The aim of the study was to study the clinical and diagnostic significance of natriuretic peptide
(BNP) in heart failure (HF) in children with congenital heart defects.
Methods. The study included 24 children under 3 years of age with HF. All patients had HF
secondary to congenital heart disease and clinical data, echocardiographic parameters were collected. A comparative analysis of the data indicating significant changes in BNP with characteristic changes on the echocardiogram characterizing the signs of heart failure in children was carried out. Study results: analysis of NT-proBNP values and type of heart disease associated with HF. In our
cohort, median NT-proBNP was highest in patients with cyanotic heart disease (248.0 fmol/ml), followed by patients with dilated cardiomyopathy (193.3 fmol/ml). The lowest median value of NT-proBNP was recorded in patients with acyano- tic heart disease.
Conclusion. In patients with HF, BNP and echocardiography can provide diagnostic and
prognostic information. The highest BNP values were reported in patients with lower LVEF, but were not statistically significant. The combination of all these data may offer the best tools for optimizing the treatment of heart failure in children.
One of the most dangerous diseases that threaten human life is heart disease. One way to analyze heart disease is by doing echocardiography. Echocardiographic test results can indicate whether the patient's heart is normal or not by identifying the area of the heart cavity. Therefore, many studies have emerged to analyze the heart. Therefore, I am motivated to develop a system by inputting four points of view of the heart, namely 2 parasternal views (long axis and short axis) and 2 apical views (two chambers and four chambers) with the aim of this study being able to segment the heart cavity area. This research is part of a large project that aims to analyze the condition of the heart with 4 input points of view of the heart and the project is divided into several sections. For this research, it focuses on the process of echocardiographic image segmentation to obtain images of the heart cavity with 4 input points of view of the heart using the Deep Learning method by using the Convolutional layers.
To study the effectiveness of teaching "self-care" and "self-control" in elderly and senile patients with chronic heart failure. The study included 107 patients with chronic heart failure. The training program was attended by 54 patients who made up the study group. 53 untrained patients made up the control group. These sessions were conducted with patients for 7 days, 1 hour per day. To assess the effectiveness of the training program, adherence to treatment was assessed using the Morisky-Green scale and the quality of life was assessed using the Minnesota questionnaire on the quality of life of patients. Results. During 1 year of follow-up, feedback was interrupted with 17 patients (15,8%) due to various reasons. Out of 90 subjects of observation, only 6 patients (6,7%) died due to the deterioration of their condition and the development of associated conditions. The assessment of the number of visits by patients to family polyclinics showed a generally satisfactory level of clinical examination in the study group - the average rate of planned visits was 3,2. In the control group, the average number of visits was 2,5 per year. There was a statistically significantly lower number of unplanned visits to the study group compared to patients from the control group. As a result, there was a significant decrease in the number of unplanned visits in the intervention group as a whole. Conclusion. The program of training elderly and senile patients on the aspects of self-medication and self-control in chronic heart failure is effective in improving the control of their adherence to therapy and the prognosis of the disease.