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2002, Número 4

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Rev Mex Pediatr 2002; 69 (4)


Hallazgos ecocardiográficos de cor pulmonale durante la apnea obstructiva del sueño. Presentación de dos casos

Aboitiz RCM, Mejía O, Reyes LN, Vázquez JC, Baltazares LME

Idioma: Español
Referencias bibliográficas: 17
Paginas: 146-150
Archivo PDF: 163.47 Kb.


RESUMEN

Se presentan los casos de dos niños con datos de obstrucción de las vías aéreas superiores y hallazgos ecocardiográficos compatibles con hipertensión arterial pulmonar severa y cor pulmonale, en ambos pacientes se diagnostica por estudio polisomnográfico apnea obstructiva del sueño. Debido a los hallazgos y a la poca respuesta al manejo médico, se somete a ambos pacientes a procedimiento quirúrgico, con lo que acusan mejoría en su problema obstructivo.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Sofer S, Weinhouse E, Tal A, Wanderman KL, Margulis G, Leiberman A et al. Cor pulmonale due to adenoidal or tonsillar hypertrophy or both in children. Chest 1988; 93: 119-22.

  2. Guilleminault C, Eldrige F, Simmons FB. Sleep apnea in eight children. Pediatrics 1976; 58: 23.

  3. Warwick JP, Mason JP. Obstructive sleep apnea syndrome in children. Anaesthesia 1998; 53: 571-9.

  4. Standards and indications for cardiopulmonary sleep studies in children. Am J Respir Crit Care Med 1996; 153: 866-878.

  5. Ali NJ, Pitson DJ, Stradling JR. Snoring, sleep disturbance, and behaviour in 4-5 years old. Arch Dis Child 1993; 68: 360-66.

  6. Thorarinn G, Bryndis B. Snoring. Apneis episodes and nocturnal hypoxemia among children 6 months to 6 years old. Chest 1995; 107: 963-6.

  7. Brooks LJ. Sleep-disordered breathing in children. Respiratory Care 1998; 43: 395-8.

  8. Brouiellette RT, Fernbach SK, Hunt CE. Obstructive sleep apnea in infants and children. J Pediatr 1982; 100: 31-40.

  9. Guilleminault C, Korobkin R, Winkle R. A review of 50 children with obstructive sleep apnea syndrome. Lung 1981; 159: 275-87.

  10. D’Andrea LA, Rosen CL, Hadad G. Severe hypoxemia in children with upper airway obstruction during sleep does not lead to significant changes in heart rate. Pediatr Pulmonol 1993; 16: 362-69.

  11. Bonsignore MR, Marrone O, Insalaco G, Bonsignore G. The cardiovascular effects of obstructive sleep apneas:analysis of pathogenic mechanisms. Eur Respir J 1994; 7: 786-805.

  12. Sie KC, Perkins JA, Clarke WR. Acute right heart failure due to adenotonsillar hypertrophy. Int J Pediatr Otorhinolaryngol 1997; 41: 53-8.

  13. Nussbaum E, Hirschfeld SS, Wood RE. Echocardiographic changes in children with pulmonary hypertension secondary to upper airway obstruction. J Pediatr 1978; 93: 931-6.

  14. Rosenfeld RM, Green RP. Tonsillectomy and adenoidectomy: changing trends. Ann Otol Rhinol Laryngol 1990; 99: 187-91.

  15. Wiet GJ, Brower C, Seibert R, Griebel M. Surgical correction of obstructive sleep apnea in the complicated pediatric patient documented by polysomnography. Int J Pediatr Otorhinolaryngol 1997; 41: 133-43.

  16. Rosen GM, Muckie RP, Mahowald MW, Goding GS, Ullevig C. Postoperative respiratory compromise in children with obstructive sleep apnea syndrome: can it be anticipated? Pediatrics 1994; 93: 784-788.

  17. Marcus CL, Davidson SL, Mallory GB, Rosen CL, Beckerman RC, Weese-Mayer DE et al. Use of nasal continuous positive airway pressure as treatment of childhood obstructive sleep apnea. J Pediatr 1995; 127: 88-94.




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