The Effect of Tonsillectomy and Adenoidectomy on Right Ventricle Function and Pulmonary Artery Pressure by Using Doppler Echocardiography in Children

Autor: Onur Çağlar Acar, Abdurrahman Üner, Mehmet Fatih Garça, İbrahim Ece, Serdar Epçaçan, Mahfuz Turan, Ferhat Kalkan
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Clinical and Experimental Otorhinolaryngology, Vol 9, Iss 2, Pp 163-167 (2016)
Druh dokumentu: article
ISSN: 1976-8710
2005-0720
DOI: 10.21053/ceo.2015.00087
Popis: Objectives The purpose of the present study is to emphasize the efficacy of the myocardial performance index and tricuspid annular plane systolic excursion (TAPSE) in the determination of impaired cardiac functions and recovery period following the treatment in children with adenoid and/or tonsillar hypertrophy. Methods Fifty-three healthy children after routine laboratory, imaging and clinical examinations, with adenoid and/or tonsillar hypertrophy were evaluated before and 3 months after adenotonsillectomy for cardiac functions using M mode and Doppler echocardiography. Results The mean age of cases was 6.4±3.0 years, 34 (65%) were male, and 19 (35%) were female. Pulmonary hypertension was observed to be mild in 3 patients and moderate in 1 patient preoperatively. When the preoperative and postoperative echocardiographic measurements of the patients were compared, the tricuspid valve E wave velocity, the E/A ratio (E, early diastolic flow rate; A, late diastolic flow rate), and the TAPSE values were determined to be significantly higher postoperatively (P
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