Clinical features of congenital heart disease in children after surgical correction depending on type of hemodynamic disorders
This article investigated the clinical course of CHD in children after surgical correction, depending on type of hemodynamic instability. 184 children with CHD in age from 1 month to 18 years who underwent radical correction of anatomical defects were examined. In the structure of the CHD prevailed enrichment of pulmonary circulation - 119 children (64,67±3,52%), which is in three times higher than the frequency of other types of CHD (depletion of the pulmonary circulation - 35 (19,02±2,89%) children CHD depletion of the systemic circulation - 30 (16±2,72%) children). For all types of CHD after surgical correction, the dominant clinical feature was dyspnea, which occurred in 137 children (74,46%), and its frequency is higher than the other symptoms from 1,76 to 15 times. In children after surgical correction of the CHD provided a high frequency of arrhythmias and conduction - 140 (76,08%) patients. Syndromes conduction abnormalities significantly prevailed among other electrocardiographic phenomenon and observed in 132 (71,74%) children (р<0,01). Arrhythmias often develop at CHD with depletion of the pulmonary circulation, in which there are severe hemodynamic abnormalities before surgical correction in conjunction with hypoxia. Operative correction of the CHD is the first and fundamental step in the treatment of children with CHD, but in the future, these patients require long-term integrated monitoring.