd. [Ultrasound Diagnosis of Vascular Diseases: A Guide for Physicians. 2nd ed]. Moscow: OOO «Firma STROM», 2011. P. 237.
- Beresten’ N.F., Sandrikov V.A., Fedorova S.I. Funktsional’naya diagnostika: natsional’noe liderstvo [Functional Diagnostics: National Leadership]. Moscow: GEOTAR-Media, 2019. 784 p.
- Malev E.G., Reeva S.V., Zemtsovskiy E.V. Mitral valve prolapse. Kardiologiya, 2016, no. 1 (8), p. 44 (in Russ.).
- Khatchinson Styuart Dzh., Kholms Ketrin K. Ul’trazvukovaya diagnostika v angiologii i sosudistoy khirurgii [Ultrasound diagnostics in angiology and vascular surgery]. Moscow: GEOTAR-Media, 2019. 400 p.