Abstract:
The aim of the work was to study the state of the cardiovascular system in children with gastrocardiac syndrome with connective tissue dysplasia. We observed 39 children and adolescents aged 10 to 18 years with Remheld syndrome, who were treated in the Department of Pediatric Cardiology and Cardiac Surgery of the Institute of Emergency and Reconstructive Surgery named after V.K. Gusak in Donetsk. 22 boys (56.4%) and 17 girls (43.6%) were examined. The examination complex included: electrocardiogram, 24-hour Holter electrocardiogram monitoring, 24-hour blood pressure monitoring, echocardiography, ultrasound Dopplerography of the head and neck vessels, ultrasound examination of the thyroid gland, ultrasound examination of the gastrointestinal tract. All patients complained of cardialgia, irregular heartbeat, shortness of breath, and dizziness upon admission. The occurrence of these complaints was associated with food intake. On the ECG recorded during the attacks, sinus rhythm was observed in 38 (97.4%) children, sinus tachycardia in 24 (61.5%), single supraventricular extrasystole in 12 (30.8%), pacemaker migration through the atria in 9 (23.1%), first-degree AV block in 7 (17.9%), and paroxysmal supraventricular tachycardia in 1 (2.6%). Increased blood pressure was recorded during the attacks in 25 (64.1%) patients. In-depth examination revealed minor cardiac developmental anomalies in all the observed patients. All patients had a history of gastrointestinal pathology: 7 (17.9%) patients with esophageal hiatus hernia, 8 (20.50%) patients with gastroesophageal reflux disease, 31 (79.5%) patients with chronic gastroduodenitis, etc. In addition, all children with gastrocardiac syndrome had manifestations of connective tissue dysplasia: 26 (66.7%) patients with joint hypermobility syndrome, 10 (25.6%) patients with flat feet, 8 (20.5%) with scoliosis, and 7 (17.9%) with chest deformity. Children and adolescents with gastrointestinal diseases require in-depth examination of the cardiovascular system using modern diagnostic methods when cardiac complaints appear.
