Assessment of pulmonary artery pressure and right ventricular function in children with adenotonsillar hypertrophy using different parameters

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dc.contributor.authorÇetin M.
dc.contributor.authorYilmaz M.
dc.contributor.authorÖzen S.
dc.contributor.authorBozan N.
dc.contributor.authorCoşkun T.
dc.date.accessioned2024-07-22T08:14:37Z
dc.date.available2024-07-22T08:14:37Z
dc.date.issued2014
dc.description.abstractObjective: Our aim was comparison of preoperative and postoperative right ventricular functions of children with adenotonsillar hypertrophy (ATH) who have findings of upper airway obstruction, using new echocardiographic parameters. Methods: Forty-one children who have admitted to our hospital with symptoms suggestive of upper airway obstruction, whose history and physical examination findings suggest upper airway obstruction and who have undergone adenoidectomy/adenotonsillectomy and 40 healthy children, all of whom between 2 and 12 years of age, were included in the study. Patient group was evaluated by pulsed wave tissue Doppler echocardiography as well as with conventional echocardiography before the operation and 6 months after the operation. Results: Of 41 children in study group, 26 (63.4%) had adenotonsillectomy and 15 (36.6%) had adenoidectomy. Tricuspid annular plane systolic excursion (TAPSE) was significantly lower in preoperative group compared to control group (18.46. ±. 1.67, 19.77. ±. 1.62; p=0.000, respectively). Myocardial performance index (MPI) was significantly higher in preoperative group than postoperative and control group (0.40. ±. 0.07, 0.36. ±. 0.06, 0.35. ±. 0.07; p= 0.032, respectively). Tricuspid isovolumic acceleration (TIVA) was significantly lower in preoperative group than preoperative and control group (2.97. ±. 0.8, 3.43. ±. 0.7, 3.43. ±. 0.9; p= 0.020, respectively). Disappearance of this difference was found between postoperative and control groups (p= 0.984). Pulmonary acceleration time (PAcT) was found to be significantly lower in preoperative group compared to postoperative and control group (109.68. ±. 18.03, 118.93. ±. 17.46, 120.0. ±. 14.07; p= 0.010, respectively). Mean pulmonary artery pressure (mPAP) was significantly higher in preoperative group than control group (29.64. ±. 8.11, 24.95. ±. 6.33; p= 0.010, respectively). In postoperative group mPAP was found to be similar to control group (25.48. ±. 7.85, 24.95. ±. 6.33; p= 0.740, respectively). Conclusions: TAPSE, PAcT, MPI and TIVA are useful markers for evaluation of preoperative and postoperative ventricular function in children with ATH who have findings of upper airway obstruction. We think that using these practical and easy-to perform parameters may be relevant for evaluation and postoperative follow-up of patients with ATH who have findings of upper airway obstruction. Besides adenotonsillectomy is a beneficial treatment option for these patients. © 2014 Elsevier Ireland Ltd.
dc.identifier.DOI-ID10.1016/j.ijporl.2014.08.003
dc.identifier.issn01655876
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16629
dc.language.isoEnglish
dc.publisherElsevier Ireland Ltd
dc.subjectAdenoidectomy
dc.subjectAdenoids
dc.subjectAirway Obstruction
dc.subjectBlood Pressure
dc.subjectCase-Control Studies
dc.subjectChild
dc.subjectEchocardiography
dc.subjectFemale
dc.subjectHumans
dc.subjectHypertrophy
dc.subjectMale
dc.subjectMyocardial Contraction
dc.subjectPalatine Tonsil
dc.subjectPulmonary Artery
dc.subjectTonsillectomy
dc.subjectTricuspid Valve
dc.subjectVentricular Function, Right
dc.subjectadenoidectomy
dc.subjectadenotonsillar hypertrophy
dc.subjectadenotonsillectomy
dc.subjectArticle
dc.subjectcardiovascular parameters
dc.subjectchild
dc.subjectchild hospitalization
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectechocardiography
dc.subjectfemale
dc.subjectfollow up
dc.subjectheart right ventricle function
dc.subjectheart ventricle failure
dc.subjecthuman
dc.subjectlung artery pressure
dc.subjectmale
dc.subjectmedical history
dc.subjectmyocardial performance index
dc.subjectphysical examination
dc.subjectpostoperative period
dc.subjectpreoperative evaluation
dc.subjectpreschool child
dc.subjectpulmonary acceleration time
dc.subjectpulsed wave tissue Doppler echocardiography
dc.subjectrespiratory tract parameters
dc.subjectschool child
dc.subjecttricuspid annular plane systolic excursion
dc.subjecttricuspid isovolumic acceleration
dc.subjectultrasound scanner
dc.subjectupper respiratory tract obstruction
dc.subjectadenoid
dc.subjectairway obstruction
dc.subjectblood pressure
dc.subjectcase control study
dc.subjectechography
dc.subjectheart contraction
dc.subjectheart right ventricle function
dc.subjecthypertrophy
dc.subjectpalatine tonsil
dc.subjectpathology
dc.subjectphysiology
dc.subjectpulmonary artery
dc.subjecttonsillectomy
dc.subjecttricuspid valve
dc.titleAssessment of pulmonary artery pressure and right ventricular function in children with adenotonsillar hypertrophy using different parameters
dc.typeArticle

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