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Assessment of cardiac function recovery after control of supraventricular tachycardia in pediatric patients with tachycardia induced cardiomyopathy /

Marwa Ahmed Fathy Elsaadany

Assessment of cardiac function recovery after control of supraventricular tachycardia in pediatric patients with tachycardia induced cardiomyopathy / تقييم استعادة وظيفة القلب بعد علاج تسارع نبضات القلب الفوق بطينية فى الأطفال المصابين باعتلال عضلة القلب نتيجة تسارع نبضات القلب Marwa Ahmed Fathy Elsaadany ; Supervised Wael Mohamed Nabil Lotfy , Usama Mohamed Abdelaziz , Rodina Sobhi Mohamed - Cairo : Marwa Ahmed Fathy Elsaadany , 2021 - 128 P. : charts , facsimiles ; 25cm

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics

Aim: To evaluate systolic and diastolic cardiac function in children who had cardiomyopathy induced by ectopic atrial tachycardia (EAT).Methods: twenty-two pediatric patients who had cardiomyopathy induced by EAT and 25 age-matched controls were recruited in this case-control study. The patients were examined after rhythm control and normalization of their left ventricular systolic function. Different echocardiographic modalities including tissue Doppler imaging and two dimention speckle tracking echocardiography were utilized to assess the ventricular and atrial function.Results: The patients' median age was 51 months (interquartile range: 28.5-84 months).The median time interval required for normalizationof left ventricular ejection fraction (EF) among patients was 1.5 months(interquartile range: 1.5-2.12 months). Compared to controls, patients had a significantly higher median left ventricular myocardial performance index (MPI) at the interventricular septum (0.44 vs. 0.38, p=0.001) and left ventricular lateral wall (0.46 vs. 0.32, p= 0.0001).The median right ventricular MPI of the patients' group was significantly higher when compared to the control group (0.34 vs. 0.26, p=0.0001). The median right atrial (RA) reservoir functionin patients was significantly reduced compared to controls (30% vs. 36.63%, p=0.007)



Cardiomyopathy Ectopic atrial tachycardia Speckle tracking echocardiography