Eisenmenger Sendromlu Çocuk Hastaların Telekardiyografi ve Elektrokardiyografi Bulguları

Evren SEMİZEL; Dursun ALEHAN

Article Details

Eisenmenger Sendromlu Çocuk Hastaların Telekardiyografi ve Elektrokardiyografi Bulguları

Authors:

Evren SEMİZEL | Dursun ALEHAN

Publisher:

Bursa Uludağ University

Journal:

The Journal of Current Pediatrics 2007 Vol.5 Issue 1, pp.31-34

Document Type:

Article

Publication Date:

5/2007

Document Language:

Turkish

Document ID (Org No.):

2000805645

Frequency:

Tri-annual

eISSN:

1308-6308

pISSN:

1304-9054

Keywords:

Abstract:

 

Background: Evaluation of the electrocardiographic and telecardiographic findings of the patients with Eisenmenger syndrome.  Methods: Twenty-three patients with the diagnosis of Eisenmenger syndrome, and 20 age, sex, body weight and length matched,  healthy controls were included in the study. Electrocardiographic records and telecardiography of both groups were performed.  Results: It was found that; 56.5% of the patients with Eisenmenger syndrome had right-axis deviation, 21.7% of the patients left-axis  deviation, 17.4% of the patients superior axis and 4.3% of the patients normal axis. Heart rates were not different statistically in the  groups  p=0.515 . Besides, PR intervals on electrocardiograms of patients with Eisenmenger syndrome were longer than healthy  controls  0.138 ± 0.025 seconds for patients with Eisenmenger syndrome, and 0.120 ± 0.017 seconds for healthy controls   p=0.009 .  Examination of electrocardiograms of patients with Eisenmenger syndome showed that, 87% of patients had characteristics of right  ventricular hypertrophy, and 30% characteristics of right atrial dilatation. Right ventricular conduction delay was observed in 8 patients  with Eisenmenger syndrome  34.8%  and only in 1 healthy control  5%   p=0.024 . Evaluation of the telecardiographies of the study  population showed that, 20  90.9%  patients with Eisenmenger syndrome had chest roentgenograms with increased pulmonary  vasculature, and prominent main pulmonary artery segment. Cardiothoracic ratios were also found to be higher for these patients   0.561 ± 0.082 for patient with Eisenmenger syndrome and 0.463 ± 0.009 for healthy controls   p < 0.001 .  Conclusion: All these findings suggest that electrocardiography and telecardiography are the simple tests that can be widely used for  evaluation of the children with Eisenmenger syndrome.  Güncel Pediatri 2007; 5: 31-4.

 

Amaç: Eisenmenger sendromlu hastalar›n elektrokardiyografi ve telekardiyografi bulgularının değerlendirilmesi.  Yöntemler: Eisenmenger sendromu tanısı almış olan 23 çocuk hasta ve yaş, cinsiyet, vücut ağrlığı ve boy açısından benzer özelliklere  sahip 20 sağlıklı çocuk çalışmaya dahil edildi. Çalışma grubunun tümünün elektrokardiyografi ve telekardiyografisi çekildi.  Bulgular: Eisenmenger sendromlu hastaların elektrokardiyografilerinde %4.3 normal aks, %56.5 sağ aks, %21.7 sol aks ve %17.4 kuzeybatı aks olduğu saptandı. iki grup arasında kalp atım hızı incelendiğinde anlamlı fark olmadığı gözlendi  p=0.515 . PR aralığı  Eisenmenger sendromlu hasta grubunda 0.138 ± 0.025 sn, kontrol grubunda ise 0.120 ± 0.017 sn olarak bulundu  p=0.009 . Eisenmenger  sendromlu hastaların elektrokardiyografilerinin incelenmesi, bu hastaların %87’sinde sağ ventrikül hipertrofisi ve %30’unda sağ atriyal  dilatasyon olduğunu gösterdi. Sağ ventrikül ileti gecikmesi Eisenmenger sendromlu 8 vakada  %34.8 , sağlıklı 1 vakada  %5  görüldü   p=0.024 . Tele bulguları incelendiğinde, Eisenmenger sendromlu 19 vakada  %90.9  pulmoner konusun kabarık olduğu, 19 vakada   %90.9  vaskülaritenin arttığı ve kardiyotorasik indeksin 0.561 ± 0.082 olduğu görüldü  p.

Article Details

Eisenmenger Sendromlu Çocuk Hastaların Telekardiyografi ve Elektrokardiyografi Bulguları

Authors:

Evren SEMİZEL | Dursun ALEHAN

Publisher:

Bursa Uludağ University

Journal:

The Journal of Current Pediatrics 2007 Vol.5 Issue 1, pp.31-34

Document Type:

Article

Publication Date:

5/2007

Document Language:

Turkish

Document ID (Org No.):

2000805645

Frequency:

Tri-annual

eISSN:

1308-6308

pISSN:

1304-9054

Eisenmenger sendromu

EKG

telekardiyografi

Issues

Article Details

Eisenmenger Sendromlu Çocuk Hastaların Telekardiyografi ve Elektrokardiyografi Bulguları

Authors: Evren SEMİZEL | Dursun ALEHAN

Publisher: Bursa Uludağ University

Journal: The Journal of Current Pediatrics 2007 Vol.5 Issue 1, pp.31-34

Document Type: Article

Publication Date: 5/2007

Document Language: Turkish

Document ID (Org No.): 2000805645

Frequency: Tri-annual

eISSN: 1308-6308

pISSN: 1304-9054

Eisenmenger sendromu

EKG

telekardiyografi

Issues

Authors:

Evren SEMİZEL | Dursun ALEHAN

Publisher:

Bursa Uludağ University

Journal:

The Journal of Current Pediatrics 2007 Vol.5 Issue 1, pp.31-34

Document Type:

Article

Publication Date:

5/2007

Document Language:

Turkish

Document ID (Org No.):

2000805645

Frequency:

Tri-annual

eISSN:

1308-6308

pISSN:

1304-9054