Clinical and morphofunctional features of the cardiovascular system in children with remheld syndrome

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Abstract


The article is devoted to an urgent problem of pediatrics – Remheld syndrome. The aim of the present work was to study the clinical and morphofunctional features of the cardiovascular system in children with Remkheld’s syndrome. 23 children from 10 to 18 years old with Remkheld’s syndrome were examined. Research methods. Study of blood biochemical parameters (MV-CPK, ASLO titer, C-reactive protein), identification of persistent viral infection markers, ECG, daily monitoring of ECG and blood pressure by Holter, echocardiography, ultrasound of the vessels of the head and neck, ultrasound of the thyroid gland, ultrasound organs of the gastrointestinal tract. In the anamnesis, 78,3% of children had chronic gastroduodenitis, 21,7% had gastroesophageal reflux disease, and 8,7% had a hiatal hernia. All patients complained of cardialgia, interruptions in the work of the heart, a feeling of lack of air, dizziness upon admission. The appearance of noted complaints was associated with eating. Results. A study of the state of the cardiovascular system showed the presence of sinus tachycardia in 60,9% of patients, sinus bradycardia in 34,8%, single supraventricular extrasystole in 13,0%, paroxysmal supraventricular tachycardia in 4,3%, and 4,3% – autonomic sinus node dysfunction, in 13,0% – congenital heart disease (patent ductus arteriosus, bicuspid aortic valve), in 8,7% – mitral valve anterior prolapse, in 4,3% – a patent foramen ovale, in 95,7% of children – vegetative-vascular dysfunction. Conclusion. Children and adolescents with diseases of the gastrointestinal tract, when cardiac complaints appear, need an in-depth examination of the cardiovascular system.


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About the authors

Maryna P. Lymarenko

State Educational Institution of Higher Professional Education “M. Gorky Donetsk National Medical University”

Author for correspondence.
Email: limarenko_marina@inbox.ru

Ukraine, Donetsk

MD, PhD, Associate Professor, Department of Pediatrics, Faculty of Internship and Postgraduate Education

Daria V. Iskovich

State Educational Institution of Higher Professional Education “M. Gorky Donetsk National Medical University”

Email: div.dar@yandex.ru

Ukraine, Donetsk

Intern, Department of Pediatrics, Faculty of Internship and Postgraduate Education

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Supplementary files

Supplementary Files Action
1.
Fig. 1. ECG changes recorded during an attack in patients with Remkheld’s syndrome

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Fig. 2. Morphofunctional state of the cardiovascular system in children with Remkheld’s syndrome

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Copyright (c) 2020 Lymarenko M.P., Iskovich D.V.

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