UDK: 616.12-008:616.12-007.2-053.1-089-053.4

CRITERIONS OF EVALUATION OF CARDIAC ACTIVITY DAMAGE ADAPTATION IN CHILDREN WITH CONGENITAL HEART DISEASE

O. A. Komissarova, T. N. Doronina, N. S. Cherkasov, M. Ia. Ledyaev, L. K. Gavrikov

Астраханская государственная медицинская академия, Волгоградский государственный медицинский университет

Abstract

We determined CPK-MB activity, the index of cardiac rhythm variability in 30 children with congenital heart disease – open arterial canal after cardiosurgical correction together with clinical examination. 3 months after cardiosurgical operation we registered an increased CPK-MB activity in blood serum and a decrease in coefficient K of heart rate variability 30/15 in the period of cardiac activity adaptation. A change of these indexes correlates with high reliability, which indicates impaired cardiac activity. The studied tests can serve as additional indications of cardiac activity evaluation of cardiac activity adaptation of children after surgery for cardiac failure.

Keywords

children, congenital heart disease, open arterial canal, cardiac activity adaptation, CPK-MB, cardiac rhythm variability, cardiac rhythm vegetative regulation, spectral analysis.

Contacts

Комиссарова Ольга Александровна — аспирант кафедры госпитальной педиатрии с курсом последипломного образования, Астраханская государственная медицинская академия, e-mail: orlis300@mail.ru