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  • Changes in the myocardium in children with paroxysmal atrioventricular nodal reentrant tachycardia

    Редактор | 2016, Original articles, Practical medicine 08 (16) Pediatrics | 30 ноября, 2016

    A.V. GORBUNOVA1, G.V. SANTALOVA1, S.E. SHOROKHOV2, E.S. GASILINA1

    1Samara State Medical University, 89 Chapayevskaya Str., Samara, Russian Federation, 443099

    2Samara Regional Clinical Cardiologic Dispensary, 43 Aerodromnaya Str., Samara, Russian Federation, 443070

     Gorbunova A.V. ― postgraduate student of the Pediatrics Faculty, tel. +7-964-986-39-79, e-mail: dajzy19@rambler.ru

    Santalova G.V. ― D. Med. Sc., Professor, Head of the Pediatrics Department, tel. +7-960-825-32-54, e-mail: galina.santalova@mail.ru

    Shorokhov S.E. ― D. Med. Sc., Associate Professor of the Pediatrics Department, Head of Children’s Cardiology and Cardiac Surgery Department, tel. +7-929-707-64-00, e-mail: shorokhov06@mail.ru

    Gasilina E.S. ― D. Med. Sc., Professor, Head of the Department of Children’s Infections, tel. +7-987-958-60-94, e-mail: gasilinaes@mail.ru

     The assessment was made of the main changes in myocardium in children with paroxysmal atrioventricular nodal reentrant tachycardia (PAVNRT) according to an echocardiography (ECG). 27 children with atrioventricular nodal reentrant tachycardia without organic pathology of heart and 22 healthy children as control group were investigated. The research was conducted in the conditions of specialized cardiologic unit during 3 years. Morpho-functional changes of a myocardium were found in children of both groups. Significant (р<0.05) changes of echocardiography parameters (thickness of an interventricular partition in a systole, thickness of an interventricular partition in a diastole, left auricle size, index of mass of a myocardium) allowed to draw a conclusion about the changes of hemodynamics, compensatory hypertrophy, disturbance of function of heart, i.e. the arrhythmogenic dysfunction of a myocardium at children with a atrioventricular nodal reentrant tachycardia.

    Key words: atrioventricular nodal reentrant tachycardia, tachycardia, myocardium remodeling, children.

    REFERENCES

    1. Belozerov Yu.M. Detskaya kardiologiya [Pediatric Cardiology]. MED press-inform, 2004. 600 p.
    2. Belokon’ N.A., Kuberger M.B. Bolezni serdtsa i sosudov u detey: Rukovodstvo dlya vrachey. V 2 t. T. 2 [Diseases of the heart and blood vessels in children: a guide for physicians. In 2 vols 2]. Moscow: Meditsina, 1987. 480 p.: il.
    3. Shkol’nikova M.A, Kovalev I.A., Kravtsova L.A., Bereznitskaya V.V. Federal’nye klinicheskie rekomendatsii po okazaniyu meditsinskoy pomoshchi detyam s supraventrikulyarnymi takhikardiyami (proekt) [Federal guidelines for the provision of medical care for children with supraventricular tachycardias (draft)]. 2015.
    4. Verchenko E.G., Shkol’nikova M.A. Diastolicheskaya disfunktsiya miokarda levogo zheludochka pri takhikardiyakh u detey [Diastolic dysfunction of the left ventricle during tachycardia in children]. Detskaya kardiologiya—2004: tez. Vserossiyskogo kongr. Moscow: Medpraktika-M, 2004. P. 293.
    5. Bokeriya L.A., Makarenko V.N., Yurpol’skaya L.A. et al. Magnetic resonance imaging in the diagnosis of pathological changes noncoronary character in children and adolescents with ventricular arrythmia. Annaly aritmologii, 2013, vol. 10, no. 3, pp. 124-131 (in Russ.). DOI:10.15275/annaritmol.2013.3.1.

    Метки: 2016, A.V. GORBUNOVA, atrioventricular nodal reentrant tachycardia, Children, E.S. GASILINA, G.V. SANTALOVA, myocardium remodeling, Practical medicine 08 (16) Pediatrics, S.E. SHOROKHOV, tachycardia

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