|
|
|
| Echocardiographic features of heart damage in children with Takayasu arteritis |
| YU Xiao-na1, WANG Xin1, YANG Bao-ying2, REN Wei-dong1, FAN Yu-tong1 |
| 1. Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang 110004, China;
2. Department of Ultrasound, the People’s Hospital of Zhangwu, Fuxin Liaoning 123200, China |
|
|
|
|
Abstract Objective: To investigate the echocardiographic features of cardiac damage in children with primary Takayasu arteritis. Methods: Seventeen children with Takayasu arteritis diagnosed in our hospital were enrolled. The echocardiographic features were retrospectively analyzed. Results: Of the 17 patients, 8 patients(47.06%) had hypertensive heart changes; 2 patients(11.76%) had dilated cardiomyopathy as the main cardiac change, including 1 case of non-compaction of ventricular myocardium; 5 patients(29.41%) showed coronary artery changes; 1 patient(5.88%) showed simple aortic arch dilatation; 1 patient(5.88%) showed simple aortic valve regurgitation; in all 17 patients, 5 patients had varying degrees of aortic regurgitation, and 4 patients had mild mitral regurgitation. Conclusion: Children with Takayasu arteritis may be combined with a variety of cardiac changes, and the ultrasound manifestations are mainly hypertensive heart disease changes. Ultrasound physicians should pay attention to distinguishing from related diseases.
|
|
Received: 21 December 2019
|
|
|
|
|
|
| [1]Fan L, Zhang H, Cai J, et al. Clinical course, management, and outcomes of pediatric Takayasu arteritis initially presenting with hypertension: a 16-year overview[J]. Am J Hypertens, 2019, 32(10): 1021-1029.
[2]Singh N, Hughes M, Sebire N, et al. Takayasu arteritis in infancy[J]. Rheumatology, 2013, 52(11): 2093-2095.
[3]Di Santo M, Stelmaszewski EV, Villa A. Takayasu arteritis in pediatrics[J]. Cardiol Young, 2018, 28(3): 354-361.
[4]Ozen S, Pistorio A, Iusan SM, et al. EULAR/PRINTO/PRES criteria for Henoch-Schonlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: ankara 2008. Part Ⅱ: final classification criteria[J]. Ann Rheum Dis, 2010, 69(8): 798-806.
[5]Rals PW. Takayasu arteritis[J]. Ultrasound Q, 2010, 26(3): 133-134.
[6]Eleftheriou D, Varnier G, Dolezalova P, et al. Takayasu arteritis in childhood: retrospective experience from a tertiary referral centre in the United Kingdom[J]. Arthritis Res Ther, 2015, 17: 36.
[7]Clemente G, Hilario MO, Lederman H, et al. Takayasu arteritis in a Brazilian multicenter study: children with a longer diagnosis delay than adolescents[J]. Clin Exper Rheumatol, 2014, 32(3 Suppl 82): S128-133.
[8]钟华，朱卫国，林雪，等. 大动脉炎合并心肌病变临床分析[J]. 中华全科医师杂志，2014，13（11）：929-932.
[9]刘春鹤，杨军，于英蛟. 超声心动图诊断大动脉炎2例[J]. 中国临床医学影像杂志，2010，21（1）：82.
[10]汪春林，黄向阳，袁奇，等. 大动脉炎患者心脏损害的超声心动图特点分析[J]. 安徽医学，2017，38（10）：1285-1287.
[11]王倩，蒋雄京，陈阳，等. 儿童大动脉炎致主动脉狭窄的诊断与治疗初探[J]. 中华心血管病杂志，2019，47（10）：806-813.
[12]Kandoria A, Kandoria M, Ganju N, et al. Takayasu arteritis presenting with total occlusion of the left main coronary artery ostium: An extremely rare occurrence[J]. BMJ Case Rep, 2016, 2016: 214531.
[13]He Y, Lv N, Dang A, et al. Pulmonary artery involvement in patients with Takayasu arteritis[J]. J Rheumatol, 2019, 15: 190045. |
|
|
|
