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The Influence of Loud Crying on Pulmonary Gradients Obtained by Transthoracic Echocardiography in Children With Pulmonary Valve Stenosis

dc.authorscopusid 35117434500
dc.contributor.author Çetin, M.
dc.date.accessioned 2025-05-10T17:02:18Z
dc.date.available 2025-05-10T17:02:18Z
dc.date.issued 2020
dc.department T.C. Van Yüzüncü Yıl Üniversitesi en_US
dc.department-temp Çetin M., Department of Pediatric Cardiology, Van Yuzuncu Yil University, Van, Turkey en_US
dc.description.abstract Pulmonary valve stenosis (PS) is the obstruction of blood outflow from the right ventricle of the heart at the level of the pulmonary valve. Crying is associated with an increase in venous return and it has been known to have some acute effects on cardiovascular system, the data about the alterations in echocardiographic findings during crying is limited. To explore the influences of loud crying in evaluation of transvalvular gradient obtained by Doppler echocardiography in children with pulmonary valve stenosis (PS). Our study group included a total of 48 children, aged between 2 and 43 months who were diagnosed with pulmonary valve stenosis based on the clinical signs and laboratory (Echocardiography) findings in our hospital. We compared the pulmonary gradients obtained by echocardiography while the children were crying and while they were calm. Totally 48 patients (23 male, 25 female) diagnosed with PS in our hospital were included in the study. The mean age of the patients was 19.27 ± 11.14 months (range: 2-43 months). During crying, both maximum and mean pulmonary gradients were statistically significantly higher compared with the results obtained while the patients were calm (p < 0.001, p = 0.001, respectively). In conclusion, significant increases in both maximum and mean pulmonary gradients were determined during loud crying. Since these parameters are the main determinants of management of patients with PS, this condition should be kept in mind and if possible these measurements should be obtained while the children are in a calm state. Larger prospective studies are warranted to support our findings. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved. en_US
dc.identifier.doi 10.5505/ejm.2020.16878
dc.identifier.endpage 40 en_US
dc.identifier.issn 1301-0883
dc.identifier.issue 1 en_US
dc.identifier.scopus 2-s2.0-85079004889
dc.identifier.scopusquality Q4
dc.identifier.startpage 36 en_US
dc.identifier.trdizinid 363487
dc.identifier.uri https://doi.org/10.5505/ejm.2020.16878
dc.identifier.uri https://hdl.handle.net/20.500.14720/5488
dc.identifier.volume 25 en_US
dc.identifier.wosquality N/A
dc.institutionauthor Çetin, M.
dc.language.iso en en_US
dc.publisher Yuzuncu Yil Universitesi Tip Fakultesi en_US
dc.relation.ispartof Eastern Journal of Medicine en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.subject Crying en_US
dc.subject Doppler Echocardiography en_US
dc.subject Pulmonary Valve Stenosis en_US
dc.title The Influence of Loud Crying on Pulmonary Gradients Obtained by Transthoracic Echocardiography in Children With Pulmonary Valve Stenosis en_US
dc.type Article en_US

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