COMPLEX ANALYSIS OF FACTORS AND CLINICAL-INSTRUMENTAL DATA IN CHILDREN OF DIFFERENT AGE GROUPS WITH PATENT DUCTUS ARTERIOSUS

Authors

  • D. O. Kulikova DU "V.T.Zaytsev Institute of General and Emergency Surgery, NAMS of Ukraine", Kharkiv, Ukraine
  • L. I. Chumak V.N.Karazin Kharkiv National University, Kharkiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2018.4.10027

Keywords:

congenital heart disease, patent ductus arteriosus, medical and social factors, indirect ultrasound signs of patent ductus arteriosus

Abstract

Aim: to study and analyze the medical-social factors and clinical-instrumental data in children of different age groups with patent ductus arteriosus (PDA).

Materials and methods: The study involved children under the age of 18, 80% - children under 3 years of age. All were examined at the Department of Cardiac Surgery of GD «V.T. Zaitsev Institute of General and Emergency Surgery, NAMS of Ukraine», during 2013-2017. The first major group included patients with Congenital heart defect: patent ductus arteriosus with verified data from a comprehensive examination and ultrasound data. The other (control) group is patients without congenital heart disease.

The statistical analysis of medical and social factors, which were discovered during questioning of families, data of objective examination, clinical-instrumental and ultrasound examination, was performed.

Results: It is established that among the medical and social factors the most positive is the planning of pregnancy, as well as complaints of delay in physical and psychomotor development, frequent catarrhal diseases and failure to thrive in children with patent ductus arteriosus in early childhood. Among the indirect signs of the patent ductus arteriosus, according to ultrasound data, dilatation of the left branch and the trunk of the pulmonary artery and increased gradient of pressure on them were most significant. Additional ultrasound criteria for diagnosing an patent ductus arteriosus should be considered as an increase in the anterior-posterior size and volume of the left atrium, as well as the dilation of the left atrium and the left ventricle. These criteria will be significant in relation to the hemodynamic significance of this developmental defect.

Conclusions: the data obtained allow to determine the significance of the mentioned criteria in the complex for the choice of further tactics for managing of such patients, and will also become an integral part of the algorithm for managing patients with an patent ductus arteriosus.

Author Biographies

D. O. Kulikova, DU "V.T.Zaytsev Institute of General and Emergency Surgery, NAMS of Ukraine", Kharkiv, Ukraine

кандидат медичних наук, доцент, доцент кафедри загальної та клінічної патології, Харківський національний університет імені В.Н.Каразіна, м.Харків, Україна

L. I. Chumak, V.N.Karazin Kharkiv National University, Kharkiv, Ukraine

M.D., Ph.D (Medicine), associate professor of the department of general and clinical pathology of V.N.Karazin Kharkov National University, Kharkiv, Ukraine

References

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Published

2019-04-17

How to Cite

Kulikova, D. O., & Chumak, L. I. (2019). COMPLEX ANALYSIS OF FACTORS AND CLINICAL-INSTRUMENTAL DATA IN CHILDREN OF DIFFERENT AGE GROUPS WITH PATENT DUCTUS ARTERIOSUS. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (4), 44–50. https://doi.org/10.11603/1681-2786.2018.4.10027

Issue

No. 4 (2018)

Section

The science for health care practice

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