EARLY DIAGNOSIS AND PREDICTION OF THE RISK OF HEART FAILURE IN DILATED CARDIOMYOPATHY IN CHILDREN
Keywords:
dilated cardiomyopathy, children, etiology, heart failure.Abstract
Dilated cardiomyopathy (DCMP) is characterized by a continuously progressive course, occupies a leading position in the structure of disability and mortality in children, and is the main cause of the formation of chronic heart failure in childhood. The purpose of our study was to study the clinical and diagnostic difficulties of making a diagnosis of dilated cardiomyopathy. Materials and methods: 85 children under 18 years of age with cardiomyopathy were examined, of which 60 children had dilated cardiomyopathy (DCMP). All children were hospitalized in the cardio-rheumatological department of the Republican Specialized Scientific-Practical Medical Center of Pediatrics of the Ministry of Health of the Republic of Uzbekistan. The control group consisted of 30 healthy children. The results of echocardiographic studies showed that in children with DCMP, the end-diastolic volume of the left ventricle reached from 94 ml to 206 ml, which was associated with an increase in its filling pressure and pronounced dilation of the left ventricle, which was accompanied by varying degrees of relative insufficiency of the mitral in some cases and tricuspid valves. Conclusion. To prevent the development of DCMP in children, it is necessary to carry out preventive methods to prevent late childbirth, ensure safe pregnancy and childbirth, prevent and effectively treat diseases of viral etiology in mothers and children, and early diagnosis and timely initiation of therapy are necessary for a favorable outcome of these diseases.
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Authors: Dilfuza Mirzabaevna Ruzmatova Doctor of Philosophy Uzbekistan Republican Specialized Scientific-practical medical center of Pediatrics, Ministry of Health of the Republic of Uzbekistan (909050823)
Dilorom Ilhamovna Akhmedova Doctor of Medicine, Professor Tashkent pediatric medical institute
