Cardiac changes in moderately malnourished children and their correlations with anthropometric and electrolyte changes

Razaky, Osama El; Naeem, Ahmed; Donia, Amr; Amrousy, Doaa El; Elfeky, Noha

doi:10.1111/echo.13692

Cited by 11 publications

(18 citation statements)

References 11 publications

(30 reference statements)

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“…In the present study we observed increased MPI in children with SAM as compared with controls, while means of EF and FS was in the normal range. Similar results were reported by El Razaky et al 11 and Meena et al 12 MPI was increased in both children with edema and without edema, but the difference was not significant. MPI was an early marker of ventricular dysfunction in children with SAM while FS and EF were normal.…”

Section: Discussionsupporting

confidence: 89%

Cardiac changes in children hospitalized with severe acute malnutrition: A prospective study at tertiary care center of northern India

Jain

Rao

Kumar

et al. 2019

Indian Heart Journal

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Severe acute malnutrition (SAM) may affect cardiac structure and function. Cardiac changes in sick children with SAM have received little attention in the literature. Children aged 6–60 months with SAM were cases, and age and sex matched children were controls. Cardiac biomarker levels were measured by the quantitative the Enzyme- linked immunosorbent assay (ELISA) method, and echocardiography was used to assess cardiac changes in all children. The study included 76 children in each group. Children with SAM had less left ventricular mass and increased myocardial performance index as compared with controls ( p < 0.0001). Cardiac biomarker levels were increased in children with SAM ( p < 0.0001). Cardiac changes and biomarker levels were comparable in children with edema and children without edema except creatine kinase-MB ( p = 0.01).

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Section: Discussionsupporting

confidence: 89%

Cardiac changes in children hospitalized with severe acute malnutrition: A prospective study at tertiary care center of northern India

Jain

Rao

Kumar

et al. 2019

Indian Heart Journal

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“…As we previously reported [23], malnutrition was common among Malagasy children included in this study. It is possible that malnutrition might cause some changes in the cardiac repolarization, leading to a prolongation of the QT interval [24].…”

Section: Discussionmentioning

confidence: 99%

Impact of Ethnicity on the Prevalence of Early Repolarization Pattern in Children: Comparison Between Caucasian and African Populations

et al. 2019

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The patterns and prevalence of early repolarization pattern (ER in paediatric populations from different ethnic backgrounds other than Caucasian have not been determined. Methods We analyzed ECGs of black children (ages xx-yy) who were prospectively recruited in the northwest Madagascar and compared them to age & sex matched Caucasian ethnicity individuals. ERP was defined by ≥0.1 mV J-point elevation in at least two contiguous inferior and/or lateral ECG leads. Results A total of 616 children were included. There was a trend toward a higher frequency of ERP in the Africans compared to the Caucasians (23.3% vs 17.1% respectively, p=0.053). The subtype (slurred versus notched) and location of ERP (lateral, inferior or infero-lateral) were significantly different in the two groups (p<0.001 and p=0.020, respectively). There was no significant difference in the number of high-risk ECG features of ERP (i.e. horizontal/descendent pattern, inferior or infero-lateral location or J-waves ≥2 mm) between Malagasy and Caucasian children. On the multivariate analysis, Malagasy ethnicity and faster heart rate were independent predictive factors of ERP (OR 3.57, 95%CI 2.04-6.25, p<0.001 and 0.98, 95%CI 0.962-0.987, p<0.001, respectively). Conclusions African children have an increased risk of ER compared to Caucasian counterparts. Future studies should clarify the clinical and prognostic significance of ERP in the pediatric population, and whether ethnicity has an impact on the outcomes.

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“…Additionally, weight loss, cachexia and sarcopenia (prevalent in the elderly population) increase the risk of cardiovascular diseases (Boban et al, ). Moderately malnourished children exhibit cardiac changes, with a reduction in left ventricular fraction shortening and the mass index (Razaky et al, ). Malnutrition has been associated with cardiomyopathy, and because the pathogenesis in birds is similar to mammals, it is possible that similar nutritional inadequacies are implicated (Harrison & McDonald, ).…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, cardiac changes are evident in moderately malnourished children (Razaky, Naeem, Donia, Amrousy, & Elfeky, 2017).…”

Section: Introductionmentioning

confidence: 87%

See 1 more Smart Citation

Computed tomographic and radiographic morphometric study of cardiac and coelomic dimensions in captive blue‐fronted Amazon parrots (Amazona aestiva, Linnaeus, 1758) with varying body condition scores

Santos

Silva

Hippólito

et al. 2020

Anat Histol Embryol

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This study aimed to assess radiographic and tomographic cardiac parameters, including width and length of the heart, and the ratio of heart width to coelom width of blue‐fronted Amazon parrots (Amazona aestiva) with varying body condition scores. Thirty‐five captive birds were included in the study and were allocated into one of three groups according to their respective body condition score: lean, ideal and obese. No differences were observed among the groups with regard to radiographic and tomographic measurements. Computed tomography enabled better identification of the structures of the cardiovascular system without interference from the overlying structures of the celomatic cavity observed in radiographic images. However, radiographic examinations should still be considered the standard screening method to identify cardiac alterations, such as increased or reduced organ dimensions. Standardizing the techniques and measurements performed in this study may serve as a basis for further research in the field.

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Cardiac changes in moderately malnourished children and their correlations with anthropometric and electrolyte changes

Abstract: Cardiac changes were present in moderately malnourished children as documented by electrocardiographic and echocardiographic changes, and these changes are in strong association with BMI and for a lesser extent with electrolyte changes especially serum calcium.

Cited by 11 publications

References 11 publications

Cardiac changes in children hospitalized with severe acute malnutrition: A prospective study at tertiary care center of northern India

Cardiac changes in children hospitalized with severe acute malnutrition: A prospective study at tertiary care center of northern India

Impact of Ethnicity on the Prevalence of Early Repolarization Pattern in Children: Comparison Between Caucasian and African Populations

Computed tomographic and radiographic morphometric study of cardiac and coelomic dimensions in captive blue‐fronted Amazon parrots (Amazona aestiva, Linnaeus, 1758) with varying body condition scores

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