Volume 05 Issue 11-2024
11
CURRENT RESEARCH JOURNAL OF PEDAGOGICS
(ISSN
–
2767-3278)
VOLUME
05
ISSUE
11
Pages:
11-16
OCLC
–
1242041055
Publisher:
Master Journals
ABSTRACT
In the Cardio-Rheumatology Department of the Samarkand Regional Multidisciplinary Pediatric Clinical Center, we
examined clinical and electrocardiographic analyses of 50 young children diagnosed with non-rheumatic myocarditis
(NM) over the years 2022-2023. Results show that 86% of these young patients had a history of acute respiratory
infections.
KEYWORDS
ECG, children, respiratory infections.
INTRODUCTION
Myocarditis can be observed at various ages, with a
high prevalence among young children. In some cases,
mild forms of myocarditis are asymptomatic and,
therefore, remain undocumented, complicating
accurate prevalence estimation (N.V. Orlova, T.V.
Pariyskaya, 2019). According to data, 24-33% of cases in
children may proceed without symptoms (E. Rarillo,
2018). Y.U. M. Belozerov reports myocarditis in 10 out
of 1,000 individuals.
Research Object and Subject
Our study focused on
clinical and electrocardiographic analyses of 50 young
children diagnosed with NM in the Cardio-
Rheumatology Department of the Samarkand
Research Article
GENERAL CHARACTERISTICS OF CHILDREN WITH NON-RHEUMATIC
MYOCARDITIS IN THE SAMARKAND REGION FROM 2022-2023
Submission Date:
October 29, 2024,
Accepted Date:
November 03, 2024,
Published Date:
November 08, 2024
Crossref doi:
https://doi.org/10.37547/pedagogics-crjp-05-11-03
Qodirova Marhabo Miyassarovna
Bolalar kasalliklari propedevtikasi kafedrasi assistenti, Samarqand davlat tibbiyot universiteti,
Samarqand, Uzbekistan
Shadieva Khalima Nuridinovna
Bolalar kasalliklari propedevtikasi kafedrasi dotsenti, Samarqand davlat tibbiyot universiteti, Samarqand,
Uzbekistan
Journal
Website:
https://masterjournals.
com/index.php/crjp
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
Volume 05 Issue 11-2024
12
CURRENT RESEARCH JOURNAL OF PEDAGOGICS
(ISSN
–
2767-3278)
VOLUME
05
ISSUE
11
Pages:
11-16
OCLC
–
1242041055
Publisher:
Master Journals
Regional Multidisciplinary Pediatric Clinical Center
during 2022-2023.
Objective of the Study
To analyze the current clinical
profile and ECG symptoms of non-rheumatic
myocarditis in young children and to compare the
findings with those reported in existing literature.
In the Pediatric Cardiology Department of the
Samarkand Regional Multidisciplinary Medical Center,
we performed ECG examinations on 50 children
diagnosed with myocarditis following a viral infection.
Patient Demographics
Out of the 50 patients, 20 were female, and 30 were
male. Age distribution was as follows: 20 children were
under one year old, 12 were aged 1-3 years, 6 were aged
3-7 years, and 12 were aged 7-12 years. The ECG results
for these patients were compared with the age-based
standards of healthy children as established by L. M.
Makarov in 2004.
Table 1: Age Distribution of Patients
№
Age Group
Number of Patients
Percentage (%)
1
6 months to 3 years
32
64 %
2
3 to 7 years
6
12%
3
7 to 12 years
12
24%
Total
50
100%
The diagnosed patients exhibited varying degrees of
"acute acquired non-rheumatic myocarditis, with
complications of AV block (QAB)."
Table 2: Distribution by Degree of Circulatory Insufficiency
№
Degree of Circulatory
Insufficiency
Number of Patients Percentage (%)
1
0 Degree
8
16 %
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CURRENT RESEARCH JOURNAL OF PEDAGOGICS
(ISSN
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2767-3278)
VOLUME
05
ISSUE
11
Pages:
11-16
OCLC
–
1242041055
Publisher:
Master Journals
2
I Degree
22
44 %
3
II Degree
3
6 %
4
IIA Degree
11
22 %
5
IIB Degree
5
10 %
Total
50
100 %
From Table 3.1.2, it is evident that among the examined
patients, those with complications of first-degree AV
block (QAB) constitute a significant percentage. No
cases of subacute or chronic non-rheumatic
myocarditis were detected. The findings indicate that
only the acute form of acquired myocarditis was
observed. The prevalence of comorbid conditions in
percentages is as follows: 50% had Grade I anemia, 36%
had Grade II anemia, 6% had Grade III anemia, 10% had
lymphatic hypoplastic diathesis, 6% had somatogenic
encephalopathy, and 6% had hypoxic-ischemic
encephalopathy.
