Source:http://linkedlifedata.com/resource/pubmed/id/14627315
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
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| pubmed:dateCreated |
2003-11-20
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| pubmed:abstractText |
Previous studies noted that Fontan patients have electrocardiographic ST depressions during exercise tests and on 24-hour ambulatory electrocardiographic (ECG) monitoring. This study investigated whether the ST depressions were correlated to clinical function (NYHA Functional Classification). Forty-five children in two groups were examined--15 patients with Fontan circulation and 30 with a structurally normal heart, matched for sex, height, and weight. Clinical and echocardiographic examinations were performed. The clinical state was defined as NYHA functional classes I-IV. All 45 children underwent 24-hour ECG and an analysis of ST changes was performed, with ST segment depression > 0.20 mV at ST 60 regarded as significant. Twelve of 15 patients had significant 24-hour ECG ST depressions; in 9 of 12 patients these occurred on more than one occasion. Comparing 24-hour ECG recordings from patients in NYHA I with patients in NYHA II or III showed a significant difference in depth (p = 0.0023), duration (p = 0.0016), and number of ST depressions (p = 0.0001). None of the matched healthy children showed ST depressions. Repeated ST analysis on 24-hour ECG shows that the ST depressions seem to be correlated to functional status and this may be a useful tool in clinical praxis.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:issn |
0172-0643
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
24
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
468-72
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| pubmed:dateRevised |
2008-2-20
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| pubmed:meshHeading |
pubmed-meshheading:14627315-Adolescent,
pubmed-meshheading:14627315-Case-Control Studies,
pubmed-meshheading:14627315-Child,
pubmed-meshheading:14627315-Child, Preschool,
pubmed-meshheading:14627315-Coronary Circulation,
pubmed-meshheading:14627315-Electrocardiography, Ambulatory,
pubmed-meshheading:14627315-Fontan Procedure,
pubmed-meshheading:14627315-Heart,
pubmed-meshheading:14627315-Humans
|
| pubmed:articleTitle |
Electrocardiographic ST segment depression and clinical function in children with Fontan circulation.
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| pubmed:affiliation |
Section of Pediatric Cardiology, Department of Clinical Sciences, Umeå Hospital, S-901 85 Umeå, Sweden.
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| pubmed:publicationType |
Journal Article
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