Blood pressure and heart rate monitoring in children and adolescent with Still's vibratory murmur
Blood Pressure Monitoring, cilt.27, sa.1, ss.9-13, 2022 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 27 Sayı: 1
- Basım Tarihi: 2022
- Doi Numarası: 10.1097/mbp.0000000000000557
- Dergi Adı: Blood Pressure Monitoring
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
- Sayfa Sayıları: ss.9-13
- Anahtar Kelimeler: ambulatory blood pressure monitoring, heart rate, innocent heart murmur, Still's vibratory murmur
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background Innocent heart murmur is common in healthy infants, children and adolescents. Although most cases are not pathologic, a murmur may be the manifestation of cardiovascular disease. It may also cause or be an indicator of blood pressure (BP) and heart rate (HR) changes. Objective This study aimed to document changes in BP and HR in children with Still's vibratory murmur (SVM). Methods This study included 226 children with SVM, and the control group included 138 healthy children that were age-, height- and weight-balanced. Patient files and our hospital registry system were retrospectively investigated for laboratory findings and electrocardiography and echocardiography results. In addition, we prospectively performed 24-h ambulatory BP monitoring in both groups. Results There were no statistically significant differences in 24-h, daytime and nighttime systolic BP, 24-h and nighttime diastolic BP and nighttime HR between the patient and control groups (P = ns). However, daytime diastolic BP, mean HR and daytime HR were significantly higher in patient group (P = 0.009, 0.039 and 0007, respectively). Conclusions We believe that in the presence of a higher HR and a higher aortic diastolic BP, which may induce hemodynamic changes in the left ventricle, flow turbulence through the aortic valve may increase, increasing the probability of hearing a murmur. ambulatory BP monitoring could be useful to obtain a better picture of these parameters during the 24-h period. Blood Press Monit 27: 9-13 Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.