Differences in Cardiovascular Manifestation of Marfan Syndrome Between Children and Adults
| Autor: | J. Wierzba, A. Łabuc, Robert Sabiniewicz, Radosław Nowak, Maksymilian Mielczarek, Natasza Gilis-Malinowska, M. Drezek-Nojowicz, Lidia Wozniak-Mielczarek, Anna Wałdoch |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Marfan syndrome Pediatrics medicine.medical_specialty Adolescent MASS phenotype Cardiovascular Abnormalities Aortic dissection 030204 cardiovascular system & hematology Marfan Syndrome Electrocardiography Young Adult 03 medical and health sciences 0302 clinical medicine medicine.artery Prevalence medicine Humans Thoracic aorta Mitral valve prolapse Prospective Studies Registries Child Aortic valve regurgitation Aged business.industry Age Factors Infant Aortic root dilatation Cardiovascular Manifestation Middle Aged medicine.disease 030228 respiratory system Echocardiography Child Preschool Pediatrics Perinatology and Child Health Original Article Female Cardiology and Cardiovascular Medicine Mitral valve regurgitation business |
| Zdroj: | Pediatric Cardiology |
| ISSN: | 1432-1971 0172-0643 |
| Popis: | Marfan syndrome (MFS) is a connective tissue disorder characterized by a broad range of clinical manifestations. Cardiovascular involvement is the most life-threatening aspect of the syndrome. Although abnormalities within the cardiovascular system in adults are well documented, there is still a paucity of data regarding manifestation of MFS in childhood. The aim of the study was to compare cardiovascular manifestation of MFS between children and adults. The study population consisted of 236 patients (144 children and 92 adults), who were referred to our department with suspicion of MFS. All patients underwent complete clinical evaluation in order to confirm the diagnosis of MFS according to the modified Ghent criteria. MFS was diagnosed in 101 (44 children and 57 adults) out of the 236 patients. The other patients were diagnosed with Ehlers-Danlos syndrome, Loeys-Dietz syndrome, MASS phenotype, ectopia lentis syndrome, marfanoid habitus and other rare syndromes. The most common cardiovascular abnormality was aortic root dilatation (81.19% of patients). It was found that both adults and children had similar high rates of aortic root dilatation. Similarly, there was no significant difference with regard to the prevalence of aortic valve regurgitation and mitral valve prolapse among children and adults. These findings equivocally indicate that the aforementioned abnormalities develop in early childhood, therefore, they may be used in the early identification of patients with MFS. Other assessed abnormalities, which included mitral valve regurgitation, pulmonary artery dilation, aneurysms of aortic arch, descending thoracic aorta and abdominal aorta were found mostly in adults, and thus, are of less use in the early detection of MFS. |
| Databáze: | OpenAIRE |
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