Da li se troponin-I može koristiti kao nezavisan prediktor srčane disfunkcije posle supraventrikulske tahikardije kod dece sa strukturno zdravim srcem?

  • Aleksandra M Simovic Fakultet medicinskih nauka i Pedijatrijska klinika KC "Kragujevac"
  • Jelena M Tanaskovic-Nestorovic ٭Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovica 69, Kragujevac, Serbia, †Pediatric Clinic, Clinical Centre of Kragujevac, Zmaj Jovina 30, Kragujevac, Serbia
  • Sanja M Knezevic ٭Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovica 69, Kragujevac, Serbia, †Pediatric Clinic, Clinical Centre of Kragujevac, Zmaj Jovina 30, Kragujevac, Serbia
  • Biljana P Vuletic ٭Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovica 69, Kragujevac, Serbia, †Pediatric Clinic, Clinical Centre of Kragujevac, Zmaj Jovina 30, Kragujevac, Serbia
  • Andjelka K Stojkovic ٭Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovica 69, Kragujevac, Serbia, †Pediatric Clinic, Clinical Centre of Kragujevac, Zmaj Jovina 30, Kragujevac, Serbia
  • Dejan M Jeremic ٭Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovica 69, Kragujevac, Serbia
  • Maja Vulovic ٭Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovica 69, Kragujevac, Serbia,
  • Milan Jovanović Military Medical Academy, Clinic for General Surgery, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP160823058S
Ključne reči: tahikardija, supraventrikulska, aritmija, troponin I, deca, prognoza, srce, disfunkcija leve komore

Sažetak


Apstrakt

 

Uvod. Povišen nivo srčanog troponina daje izuzetnu pre­ciznost u identifikaciji oštećenja miokarda dece, ali može biti povišen i u nizu drugih bolesti. Prikaz bolesnika. Prika­zano je dvoje dece uzrasta 13 godina sa visokim serumskim nivoom troponina-I nakon akutne epizode supraventrikul­ske tahikardije. Analiziran je nivo troponina-I u korelaciji sa maksimalnom srčanom frekvencijom, trajanjem tahikardije i sistolnom funkcijom leve komore (ejekciona frakcija i frak­ciono skraćenje). Zaključak. Izmenjen nivo troponina može se videti kod dece sa dugotrajnom supraventrikul­skom tahikardijom i zdravim srcem. Savetuje se oprez u di­jagnozi srčane disfunkcije kod dece sa supraventrikulaskom tahikardijom i povišenim nivoom troponina.

Reference

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Objavljeno
2021/01/26
Broj časopisa
Vol. 76 Br. 1 (2019): Vol. 76 Br. 1 (2019): Vojnosanit Pregl 2019; January Vol. 76 (No. 1)
Rubrika
Prikaz bolesnika