Early myocardial functional abnormalities in primary dyslipidemia: clinical and echocardiographic observations in young children from a highly consanguineous population.

Cardiovascular complications Child Primary dyslipidemia Pulsed-wave Doppler Tissue Doppler echocardiography

Journal

Clinical and experimental pediatrics
ISSN: 2713-4148
Titre abrégé: Clin Exp Pediatr
Pays: Korea (South)
ID NLM: 101761234

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 05 05 2021
accepted: 18 11 2021
pubmed: 11 12 2021
medline: 11 12 2021
entrez: 10 12 2021
Statut: ppublish

Résumé

Dyslipidemia is a major health problem among children and adolescents worldwide due to its significant association with cardiovascular disease. Primary dyslipidemias are commonly familial syndromes that can be completely asymptomatic. Apart from the risk of coronary artery disease (CAD), limited data are currently available on the direct effects of dyslipidemia on myocardial function in children. We recruited 25 children with primary dyslipidemia (14 with isolated hypercholesterolemia, 4 with isolated hypertriglyceridemia, and 7 with combined dyslipidemia). Relevant clinical manifestations and laboratory and radiological investigations were evaluated. Pulsed-wave Doppler and tissue Doppler imaging echocardiography were performed for all recruited patients and the results were compared with those of 15 age- and sex-matched healthy children. The median age of the dyslipidemic children was 8 years (range, 1.5-16 years). A family history was documented in 13 cases (52%), while 18 (72%) had consanguineous parents. None of the dyslipidemic children had a personal history or clinical manifestations of CAD. In contrast, echocardiographic findings differed in several diastolic function parameters of both right and left ventricles in dyslipidemic children compared to controls. Based on normalized z scores, aortic valve narrowing was detected in 7 patients (28%), while narrowing of the aortic sinus (sinus of Valsalva) was detected in 15 patients (60%). Different types of primary dyslipidemia produce functional myocardial abnormalities early in childhood. Biochemical and echocardiographic screening of high-risk children is advised to minimize the incidence of serious cardiovascular complications.

Sections du résumé

BACKGROUND BACKGROUND
Dyslipidemia is a major health problem among children and adolescents worldwide due to its significant association with cardiovascular disease. Primary dyslipidemias are commonly familial syndromes that can be completely asymptomatic.
PURPOSE OBJECTIVE
Apart from the risk of coronary artery disease (CAD), limited data are currently available on the direct effects of dyslipidemia on myocardial function in children.
METHODS METHODS
We recruited 25 children with primary dyslipidemia (14 with isolated hypercholesterolemia, 4 with isolated hypertriglyceridemia, and 7 with combined dyslipidemia). Relevant clinical manifestations and laboratory and radiological investigations were evaluated. Pulsed-wave Doppler and tissue Doppler imaging echocardiography were performed for all recruited patients and the results were compared with those of 15 age- and sex-matched healthy children.
RESULTS RESULTS
The median age of the dyslipidemic children was 8 years (range, 1.5-16 years). A family history was documented in 13 cases (52%), while 18 (72%) had consanguineous parents. None of the dyslipidemic children had a personal history or clinical manifestations of CAD. In contrast, echocardiographic findings differed in several diastolic function parameters of both right and left ventricles in dyslipidemic children compared to controls. Based on normalized z scores, aortic valve narrowing was detected in 7 patients (28%), while narrowing of the aortic sinus (sinus of Valsalva) was detected in 15 patients (60%).
CONCLUSION CONCLUSIONS
Different types of primary dyslipidemia produce functional myocardial abnormalities early in childhood. Biochemical and echocardiographic screening of high-risk children is advised to minimize the incidence of serious cardiovascular complications.

Identifiants

pubmed: 34886595
pii: cep.2021.00598
doi: 10.3345/cep.2021.00598
pmc: PMC9348948
doi:

Types de publication

Journal Article

Langues

eng

Pagination

410-416

Subventions

Organisme : Cairo University

Commentaires et corrections

Type : CommentIn

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Auteurs

Nehal M El-Koofy (NM)

Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.

Aya M Fattouh (AM)

Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.

Areef Ramadan (A)

Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.

Mohamed A Elmonem (MA)

Department of Clinical and Chemical Pathology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Dina H Hamed (DH)

Department of Pediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt.

Classifications MeSH