Amaç: Akut miyoperikardiyal sendromlar (miyoperikardit ve perimiyokardit) pediatrik kardiyolojide tanı ve tedavisi en zorlayıcı hastalıklardır. Bu hastalıkların gerçek insidansı bilinmemektedir, çünkü viral bir sendrom ile ilişkili olarak belirtileri hafif veya subklinik olabilir. Akut miyoperikardiyal sendromların klinik bulguları tipik göğüs ağrısından elektrokardiyogramdaki değişikliklerden, atipik göğüs ağrısına, özgün olmayan elektrokardiyografi değişikliklerine ve subklinik sol ventrikül disfonksiyonuna kadar değişir. Bu çalışmanın amacı çocuk doktorlarına bu yaygın ve karmaşık klinik sendromların değerlendirilmesinde ve yönetilmesinde yardımcı olmaktır.
Materyal ve Method: 2010-2019 yılları arasında Dr.Sami Ulus Kadın Doğum ve Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesinde miyoperikardit veya perimiyokardit tanısı alan hastalar geriye dönük olarak değerlendirildi. Fulminan form miyokardit olan veya dilate kardiyomiyopatiye ilerleyen hastalar çalışma dışı bırakıldı. Hastaların tıbbi kayıtları incelendi ve yaş, cinsiyet, tanısal testleri ve tanıları değerlendirildi.
Bulgular: Çalışma süresi boyunca 260 hastanın bilgilerine ulaşıldı, 47 hasta fulminan miyokardit ve dilate kardiyomiyopatiye ilerleme nedeniyle çalışma dışı bırakıldı. Kalan 213 hastanın % 68'i erkek,% 32'si kadın ve ortanca yaş 156 ay (32-212 ay) idi. Perimiyokardit ve miyoperikardit tanısı alan hastalara göğüs ağrısı yakınması ile başvurmuş ve tanı öykü, fizik muayene, elektrokardiyografi ve ekokardiyografi bulguları ile konulmuştu.
Sonuç: Çocuk doktorlarının, miyoperikardiyal sendromların klinik belirti ve bulguları için farkındalıklarını ve şüphe eşiğini artırmaları, bu hastaların erken dönemde bu hastalıkların tanı ve tedavisi konusunda uzman merkezlere ulaşımı için önemlidir.
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Objectives: Acute myopericardial syndromes (myopericarditis and perimyocarditis) are most challenging diseases to diagnose and treat in pediatric cardiology. The true incidences of the diseases are unknown because the disease can be subclinical or mild enough to go unrecognized in the context of a viral syndrome. The clinical manifestations of acute myopericardial syndromes vary widely from typical chest pain and changes on electrocardiogram to atypical chest pain, non-specified electrocardiography changes and subclinical left ventricular dysfunction. The aim of this study is to help pediatricians to the evaluation and management of these common and complex clinical syndromes.
Material and Methods: The patients who were diagnosed with myopericarditis or perimyocarditis at Dr. Sami Ulus Maternity, Children's Health and Diseases Training and Research Hospital between 2010-2019 were retrospectively evaluated. Patients who had fulminant form of myocarditis or progressing to dilated cardiomyopathy were excluded from the study. The medical records of the patients were examined and age, gender, diagnostic tests and diagnosis were evaluated.
Results: During the study period, records of 260 patients were reached, 47 patients were excluded from the study because of fulminant myocarditis and progression to dilated cardiomyopathy. Of the remaining 213 patients, 68% were male, 32% were female and the median age was 156 months (32 to 212 months). Patients diagnosed with perimyocarditis and myopericarditis were admitted with the complaint of chest pain, and the diagnosis was made by history, physical examination, electrocardiography and echocardiography findings.
Conclusions: Pediatricians should be aware of the clinical signs and symptoms that should increase the index of suspicion for acute myopericardial syndromes because prompt referral to the emergency department, with access to specialists with expertise in the care and support of these patients, is imperative.
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Primary Language | English |
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Subjects | Internal Diseases |
Journal Section | ORIGINAL ARTICLES |
Authors | |
Project Number | Yok |
Publication Date | September 29, 2020 |
Submission Date | January 15, 2020 |
Published in Issue | Year 2020 Volume: 14 Issue: 5 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.