Asymptomatic cardiovascular changes in children with adenoid hypertrophy
10.3760/cma.j.issn.1673-4912.2013.03.015
- VernacularTitle:腺样体肥大儿童的隐匿性心血管改变
- Author:
Xin SUN
;
Wei LI
;
Hang ZHANG
;
Xiaolin MA
- Publication Type:Journal Article
- Keywords:
Adenoidal hypertrophy;
Complication;
Children
- From:
Chinese Pediatric Emergency Medicine
2013;20(3):287-288
- CountryChina
- Language:Chinese
-
Abstract:
Objective To detect the asymptomatic cardiovascular changes in children with adenoid hypertrophy.Methods One hundred and twenty children with adenoid hypertrophy underwent both chest X-ray and echocardiography before adenoidectomy,and echocardiography 6 months after operation.Results No child showed an increase in the cardiothoracic ratio on X-ray.But preoperative echocardiography showed an increase in pulmonary artery pressure [(22.6 ±3.6) mm Hg,1 mm Hg =0.133 kPa],a decrease in E/A (1.01 ± 0.17),and an increase in right ventricular end-diastolic diameters [(1.88 ± 0.18) cm].While after operation,pulmonary artery pressure decreased to(17.1 ± 3.2) mm Hg,E/A increased to 1.25 ± 0.12,and right ventricular end-diastolic diameters decreased to (1.67 ± 0.11) cm.Each index change before and after operation was statistically significant(P ＜ 0.05).Conclusion Adenoid hypertrophy can result in clinically asymptomatic cardiopulmonary changes.Early diagnosis and treatment of this disease can prevent serious cardiopulmonary complications.
