ARTICLE
TITLE

Predictive significance of the life history of children with gastroesophageal reflux for predicting the development of arrhythmias and conduction disorders

SUMMARY

The aim: to improve the early diagnosis of cardiac arrhythmias and conduction disorders in children with gastroesophageal reflux, by studying the prognostic significance of the life history in this group of patients.Materials and methods. 56 children aged 8 to 18 years, mean age 14,93±2,62 years were examined. All examined children were divided into two alternative groups: Group I (main) was represented by 28 children with gastroesophageal reflux in combination with cardiac arrhythmias and conduction disorders, and Group II (control) - 28 children with only gastroesophageal reflux without cardiac arrhythmias and conduction disorders. Patients underwent clinical, anamnestic (with a detailed study of life history) and instrumental studies (electrocardiography, Holter daily ECG monitoring, esophagogastroduodenoscopy).Results. When analyzing the prognostic significance of the patient's life history, it was found that its very high level was observed for the number of foci of chronic infection (I=6.0) and the frequent incidence of a child up to year old of life (I=3.05).High prognostic value was registered relative to the number of diseases suffered by the child per year on average (I=2.35), and moderate predictor properties are characteristic of chickenpox (I=0.89) and the number of chronic diseases at present (I=0.71).The duration of breastfeeding showed low (I=0.30) prognostic significance.Suffered previously bacterial infections did not have predictor properties (I=0.12). In general, the prognostic significance of the patient's life history was high (I¯=2.20).Conclusions. It was found that in general the prognostic significance of the patient's life history was high (I¯=2.20)It is determined that in favour of the development of cardiac arrhythmias and conduction disorders evidence: the number of foci of chronic infection =1-2; lack of frequent morbidity in a child up to a year of life; the number of diseases suffered per year =5; the presence in past medical history of chickenpox; the number of chronic diseases in a child at present =2 and short-term (=9 months) breastfeeding.It has been established what denies probability of development of the researched pathology: absence of the centers of a chronic infection; the presence frequent incidence of a child up to year old of life; the number of diseases suffered per year=6, and chronic diseases at present =3; longer (=9 months) breastfeeding and no history of chickenpox

 Articles related

Avinash Ratre    

The application areas of multimedia content and computer vision analysis gains remarkable attention towards the motive to recognize the actions of the humans present in the video. Accordingly, crowd behavior analysis is important topic due to the signifi... see more


Gordana Milic,Jasna Gacic,Ana Mladenovic-Markovic,Ivan Soldatovic,Dragan Matic,Srdan Popovic,Željko Markovic,Svetozar Damjanovic    

Paper description:The predictive significance of elevated plasma total homocysteine, lower serum 25-hydroxy vitamin D and increased carotid intima-media thickness for development of coronary atherosclerosis in patients with type 1 diabetes and no previou... see more


Francisco J G Pitanga,Carlos F A Alves,Marina L Pamponet,Maria G Medina,Rosana Aquino    

 Many researches have concluded that the time spent in front of TV, computer and other screen-type devices is an important risk factor for overweight and obesity. The aim of this study was to identify the discriminatory power and to propose screen t... see more


Fernanda Carneiro Mussi,Francisco Jose Gondim Pitanga,Cláudia Geovana da Silva Pires    

 There is evidence demonstrating that prolonged sitting time is relevant risk factors for metabolic and cardiovascular disorders. The aim of this study was to identify the discriminatory power and propose cumulative sitting time cutoff points for ov... see more


Keila de Oliveira Diniz,Saulo Vasconcelos Rocha,Antonio Cesar Cabral de Oliveira    

 High blood pressure is a leading cause of mortality worldwide and a risk factor for several diseases. The aim of this study was to determine the predictive power of anthropometric indicators of obesity and establish their cutoff points as discrimin... see more