Prematüre retinopatisinde kardiyak ejeksiyon fraksiyonu ve konjenital kalp hastalıkları

Yıl 2019, Cilt: 16 Sayı: 2, 218 - 220, 29.08.2019

Hüseyin Gümüş , Yasin Özcan

https://doi.org/10.35440/hutfd.585133

Öz

Amaç: Prematüre retinopatisi (PR) 
gelişen ve gelişmeyen olgularda kardiyak ejeksiyon fraksiyonu (EF) ve
konjenital kalp hastalıklarının (KKH) incelenmesi.

Materyal ve
Metod:  Prospektif özellikteki çalışmaya 57 prematüre
hasta dahil edildi. PR gelişen 27 olgu Grup 1, PR gelişmeyen 30 olgu Grup 2
olarak sınıflandırıldı. Kardiyak parametreler M-mode ekokardiyografi ile
ölçüldü. Veriler SPSS programında analiz edildi.

Bulgular:  Grupların Ort. DH’ları arasında
anlamlı bir fark gözlenmezken, 1. Gruptaki olguların ort. DA’sının anlamlı
olarak düşük olduğu gözlendi ( sırasıyla p = 0.12, p = 0.03). 1 . Gruptaki
olgularda EF % 69±9 iken, 2. Gruptaki olgularda % 70±6 idi. Ort. EF açısından
iki grup arasında fark saptanmadı ( p > 0.05). Atrial septal defekt (ASD)
görülme sıklığı 1. Grupta % 40.8 , 2. Grupta % 41, patent ductus arteriozus
(PDA) sıklığı ise 1. Grupta % 26.,  2.
Grupta % 12.5 idi. Birinci grupta gözlenen PDA sıklığının istatistiksel olarak
daha yüksek olduğu gözlendi ( p < 0.05).  

Sonuç:  PR gelişen ve gelişmeyen
olgularda EF açısından fark gözlenmezken, PR gelişen olgularda KKH’lardan PDA
yaklaşık 2 kat daha sık gözlenmektedir. PR gelişen olgular PDA’nın kapanması
için yakından takip edilmelidir.

 

Anahtar
Kelimeler: Prematüre,retinopati,kardiyak
hastalık

Anahtar Kelimeler

Prematüre, retinopati, kardiyak hastalık

Cardiac ejection fraction and congenital hearth diseases in retinopathy of prematurity

Öz

Background: To investigate cardiac ejection fraction measurements and presence of
any congenital hearth disease in premature babies with and without retinopathy
of prematurity

Method:
Totally 57 premature patients enrolled to the study. Twenty-seven patients with
ROP defined as Group1 and 30 patients without ROP defined as Group 2. All
cardiac parameters were measured by using M-mode echocardiography. Datas
analyzed in SPSS programme.

Results:  No significant difference was found to be in
terms of mean gestational age, whereas the mean GA was significantly lower in
Group 1 ( respectively p = 0.12, p = 0.03). The mean ejection fractions were
69±9 % in Group 1 and 70±6 % in Group 2, there was no significant
difference  in EF between two groups ( p
> 0.05). The incidences of ASD were 40.8% in Group 1 and 41% in Group 2. The
incidences of PDA were 26% in Group 1 and 12.5% in Group 2. The incidence of
PDA was significantly higher in Group 1 ( p < 0.05)

Conclusion:  There is no significant
differences in terms of EF and ASD in patients with and without ROP, while the
incidence of PDA was two times higher in patients with ROP. Patients with ROP
should be closely followed for closure in PDA.

 

Keywords: Premature, retinopathy,
cardiac disease

Anahtar Kelimeler

Premature, retinopathy, cardiac disease

Kaynakça

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