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Oleksak F, Spakova B, Durdikova A, Durdik P, Kralova T, Igaz M, Molnar M, Gura M, Murgas D. Correlation of anthropometric index and cardiopulmonary exercise testing in children with pectus excavatum. Respir Physiol Neurobiol 2021; 296:103790. [PMID: 34560293 DOI: 10.1016/j.resp.2021.103790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 08/09/2021] [Accepted: 09/19/2021] [Indexed: 11/15/2022]
Abstract
BACKGROUND Cardiopulmonary exercise testing (CPET) is a method used to evaluate functional impairment of patients with various diseases. OBJECTIVE The objective was to use CPET to estimate the usability of anthropometric index (AI) in patients with pectus excavatum (PE) as a marker of functional impairment caused by chest deformity. METHODS The study included 32 paediatric patients (28 males) with PE. Patients underwent CPET using a breath-by-breath exhaled gas analysis method and continuous monitoring of cardiac parameters. RESULTS In both groups, two (overall four) patients met criteria for cardiogenic limitation (low VO2 and low O2Pulse). Mean VO2/WR was below two standard deviations (2SD) in patients with less severe PE; other observed parameters were within normal limits (Z-score ± 2 SD). The AI had no observed correlation with peak ventilation, VO2peak and peak workload. CONCLUSION The obtained CPET data do not correlate well with the severity of chest deformity expressed with AI. There were similar physical activity limitations in both examined groups of patients and they did not depend on the severity of the deformity.
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Affiliation(s)
- F Oleksak
- Clinic for Children and Adolescents, University Hospital in Martin, Jessenius Medical Faculty in Martin, Commenius University in Bratislava, Kollarova 2, 036 59, Martin, Slovakia.
| | - B Spakova
- Clinic of Pediatric Surgery, University Hospital in Martin, Jessenius Medical Faculty in Martin, Commenius University in Bratislava, Kollarova 2, 036 59, Martin, Slovakia
| | - A Durdikova
- Clinic for Children and Adolescents, University Hospital in Martin, Jessenius Medical Faculty in Martin, Commenius University in Bratislava, Kollarova 2, 036 59, Martin, Slovakia
| | - P Durdik
- Clinic for Children and Adolescents, University Hospital in Martin, Jessenius Medical Faculty in Martin, Commenius University in Bratislava, Kollarova 2, 036 59, Martin, Slovakia
| | - T Kralova
- Clinic for Children and Adolescents, University Hospital in Martin, Jessenius Medical Faculty in Martin, Commenius University in Bratislava, Kollarova 2, 036 59, Martin, Slovakia
| | - M Igaz
- Clinic for Children and Adolescents, University Hospital in Martin, Jessenius Medical Faculty in Martin, Commenius University in Bratislava, Kollarova 2, 036 59, Martin, Slovakia
| | - M Molnar
- Clinic of Pediatric Surgery, University Hospital in Martin, Jessenius Medical Faculty in Martin, Commenius University in Bratislava, Kollarova 2, 036 59, Martin, Slovakia
| | - M Gura
- Clinic of Pediatric Surgery, University Hospital in Martin, Jessenius Medical Faculty in Martin, Commenius University in Bratislava, Kollarova 2, 036 59, Martin, Slovakia
| | - D Murgas
- Clinic of Pediatric Surgery, University Hospital in Martin, Jessenius Medical Faculty in Martin, Commenius University in Bratislava, Kollarova 2, 036 59, Martin, Slovakia
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Zubor P, Zibolen M, Svecova I, Dokus K, Krivus S, Murgas D, Danko J. W307 TRENDS IN OPERATIVE DELIVERIES AND PERINATAL OUTCOMES IN REGIONAL CENTER: AN 12-YEAR POPULATION-BASED COHORT STUDY FROM SLOVAKIA. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)62030-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Varechova S, Mikler J, Murgas D, Dragula M, Banovcin P, Hanacek J. Cough reflex sensitivity in children with suspected and confirmed gastroesophageal reflux disease. J Physiol Pharmacol 2007; 58 Suppl 5:717-727. [PMID: 18204187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Experimental and clinical studies performed in adults revealed that gastresophageal reflux disease (GORD) is associated with an appreciable increase in cough reflex sensitivity (CRS). The association between respiratory diseases and GORD is also present in children, but there is little evidence that GORD without aspiration of refluxate (proximal reflux) is a frequent cause of cough in children. The aim of this study was to find out whether CRS in children with GORD will be changed compared with healthy children, and if so, to determine the role of proximal vs. distal reflux in these changes. CRS and 24-h esophageal pH monitoring were performed in 20 children of whom 13 had confirmed GORD and 7 were suspected to have GORD. The control group consisted of 27 healthy children. For assessing the CRS, each subject inhaled 12 capsaicin aerosol concentrations (0.61-1250 micromol/l) at 1 min intervals. CRS was defined as the lowest capsaicin concentration that evoked minimally 2 coughs (C2). CRS in the group of children with suspected GORD [C2: 17.0 micromol/l (6.4-45.6 micromol/l)] and with confirmed GORD [C2: 13.4 micromol/l (3.6-50.9 micromol/l)] were significantly elevated (P<0.05) compared with healthy children [C2: 72.1 micromol/l (25.5-203.9 micromol/l)]. According to the parameters of 24-h pH monitoring, a significantly higher exposure to acid was present in the distal compared with proximal oesophagus. CRS changes correlated negatively with the distal, but not proximal, esophageal acid exposure. In conclusion, CRS changes in children suffering from GORD are similar to those described in adult patients with GORD. It is plausible that the main role in increased CRS in children with GORD play episodes of distal acid refluxes.
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Affiliation(s)
- S Varechova
- Institute of Pathological Physiology, Jessenius Faculty of Medicine, Commenius University, Martin, Slovakia.
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Maarouf Z, Kajo K, Plank L, L'auko L, Murgas D. Secondary aortoesophageal fistula as a lethal complication of continuous nasogastric sondage in a child with VATER syndrome. Ann Saudi Med 2001; 21:213-5. [PMID: 17264556 DOI: 10.5144/0256-4947.2001.213] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Z Maarouf
- Department of Pathology, Comenius University, Jessenius Medical Faculty and Faculty Hospital in Martin, Slovakia
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