Early diagnostics of «kyphoscoliotic heart» in patients with thoracic scoliosis
Abstract
Aim. To assess functional cardiohemodynamics status in patients with thoracic dysplastic scoliosis, by Doppler echocardiography (DEchoCG) and diagnose the most valuable early signs of «kyphoscoliotic heart» development.
Material and methods. The study included 90 adolescent boys and girls, with Stage II-IV scoliosis, aged 13-18. DEchoCG was performed by ТMegasУ device (Italy), according to standard protocol. Pulmonary hemodynamics and right heart diastolic function in scoliotic adolescents were examined.
Results. In scoliotic adolescents, increase in systolic, diastolic, and mean hemodynamic pressure in pulmonary artery was registered. These patients also had increased right ventricular wall thickness and chamber size; velocity and temporal characteristics of diastolic tricuspidal blood flow were disturbed.
Conclusion. In severe thoracic scoliosis, pulmonary hypertension and right ventricular myocardial dysfunction «kyphoscoliotic heart» develops at young age.
About the Authors
R. V. Enaldieva
Russian Medical Academy of Continuous Medical Education
Russian Federation
Russian Federation
A. G. Avtandilov
Russian Medical Academy of Continuous Medical Education
Russian Federation
Russian Federation
G. Ch. Makhakova
Russian Medical Academy of Continuous Medical Education
Russian Federation
Russian Federation
D. I. Nemanova
Russian Medical Academy of Continuous Medical Education
Russian Federation
Russian Federation
S. T. Vetrile
N.I. Priorov Central Institute of Traumatology and Orthopedy
Russian Federation
Russian Federation
A. A. Kuleshov
N.I. Priorov Central Institute of Traumatology and Orthopedy
Russian Federation
Russian Federation
I. V. Velitchenko
City Clinical Hospital No. 81, Moscow
Russian Federation
Russian Federation
References
1. Капустина Г.М. Внешнее дыхание и некоторые показатели гемодинамики у больных сколиозом. Автореф дисс канд мед наук. Москва 1969.
2. Мовшович И.А. Сколиоз. Москва 1964; 254 с.
3. Чаклин В.Д., Абальмасова Е.А. Сколиоз и кифозы. Москва 1972; 255 с.
4. Шувчинская В.В. Влияние лечебной физкультуры на динамику функции внешнего дыхания у больных сколиозом с учетом возраста. Вопр курортол 1977; 3: 26-9.
5. Черкасова Т.И., Казьмин А.И. Функция внешнего дыхания у больных тяжелыми формами сколиоза. Вест хир 1964; 9: 76-83.
6. Черноусова Л.Н., Ганюшкина С.М. О легочных объемах у подростков со сколиозом. Ортоп травмат 1970; 8: 65-70.
7. Boffa P, Stavin P, Shneerson J. Lung developmental abnormalities in severe scoliosis. Thorax 1984; 9: 681-2.
8. Day GA. Pulmonary functions in congenital scoliosis. Spine 1994; 9: 1027-31.
9. Фищенко В.Я. Патогенез «cor pulmonale» при сколиозе. Материалы международного симпозиума “Адаптация различных систем организма при сколиотической деформации позвоночника. Методы лечения”. Москва 2003; 101-2.
10. Дворецкий Д.П., Ткаченко Б.И. Гемодинамика в легких. Москва 1987; 288 с.
11. Bjure J. Why is the fourth decade dangerous for non-treated patients with scoliosis. J Bone Jt Surg 1974; 2: 443.
12. Струтынский А.В. Эхокардиограмма: анализ и интерпретация. Москва 2001; 208 с.
13. Feigenbaum H. Echocardiography. 4th ed; Philadelphia 1986; 695.
14. Али Садек Али, Сергакова Л.М., Атьков О.Ю. Диагностика легочной гипертензии с помощью допплерэхокардиографии. Тер архив 1987; 3: 138-41.
15. Воробьев А.С., Бутаев Т.Д. Клиническая эхокардиография у детей и подростков. Санкт-Петербург 1999; 423.
Review
For citations:
Enaldieva R.V., Avtandilov A.G., Makhakova G.Ch., Nemanova D.I., Vetrile S.T., Kuleshov A.A., Velitchenko I.V. Early diagnostics of «kyphoscoliotic heart» in patients with thoracic scoliosis. Cardiovascular Therapy and Prevention. 2005;4(6, ч.II):82-86. (In Russ.)
Views:
2518
Email this article 
