Prevalence and Pattern of Cardiovascular Symptoms and Diseases in Pediatric Patients: Insights from a Single-Center Observational Study with a Focus on Age and Gender
Öz
Bakground/Aims: This single-center, cross-sectional study aimed to investigate the prevalence and patterns of cardiovascular symptoms and findings among pediatric patients aged 1-18 years, focusing on age and gender as potential influencing factors.
Methods: Pediatric patients aged 1-18 with cardiovascular symptoms were studied, categorized by age (1-6, 7-12, 13-18) and gender (male and female) using electronic medical records, undergoing comprehensive clinical assessments including examinations, ECGs, and echocardiograms. Statistical analyses unveiled prevalence trends.
Results: 720 patients were included the study and 53.9% of them were female. The prevalence of symptoms and diseases varied by age. Chest pain was common in 13-18 group; murmurs linked to congenital defects in 1-6 group. Valve and pericardial/myocardial diseases in 7-12 group, tied to rheumatic risks. Gender had minimal impact on patterns.
Conclusion: The study underscores tailored management, age-specific considerations, and gender's minor role in pediatric cardiovascular symptoms and diseases.
Anahtar Kelimeler
Kaynakça
- Chelo D, Nguefack F, Menanga AP, et al. Spectrum of heart diseases in children: an echocardiographic study of 1,666 subjects in a pediatric hospital, Yaounde, Cameroon. Cardiovasc Diagn Ther. 2016;6(1):10-19.
- De Ferranti SD, Steinberger J, Ameduri R, Baker A, Gooding H, Kelly AS, et al. Cardiovascular risk reduction in high-risk pediatric patients: a scientific statement from the american heart association. Circulation. 2019;139(13):e603–34.
- Sharkey AM, Clark BJ. Common complaints with cardiac implications in children. Pediatr Clin North Am. 1991;38(3):657-666.
- Khushu A, Kelsall AW, Usher-Smith JA. Outcome of children with heart murmurs referred from general practice to a paediatrician with expertise in cardiology. Cardiology in the Young. 2015;25(1):123-127.
- Geggel RL. Conditions leading to pediatric cardiology consultation in a tertiary academic hospital. Pediatrics. 2004;114(4):e409-e417.
- Benun J, Fisher SD, Orav EJ, et al. Cardiac management by pediatricians versus pediatric cardiologists in an inpatient academic center. Am Heart J. 2003;145(3):424-429.
- Porter TR, Mulvagh SL, Abdelmoneim SS, et al. Clinical Applications of Ultrasonic Enhancing Agents in Echocardiography: 2018 American Society of Echocardiography Guidelines Update. J Am Soc Echocardiogr. 2018;31(3):241-274.
- Chen L, Duan H, Li X, et al. The Causes of Chest Pain in Children and the Criteria for Targeted Myocardial Enzyme Testing in Identifying the Causes of Chest Pain in Children. Front Cardiovasc Med. 2021;8:582129.
- Kaden GG, Shenker IR, & Gootman N. Chest pain in adolescents. J Adolescent Health. 1991;12(3):251-255.
- Aygun E, Aygun S, Uysal T, Aygun F, Dursun H, Irdem, A. Aetiological evaluation of chest pain in childhood and adolescence. Cardiology in the Young. 2020;30(5):617-623.