In reviewing patient medical histories, 28% (14 patients)
had normal perinatal development, while 72% (36
patients)
experienced
perinatal
development
alongside anemia. Anemia was often accompanied by
acute respiratory infections (ARI) and pregnancy
complications, such as toxemia and nephropathy.
Additionally, 36% (18 patients) were noted to have
maternal pregnancy toxemia. Of these, 12% (6 patients)
had mothers who were treated for severe toxemia,
and 2% (1 patient) had mothers with pregnancy
nephropathy combined with ARI, with another 4% (2
patients) also affected.
These findings suggest that viral infections have a
lesser impact on fetal development compared to the
more frequent influence of pregnancy toxemia and
anemia. Regarding delivery methods, 1.5% (3 patients)
were delivered by cesarean section, and 1% (2 patients)
were born with asphyxia. Consequently, 94% of
deliveries proceeded without complications, and 96%
of newborns were in normal condition at birth.
When asked about familial health and consanguinity,
14% (7 patients) had documented familial relations; of
these, 5 cases involved distant relations, and 2 cases
involved close relations (offspring of siblings).
Additionally, 98% of parents reported themselves as
healthy, with only 2% (1 parent) having a history of
chronic pyelonephritis. Based on this information, it
can be concluded that familial relations and parental
health issues were unlikely to significantly impact the
development of illness in these patients.
Regarding birth order, 60% (30 patients) were
firstborns from the first pregnancy, 16% (8 patients)
were second children from the second pregnancy, 12%
(6 patients) were third children from the third
pregnancy, 8% (4 patients) were fourth children from
the fourth pregnancy, and 4% (2 patients) were fifth
children from the fifth pregnancy. No cases of abortion
were recorded.
Upon reviewing past illnesses, 80% of patients had a
history of acute respiratory viral infections (ARVI),
typically contracted after the first 6 months of life.
Additionally, 8% (4 patients) had a history of hepatitis
A, 30% (15 patients) of angina, 8% (4 patients) of
pneumonia, 6% (3 patients) of obstructive bronchitis,
and 8% (4 patients) of acute bronchitis. Overall, the
Volume 05 Issue 11-2024
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CURRENT RESEARCH JOURNAL OF PEDAGOGICS
(ISSN
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2767-3278)
VOLUME
05
ISSUE
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Pages:
11-16
OCLC
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1242041055
Publisher:
Master Journals
results indicate that 52% of patients had experienced a
bacterial infection.
Table 3: Past Illnesses Among Examined Children
.
Viral Infections
Bacterial Infections
ARI
Hepatitis
A
Acute
Bronchitis
Pneumonia
Diarrhea Angina
Obstructive
Bronchitis
Number of
Cases
40
4
4
4
4
15
3
Percentage
(%)
80
8
8
8
8
30
6
Total
Cases
48 (96 %)
26 (52 %)
History of Illness Development
When examining the history of illness development, it
was found that 20% (10 patients) had been ill for less
than 5 days. Of these, 2 were treated in a hospital, and
8 were treated at home. For children who had been ill
for more than a week, 18% (9 patients) were affected,
with 6 receiving outpatient care and 3 receiving
inpatient treatment. 24% (12 patients) had been ill for
10 days, with 2 treated in a hospital and 8 receiving
treatment at home. For children who had been ill for
more than 15 days, 10% (5 patients) were affected, with
4 treated in a hospital and 1 at home. Among those who
had been ill for more than a month, 14% (7 patients)
were hospitalized. Additionally, 6% (3 patients) were ill
for between 1.5 to 3 months, while 6% (3 patients) had
been ill for more than a year, and 2% (1 patient) had
been ill for more than 2 years and were under
dispensary observation. All of these patients received
care both in hospital and outpatient settings at their
places of residence.
In total, 46% of patients were treated in a hospital
setting, and 64% were treated at home. The results of
the investigation show that the highest percentage of
patients had been ill for less than 10 days after the
onset of symptoms.
The graphical representation of this data is shown in
Graph No. 1.
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Publisher:
Master Journals
Graph No. 1.
Patient Complaints Overview
When examining the complaints of the patients, it was
found that 80% had an elevated div temperature. If
we break it down by degrees: 50% (25 patients) had a
subfebrile temperature (36.7°C - 37.9°C), 26% (13
patients) had a febrile temperature (38.0°C - 38.9°C),
and 6% (3 patients) had a high fever (39.0°C - 39.9°C).
