Diagnosis of Right Ventricular Cardiac Insufficiency in the Acute Bronchial Asthma in Children

• Main Authors: V.А. Kondratiev (Author), А.V. Reznik (Author)
• Format: Book
• Published: Zaslavsky O.Yu., 2016-08-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2224-0551; 2307-1168; 10.22141/2224-0551.5.73.2016.78305
• Keywords: right ventricular cardiac insufficiency; Doppler echocardiography; bronchial asthma; children; Pediatrics; RJ1-570
• Source: Zdorovʹe Rebenka, Vol 11, Iss 5.73, Pp 76-78 (2016)

With the aim to define the informative clinical-echocardiographic diagnostic signs for the development of right ventricular cardiac insufficiency in children in the acute bronchial asthma, 64 patients aged 5 to 17 years were examined. During investigations of pathologic changes in the cardiovascular system followed by mathematic processing of diagnostic symptoms using sequential analysis by Wald, there has been shown a high informative significance of a number of signs for the diagnosis of right ventricular cardiac insufficiency in children in the acute bronchial asthma, namely: elevation of systolic pressure in the pulmonary artery, enlargement of the echocardiographic sizes of right ventricular and right atrial cavities, isovolumic relaxation time of the right ventricle; tachycardia or bradycardia, hyperkinetic type of hemodynamics, disorders of ventricular repolarization according to electrocardiography data. Presence of the informative diagnostic signs of right ventricular cardiac insufficiency in a sick child in the acute bronchial asthma enables to diagnose this complication with the probability of 90 % and more and to carry out appropriate correction of the therapy.