Pulmonary hypertension evaluation by Doppler echocardiogram in children and adolescents with mouth breathing syndrome

Abstract

None of the MB children (ATH and AR) met the PH criteria, although individuals with both ATH and isolated AR showed significant evidence of increased pulmonary artery pressure by Doppler echocardiography in relation to NB individuals. No differences were observed between the ATH and AR groups.

Cuidado De Enfermagem Na Atenção Primária À Criança Com Síndrome De Williams-Beuren: Uma Revisão Integrativa

“…Assim, é importante a identificação precoce dos pacientes com risco de desenvolver HP, já que ela está diretamente relacionada ao prognóstico, devido à reversibilidade potencial do quadro quando a indicação cirúrgica corretiva e/ou o tratamento medicamentoso se fazem em tempo adequado (LIMA et al, 2017).…”

“…A assistência à saúde da criança é uma atividade de fundamental importância em função da vulnerabilidade nessa fase do ciclo de vida. Por meio do acompanhamento da criança na puericultura, espera-se reduzir a incidência de doenças, promovendo sua saúde de modo que esta possa crescer e desenvolver-se para alcançar todo seu potencial (SILVA et al, 2017).…”

Pulmonary arterial pressure and nasal obstruction in mouth‐breathing children: Similarities between adenotonsillar hypertrophy and allergic rhinitis

“…[5][6][7][8][9][10][11][12] Although AR is associated with increased UAR and sleepdisordered breathing in pediatric patients, only a few studies have investigated PH in patients with AR. [13][14][15][16] Although one can question whether tonsil hypertrophy and UAR pose a cardiovascular risk, the correlation between nasal obstruction and SPAP levels remains underexplored. Active anterior rhinomanometry (AAR) is a reliable method to assess nasal obstruction severity and UAR by providing objective measurements of nasal patency.…”

“…The researchers selected 33 control participants who did not present with MB or clinical symptoms of nasal obstruction and were referred by pediatricians for a routine outpatient visit at the HC-UFMG. They had the same age range as the MB group (2-12 years) and similar age, height, weight, and BMI distribution (mean age, 7.02 ± 2.60 years; median BMI, 15.8 [range, [13][14][15][16][17][18][19][20][21][22] kg/m 2 ).…”

“…Our study consisted of 183 patients, including: 33 controls (10 boys; mean age, 7.02 ± 2.60 years; median BMI, 15.8[13][14][15][16][17][18][19][20][21][22] kg/m 2 ) and 150 MBs (102 boys; mean age, 6.47 ± 2.47 years; median BMI, 16.3[15][16][17][18] kg/m 2 ), divided into the following 3 etiologic groups: group 1, 60 children with ATH; group 2, 47 children with AR; and group 3, 43 MB children with ATH and AR(Table 1).…”