Assessment of atrial electromechanical delay in children with acute rheumatic fever

Çiftel, Murat; Turan, Özlem; Şimşek, Ayşe; Kardelen, Fırat; Akçurin, Gayaz; Ertuğ, Halil

doi:10.1017/s104795111200193x

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…Mitral insufficiency was detected using color Doppler based on the measurement of jet length (grade 1, jet length ≤ 1.5 cm; grade 2, jet length 1.5-2.9 cm; grade 3, jet length 3.0-4.4 cm; grade 4, jet length > 4.5 cm). Grade 1 was accepted as mild insufficiency, grade 2 as moderate, and grades 3 and 4 as severe insufficiency [17].…”

Section: Echocardiographic Examinationmentioning

confidence: 99%

Investigation of endothelial dysfunction and arterial stiffness in multisystem inflammatory syndrome in children

Çiftel

Ateş

Yılmaz³

2021

Eur J Pediatr

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Severe acute respiratory syndrome coronavirus 2 infection can result in multisystem inflammatory syndrome in children (MIS-C). MIS-C can lead to myocardial dysfunction, heart failure, and multiorgan failure; the primary finding is hyperinflammation. Endothelial dysfunction has not been evaluated in patients with MIS-C. We investigated endothelial dysfunction and arterial stiffness parameters in patients with MIS-C. The study included 38 pediatric patients (20 males and 18 females aged 4-17 years, mean age 8.89 years) with MIS-C. Thirty-eight age-and sex-matched healthy individuals were enrolled as the control group. Systolic and diastolic ventricular measurements and systolic and diastolic measurements of ascending aorta diameter were performed by M-mode echocardiography. Endothelial dysfunction was evaluated using flow-mediated dilation by measuring the brachial artery diameter with a high-resolution probe. The MIS-C group had lower flow-mediated dilation than did the controls. The MIS-C group had decreased aortic strain and aortic distensibility values and correlations between decreased flowmediated dilation and reduced aortic strain, aortic distensibility, and reduced ejection fraction. Conclusion:The results show that patients with MIS-C had endothelial dysfunction and arterial stiffness. Furthermore, the degree of endothelial dysfunction correlated with reduced ejection fractions. What is Known:•Endothelial dysfunction and arterial stiffness are unknown in patients with MIS-C.•The effect of endothelial dysfunction and arterial stiffness on decreased cardiac function is unknown. What is New: •MIS-C patients have endothelial dysfunction and arterial stiffness.•There is a link between left ventricular dysfunction and reduced endothelial dysfunction in patients with MIS-C.

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Section: Echocardiographic Examinationmentioning

confidence: 99%

Investigation of endothelial dysfunction and arterial stiffness in multisystem inflammatory syndrome in children

Çiftel

Ateş

Yılmaz³

2021

Eur J Pediatr

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“…It was defined as grade 1 if jet length was 1.5 cm or less, grade 2 if jet length was between 1.5 and 2.9 cm, grade 3 if jet length was between 3.0 and 4.4 cm, and grade 4 if jet length was more than 4.5 cm. Grade 1 was accepted as mild insufficiency, grade 2 as moderate insufficiency, and grades 3 and 4 as severe insufficiency [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

Investigation of QT Dispersion and T-Peak to T-End/Corrected QT Ratio in Multisystem Inflammatory Syndrome in Children

Turan,

Ciftel

2023

Cureus

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Introduction Multisystem inflammatory syndrome in children (MIS-C) is characterized by hyperinflammation, heart involvement, and multiorgan failure, which develop following coronavirus disease 2019. Ventricular arrhythmias have been identified during this syndrome. It is known that the risk of ventricular arrhythmia is associated with ventricular repolarization changes. The aim of this study was to investigate the corrected QT interval, QT dispersion, T wave peak-to-end interval, and T-peak to T-end/corrected QT ratio in MIS-C. Methods The study included 35 patients diagnosed with MIS-C and 35 subjects as the control group. The ventricular diameters, ejection fraction, valve insufficiency, and coronary artery were examined in both groups using echocardiography. Corrected QT interval, QT dispersion, T wave peak-to-end interval, and T-peak to T-end/corrected QT ratio were determined by 12-lead electrocardiogram. Results The patient group had increased corrected QT interval (p<0.05), QT dispersion (p = 0.001), T-peak to T-end interval (p=0.001), and T-peak to T-end/corrected QT ratio (p = 0.001) compared to the control group. Moreover, there was a correlation between increased QT dispersion, T-peak to T-end, T-peak to T-end/corrected QT ratio, and decreased ejection fraction (r = -0.51 and p = 0.001, r = -0.71 and p < 0.001, r = -0.69 and p < 0.001, r = -0.56 and p < 0.001, respectively). Conclusions Our study demonstrated increased QTc interval, QT dispersion, T-peak to T-end interval, T-peak to T-end/corrected QT ratio in MIS-C. This result may indicate an increased risk of ventricular arrhythmia for these patients.

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Akut Romatizmal Ateş Hastalığında Görülen Ritim ve İleti Bozuklukları

Güvenç

2021

Arşiv Kaynak Tarama Dergisi

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Acute rheumatic fever is a disease that is very common in developing countries. Heart involvement is responsible for morbidity and mortality. Mitral and aortic valve insufficiency and stenosis, congestive heart failure, myocarditis and pericarditis can be seen. Even if carditis does not develop during the course of the disease, many rhythm and conduction defects may occur. These include all degrees of atrioventricular block, sinus tachycardia and bradycardia, atrial and ventricular premature beats, accelerated junctional rhythm, supraventricular tachycardia, junctional and ventricular tachycardia. In this review, rhythm and conduction defects that may occur in acute rheumatic fever disease, which continues to be an important public health problem, were discussed in the light of the literature.

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Assessment of atrial electromechanical delay in children with acute rheumatic fever

Abstract: This study shows the prolongation of P-wave dispersion and interatrial electromechanical delay in acute rheumatic fever. Left atrial enlargement can be one of the underlying reasons for the increase in P-wave dispersion and interatrial electromechanical delay.

Cited by 3 publications

References 22 publications

Investigation of endothelial dysfunction and arterial stiffness in multisystem inflammatory syndrome in children

Investigation of endothelial dysfunction and arterial stiffness in multisystem inflammatory syndrome in children

Investigation of QT Dispersion and T-Peak to T-End/Corrected QT Ratio in Multisystem Inflammatory Syndrome in Children

Akut Romatizmal Ateş Hastalığında Görülen Ritim ve İleti Bozuklukları

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