Diagnosis of Right Ventricular Cardiac Insufficiency in the Acute Bronchial Asthma in Children

V.А. Kondratiev, А.V. Reznik


With the aim to define the informative clinical-echocardiographic diagnostic signs for the development of right ventricular cardiac insufficiency in children in the acute bronchial asthma, 64 patients aged 5 to 17 years were examined. During investigations of pathologic changes in the cardiovascular system followed by mathematic processing of diagnostic symptoms using sequential analysis by Wald, there has been shown a high informative significance of a number of signs for the diagnosis of right ventricular cardiac insufficiency in children in the acute bronchial asthma, namely: elevation of systolic pressure in the pulmonary artery, enlargement of the echocardiographic sizes of right ventricular and right atrial cavities, isovolumic relaxation time of the right ventricle; tachycardia or bradycardia, hyperkinetic type of hemodynamics, disorders of ventricular repolarization according to electrocardiography data. Presence of the informative diagnostic signs of right ventricular cardiac insufficiency in a sick child in the acute bronchial asthma enables to diagnose this complication with the probability of 90 % and more and to carry out appropriate correction of the therapy.


right ventricular cardiac insufficiency; Doppler echocardiography; bronchial asthma; children


Vorobyov А.S. Ambulatornaya ehokardiografiya u detey: rukovodstvo dlya vrachey / А.S. Vorobyov .– SPb. : SpetsLlit, 2010. - 543 s.

Каdymov N.А. Kliniko-ultrazvukovaya harakteristika serdechno-sosudistoy sistemy pri bronhialnoy astme u dyetey: avtoref. dis. nа soiskanie uch. stepeni kand. med. nauk: spets. 14.00.09 «Pediatriya» / N.А.Kadympv.-М., 2009.-24 s.

Rybakova M.К. Prakticheskoye rukovodstvo po ultrazvukovoy diagnostike. Ehografiya / M.К. Rybakova, M.N. Alehin, V.V. Mitkov.-M.: Izdat. dom «Vidar-M», 2008. – 512 s.

Shumna Т.Ye. Vzaimozvyazok porushen bronholehenevoi y sertsevo-sudynnoi systemy u ditey z bronhialnoyu astmoyu: bahatohrannist ta nevycherpnist vyvchennya problem /Т.Ye.Shumna, S.М.Nedelska, О.М.Datsenkо// Zdorovye rebuonka.-2014.-№8.-S.8-11.

Yunkerov V.I. Маtematiko-statisticheskaya obrabotka dannyh meditsinskih issledovaniy / V. I. Yunkerov, S. G. Grigoriev. – SPb. : VМеdА, 2002. – 266 s.

GINA REPORT, Global Strategy for Asthma Management and Prevention/ revised 2014.-P.1-132.

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