Klinik Araştırma
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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

Yıl 2024, Cilt: 34 Sayı: 1, 130 - 135, 29.02.2024
https://doi.org/10.54005/geneltip.1382848

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.

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.
  • Wang J, You T, Yi K, et al. Intelligent Diagnosis of Heart Murmurs in Children with Congenital Heart Disease. J Healthc Eng. 2020;2020:9640821.
  • Kaemmerer H, Hess J. Adult patients with congenital heart abnormalities: present and future. Deutsche Medizinische Wochenschrift. 2005;130(3):97-101.
  • Akhmedov AT, & Sh, N. Congenital heart defects in children and comorbidity. In E-Conference Globe. 2021;(pp. 102-102).
  • Rodrigues AN, Abreu GR, Resende RS, Goncalves WL, Gouvea SA. Cardiovascular risk factor investigation: a pediatric issue. Int J Gen Med. 2013;6:57-66.
  • Friedli B. Indikationen zur kinderkardiologischen Abklärung [Indications for pediatric cardiology evaluation]. Therapeutische Umschau. Revue therapeutique. 2001;58(2):65-69.
  • Baruteau AE, Perry JC, Sanatani S, Horie M, & Dubin AM. Evaluation and management of bradycardia in neonates and children. Eur J Pediatr. 2016;175(2):151-161.
  • Fink CM, Cua CL, Nandi D, Hart SA. Capture rate of congenital heart defects in the Pediatric Health Information System database. Birth Defects Res. 2020;112(18):1541-1544.
  • Mosca L, Barrett-Connor E, Wenger NK. Sex/gender differences in cardiovascular disease prevention what a difference a decade makes. Circulation. 2011;124(19):2145.
  • Manios Y, Dimitriou M, Moschonis G, et al. Cardiovascular disease risk factors among children of different socioeconomic status in Istanbul, Turkey: Directions for public health and nutrition policy. Lipids Health Dis. 2004:3:11.

Pediatrik Hastalarda Kardiyovasküler Semptomların Ve Hastalıkların Yaygınlığı Ve Şekli: Yaş Ve Cinsiyete Odaklanan Tek Merkezli Gözlemsel Bir Çalışmadan Elde Edilen Veriler

Yıl 2024, Cilt: 34 Sayı: 1, 130 - 135, 29.02.2024
https://doi.org/10.54005/geneltip.1382848

Öz

Arka Plan/Amaç: Bu tek merkezli, kesitsel çalışma, yaş ve cinsiyete göre değişkenliğe odaklanarak, 1-18 yaş arası pediatrik hastalarda kardiyovasküler semptom ve bulguların prevalansını ve paternini araştırmayı amaçladı.
Yöntemler: Kardiyovasküler semptomları olan 1-18 yaş arası pediatrik hastalar incelendi, elektronik tıbbi kayıtlar kullanılarak yaşlarına (1-6, 7-12, 13-18) ve cinsiyetlerine (erkek ve kadın) göre kategorize edildi; muayeneler, EKG'ler ve ekokardiyogramlar dahil kapsamlı klinik değerlendirmelerden yapıldı. İstatistiksel analizlerde yaş ve cinsiyet grupları karşılşatırıldı.
Bulgular: Çalışmaya 720 hasta dahil edildi ve bunların %53,9'u kadındı. Semptomların ve hastalıkların prevalansı yaşa göre değişmekteydi. Göğüs ağrısı 13-18 yaş grubunda; üfürümler 1-6 yaş gurubunda. Kapak ve perikardiyal/miyokardiyal hastalıklar 7-12 yaş grubunda daha yaygındı. Cinsiyetin hastalık paternleri üzerinde minimum etkisi vardı.
Sonuç: Çalışma, kardiyovasküler hastalıklarda yaşa göre kişiye özel yönetimin önemini vurgulamaktadır. Buna karşın cinsiyetin kardiyovasküler hastalıklar açısından belirgin rolü izlenmemiştir.

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.
  • Wang J, You T, Yi K, et al. Intelligent Diagnosis of Heart Murmurs in Children with Congenital Heart Disease. J Healthc Eng. 2020;2020:9640821.
  • Kaemmerer H, Hess J. Adult patients with congenital heart abnormalities: present and future. Deutsche Medizinische Wochenschrift. 2005;130(3):97-101.
  • Akhmedov AT, & Sh, N. Congenital heart defects in children and comorbidity. In E-Conference Globe. 2021;(pp. 102-102).
  • Rodrigues AN, Abreu GR, Resende RS, Goncalves WL, Gouvea SA. Cardiovascular risk factor investigation: a pediatric issue. Int J Gen Med. 2013;6:57-66.
  • Friedli B. Indikationen zur kinderkardiologischen Abklärung [Indications for pediatric cardiology evaluation]. Therapeutische Umschau. Revue therapeutique. 2001;58(2):65-69.
  • Baruteau AE, Perry JC, Sanatani S, Horie M, & Dubin AM. Evaluation and management of bradycardia in neonates and children. Eur J Pediatr. 2016;175(2):151-161.
  • Fink CM, Cua CL, Nandi D, Hart SA. Capture rate of congenital heart defects in the Pediatric Health Information System database. Birth Defects Res. 2020;112(18):1541-1544.
  • Mosca L, Barrett-Connor E, Wenger NK. Sex/gender differences in cardiovascular disease prevention what a difference a decade makes. Circulation. 2011;124(19):2145.
  • Manios Y, Dimitriou M, Moschonis G, et al. Cardiovascular disease risk factors among children of different socioeconomic status in Istanbul, Turkey: Directions for public health and nutrition policy. Lipids Health Dis. 2004:3:11.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri (Diğer)
Bölüm Original Article
Yazarlar

Fuat Polat 0000-0002-6414-3743

Zeynettin Kaya 0000-0002-3640-8775

Erken Görünüm Tarihi 26 Şubat 2024
Yayımlanma Tarihi 29 Şubat 2024
Gönderilme Tarihi 29 Ekim 2023
Kabul Tarihi 21 Şubat 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 34 Sayı: 1

Kaynak Göster

Vancouver Polat F, Kaya Z. 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. Genel Tıp Derg. 2024;34(1):130-5.