SUMMARYBackground: Evaluation of the electrocardiographic and telecardiographic findings of the patients with Eisenmenger syndrome.Methods: Twenty-three patients with the diagnosis of Eisenmenger syndrome, and 20 age, sex, body weight and length matched, healthy controls were included in the study. Electrocardiographic records and telecardiography of both groups were performed.Results: It was found that; 56.5% of the patients with Eisenmenger syndrome had right-axis deviation, 21.7% of the patients left-axis deviation, 17.4% of the patients superior axis and 4.3% of the patients normal axis. Heart rates were not different statistically in the groups (p=0.515). Besides, PR intervals on electrocardiograms of patients with Eisenmenger syndrome were longer than healthy controls (0.138 ± 0.025 seconds for patients with Eisenmenger syndrome, and 0.120 ± 0.017 seconds for healthy controls) (p=0.009). Examination of electrocardiograms of patients with Eisenmenger syndome showed that, 87% of patients had characteristics of right ventricular hypertrophy, and 30% characteristics of right atrial dilatation. Right ventricular conduction delay was observed in 8 patients with Eisenmenger syndrome (34.8%) and only in 1 healthy control (5%) (p=0.024). Evaluation of the telecardiographies of the study population showed that, 20 (90.9%) patients with Eisenmenger syndrome had chest roentgenograms with increased pulmonary vasculature, and prominent main pulmonary artery segment. Cardiothoracic ratios were also found to be higher for these patients (0.561 ± 0.082 for patient with Eisenmenger syndrome and 0.463 ± 0.009 for healthy controls) (p 0.001).Conclusion: All these findings suggest that electrocardiography and telecardiography are the simple tests that can be widely used for evaluation of the children with Eisenmenger syndrome. (Güncel Pediatri 2007; 5: 31-4)Key words: Eisenmenger syndrome, ECG, telecardiography
Article in Turkish(Use the link for full-text in Turkish)
Eisenmenger sendromu (ES) birçok konjenital kalp defekti ile birlikte görülebilir ve kendisini aortopulmoner, ventriküler, veya atriyal seviyede önceden varolan soldan saga santin ters dönmesi ve geri dönüsümsüz pulmoner hipertansiyon gelismesi olarak gösterir. Eisenmenger sendromlu hastalarin degerlendirilmesinde ve takibinde yaygin olarak kullanilan ve ulasilmasi diger tetkiklere oranla daha kolay olan elektrokardiyografik ve telekardiyografik degerlendirme bulgulari, saglikli çocuklarla karsilastirilarak gözden geçirildi.Bireyler ve Yöntem
Hacettepe Universitesi Tip Fakültesi (HÜTF) Çocuk Kardiyoloji Ünitesi tarafindan 1990-2001 yillari arasinda yapilan kalp kateterizasyonu ile Eisenmenger sendromu (ES) tanisi almis olan 77 hastadan ulasilabilen 23 hasta çalismaya dahil edildi. Eisenmenger sendromlu hasta grubuna demografik olarak benzer özellikler gösteren 20 saglikli çocuk kontrol grubu olarak alindi. Eisenmenger sendromlu hastalarin dosya bilgileri geriye dönük olarak degerlendirildi. Hastalarin fonksiyonel degerlendirilmesi için New York Heart Association (NYHA) kriterleri kullanildi (Tablo 1).Eisenmenger sendromlu (grup I) ve saglikli (grup II) çocuklarin tümünün 12 derivasyonlu elektrokardiyografi (EKG) kayitlari alindi. Her bir EKG örnegi ritim, QRS aksi, hiz, PR araligi, atriyal dilatasyon, ventrikül hipertrofisi, ST-T degisikligi yönünden incelendi. Çalismaya alinan çocuklarin tümüne telekardiyografi çekildi ve telekardiyografiler kardiyotorasik indeks, pulmoner konus ve pulmoner vaskülarite açisindan degerlendirildi.Her iki degerlendirme iki ayri arastirmaci tarafindan, birbirlerinden bagimsiz olarak yapildi. Aileler bilgilendirildi ve izin alindi. Çalisma HUTF etik komitesi tarafindan onaylandi.Istatistiksel çalisma için SPSS paket bilgisayar programi kullanildi. P< 0.05 istatistiksel olarak anlamli kabul edildi.
