Pulmonary function in children with atrial septal defect before and after heart surgery
Jazyk angličtina Země Anglie, Velká Británie Médium print
Typ dokumentu srovnávací studie, časopisecké články, práce podpořená grantem
PubMed
9930049
PubMed Central
PMC1728839
DOI
10.1136/hrt.80.5.484
Knihovny.cz E-zdroje
- MeSH
- defekty septa síní patofyziologie chirurgie MeSH
- dítě MeSH
- funkční reziduální kapacita MeSH
- lidé MeSH
- měření objemu plic MeSH
- mladiství MeSH
- neparametrická statistika MeSH
- plíce patofyziologie MeSH
- poddajnost plic MeSH
- pooperační období MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- srovnávací studie MeSH
OBJECTIVE: To test the effect of heart disease and heart surgery on lung function. DESIGN: A pulmonary function study of children undergoing surgery for atrial septal defect (ASD). SETTINGS: University hospital. PATIENTS: 26 children tested before surgery (at mean (SD) age 11.8 (3.8) years) and 24 patients tested 1.8 (0.2) years after surgical correction. METHODS: Lung volumes, lung elasticity, and airway patency indices were measured using standard techniques. RESULTS: Before surgery: pulmonary function test abnormalities were found in 18 of the 26 patients. Stiff lung was found in 12, lung hyperinflation in five, and indices of decreased airway patency in four. Total lung capacity decreased in only two patients. After surgery: pulmonary function test abnormalities were found in 12 of the 24 patients (informed consent not given for two patients). Stiff lung was detected in nine and indices of peripheral airway obstruction in four. Mean values of specific airway conductance and peak expiratory flow were all normal. Lung hyperinflation was found only in one of 24 patients. No correlation between perioperative events and pulmonary function test data was found. CONCLUSIONS: Pulmonary function test abnormalities persist in half the patients almost two years after surgery for ASD. A decrease in the total frequency of pulmonary function test abnormalities (in 19% of the patients), with a decrease in stiff lung in 8% and lung hyperinflation in 15%, was not significant. Impairment of lung function related to ASD is associated with the disease itself rather than the surgical procedure.
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Am J Cardiol. 1975 Jan;35(1):107-11 PubMed
Br Heart J. 1958 Jul;20(3):397-402 PubMed
Scand J Clin Lab Invest. 1961;13:174-9 PubMed
Acta Paediatr. 1960 Jul;49:415-25 PubMed
Br Heart J. 1962 Mar;24:129-38 PubMed
Arch Mal Coeur Vaiss. 1964 Dec;57:1409-20 PubMed
Int J Cardiol. 1992 Oct;37(1):15-21 PubMed
J Clin Invest. 1961 Aug;40(8 Pt 1-2):1431-41 PubMed
J Clin Invest. 1962 Oct;41(10):1908-14 PubMed
Can J Anaesth. 1991 Apr;38(3):292-7 PubMed
Eur Heart J. 1990 Jan;11(1):29-34 PubMed
J Thorac Cardiovasc Surg. 1990 Jun;99(6):1091-8 PubMed
Int J Cardiol. 1989 Jul;24(1):13-7 PubMed
Am J Cardiol. 1985 Sep 15;56(8):536-9 PubMed
Jpn Circ J. 1985 Sep;49(9):960-6 PubMed
Br Heart J. 1985 Dec;54(6):577-82 PubMed
Am J Dis Child. 1972 Feb;123(2):89-95 PubMed
Am Rev Respir Dis. 1971 Jul;104(1):52-60 PubMed
Dis Chest. 1968 May;53(5):617-28 PubMed
Br Heart J. 1967 May;29(3):317-26 PubMed
J Clin Invest. 1967 Oct;46(10):1625-42 PubMed
Circulation. 1984 Apr;69(4):655-67 PubMed
J Pediatr. 1977 Feb;90(2):192-5 PubMed
Pediatr Pulmonol. 1993 Jul;16(1):23-30 PubMed
Am Rev Respir Dis. 1977 Mar;115(3):413-21 PubMed
Pediatr Cardiol. 1996 Sep-Oct;17(5):314-5 PubMed
