Consideraţii clinico-paraclinice ale sindromului de insuficienţă cardiacǎ cronicǎ secundarǎ malformaţiilor cardiace congenitale

Abstract

The objectives of the work were: studying the specific features clinical-evolutionary and paraclinical of syndrom Cronical Heart Failure secondary by Congenital Heart Disease with volume and pressure overload. In this study were included 42 children with Cronical Heart Failure caused by Congenital Heart Disease. The first group – 26 children with Cronical Heart Failure and Congenital Heart Disease with volume overload: the second goup – 16 children with Cronical Heart Failure and Congenital Heart Disease with pressure overload. The study results proved a more severe evolution of Cronical Heart Failure at children with Congenital Heart Disease with volume overload, with graver clinical manifestations, frequent hospitalizations without those that have been programmed, with signs of evolution of Cronical Heart Failure, a development of Pulmonary Arterial Hypertension, an association of diseases in comparison with children from the group with Cronical Heart Failure and Congenital Heart Disease with pressure overload.

Obiectivele lucrării au fost: studierea particularităţilor clinico-evolutive şi paraclinice ale sindromului de ICC secundară MCC cu supraîncărcare de volum şi de presiune. În studiu au fost incluşi 42 de copii cu ICC pe fondal de MCC: I lot – 26 de copii cu ICC şi MCC cu supraîncărcare de volum, lotul II – 16 copii cu ICC şi MCC cu supraîncărcare de presiune. Rezultatele studiului au demonstrat o evoluţie mai severă a ICC la copii cu MCC cu supraîncărcare de volum, cu manifestări clinice mai grave, spitalizări frecvente înafara celor programate, cu semne de progresie a IC, dezvoltare de HTAP, asociere de co-morbidităţi faţă de lotul cu ICC şi MCC cu supraîncărcare de presiune.