18% (9 patients) did not show any increase in div
temperature.
When analyzed by age, the results were as follows:
•
Among patients aged 1-3 years: 40% had a
subfebrile temperature, 50% had a febrile temperature,
and 10% had a high fever.
•
Among patients aged 3-7 years: 70% had a
subfebrile temperature, 20% had a febrile temperature,
and 10% had a high fever.
•
Among patients aged 7-12 years: 80% had a
subfebrile temperature, 20% had a febrile temperature,
and no patients showed a high fever.
Fatigue (especially during breastfeeding in infants) was
reported by 80% of patients, while 100% of patients
complained of lack of appetite. Cough was reported by
70%, phlegm by 60%, chest pain by 10%, nausea by 30%,
and excessive sweating by 60%.
REFERENCES
1.
“ Nerevmaticheskie karditы u detey ”: Jupenova D.
E. Ucheb.-metod. posobie.- Karaganda, 2018 - 49s
2.
Amosova, E. N. Dilatatsionnaya kardiomiopatiya i
miokardit Abramova-Fidlera / E. N. Amosova // Ter.
arxiv.
—
2015.
—
№ 5. —
S. 127
–
130.
3.
Alimova G.G., “Aktualnыe voprosы kardiologii u
detey”. 2013.
0
5
10
15
20
25
5 кун
10 кун
15 кун
1 ой
3 ой
1 йилдан куп
беморлар сони 50та
амбулатор
стационар
Volume 05 Issue 11-2024
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2767-3278)
VOLUME
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11-16
OCLC
–
1242041055
Publisher:
Master Journals
4.
Baranov A. A., Bajenovoy L.K., Detskaya
revmatologiya Moskva «Medi-sina» 2012.- s. 64-128.
5.
Basargina E.H. “ Sovremennыe podxodы k
lecheniyu
xronicheskoy
serdechnoy
nedostatochnosti u d
etey ” Pediatricheskaya
farmakologiya. 2013.T.1. -
№ 3.
S.7 -11.
6.
Butkevich M.I Vinogradova T.L. “Infeksionnыy
endokardit”. Monografiya, M: STARKO, 2017.
7.
Belozerov YU.M. “Detskaya kardiologiya” —
M.:
MEDpresssinform, 2014. S.222-230.
8.
Belenkov
YU.
N.
“Paradoksы
serdechnoy
nedostatochnosti: vzglyad na problemu na rubeje
vekov” M: 2011.
-
№ 1.
- S. 4 - 8.
9.
Belozerov YU.M. Bolbikov V.V. “Ultrazvukovaya
semiotika i diagnostika v kardiologii detskogo
vozrasta”. M. MED press, 2011.
-176 s.
10.
Beloz
erov, YU.M., Vinogradov, A.F. “Klinicheskoe
znachenie malыx anomaliy serdsa u detey”.
-
Rossiyskiy vestnik perinatologii i pediatrii.-Tom 51,
4, 2016.-s.20-25
11.
Ачилова Ф.А. Джалалова Ш.С. Удлиненный
интервал QT –
предиктор нарушений ритма.
Журнал Проблемы биологии и медицины. №1
(116). Актуальные проблемы современной
медицины. Материалы 74
-
й Международной
научно
-
практической
онлайн
конференции
студентов
-
медиков
и
молодых
ученых,
посвященной 90
-
летию СамГосМИ.
12.
Абдукадирова Н. Б., Раббимова Д. Т., Хаятова З.
Б. The role of connective tissue dysplasias in
pathology of various div systems //Journal of
Siberian Medical Sciences.
–
2020.
–
№. 3. –
С. 126
-
135.
13.
Shamsiyev A. M., Rabbimova D. T. Comprehensive
approach to the problem of rehabilitation of
infants submitted sepsis //Voprosy nauki i
obrazovaniya.
–
2017.
–
С. 152.
14.
Шадиева Х.Н. Кодирова М.М. “ОПТИМИЗАЦИЯ
ЛЕЧЕНИЯ
ОСТРОЙ
И
ПОВТОРНОЙ
РЕВМАТИЧЕСКОЙ ЛИХОРАДКИ У ДЕТЕЙ И
ПОДРОСТКОВ”
Журнал
гепатогастроэнтерологических исследований,
2022.№1, Том 3, С.79.
15.
Кодирова М.М. Шадиева Х.Н. “BOLALARDA
NOREVMATIK MIOKARDITNING EKG DAGI ASOSIY
SIMPTOMLARI”.
Журнал
гепатогастроэнтерологических
исследований,2022.№1, Том 3, С.33.
