fa اندازه گیری قطر آئورت شکمی در کودکان مبتلا به دریچه آئورت دولتی و مقایسه آن با کودکان سالم قلب و عروق Cardiology مقاله اصیل پژوهشی Original Article <span style="font-size:11pt"><span style="line-height:200%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""><span style="color:black">زمینه و هدف:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">دریچه آئورت دولتی</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> (BAV) </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">شایعترین ناهنجاری مادرزادی قلبی است، با شیوع تقریبی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">۰.۸٪</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> در جمعیت عمومی و با غلبه در جنس مذکر</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">. BAV </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">ممکن است با تنگی یا نارسایی دریچه آئورت عارضه شود و همچنین با ناهنجاری‌های دیواره آئورت مانند اتساع، کوآرکتاسیون، دیسکسیون و آنوریسم همراه است. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">مطالعات انجام‌شده پیش از همه‌گیری کووید-</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">۱۹</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> هیچ گونه گشادشدگی آئورت شکمی را در بیماران مبتلا به </span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">BAV</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> نشان نمی‌داد. گزارش‌هایی مبنی بر آسیب دیواره آئورت در طول همه‌گیری و عدم وجود تحقیقات در جمعیت ایرانی منجر به انجام این مطالعه شد.</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="text-autospace:none"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""><span style="color:black">مواد و روش ها:</span></span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">در این مطالعه مورد-شاهدی مقطعی، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">۴۹</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> کودک مبتلا به</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> BAV </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">در محدوده سنی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">۵</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> تا </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">۱۶</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> سال که در سال </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">۱۴۰۲</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> به کلینیک قلب مرکز پزشکی کودکان مراجعه کرده بودند، وارد مطالعه شدند. گروه شاهد نیز شامل </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">۴۹</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> کودک همسان از نظر سن، جنس و وزن بود که با شکایات قلبی-عروقی مراجعه کرده بودند، اما یافته‌های اکوکاردیوگرافی طبیعی داشتند. قطر آئورت شکمی در سه سطح اندازه‌گیری و بین دو گروه مقایسه شد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">.</span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""><span style="color:black">یافته ها:&nbsp; </span></span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">در هیچ‌یک از سطوح آئورت شکمی، تفاوت معناداری بین دو گروه مشاهده نشد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""><span style="color:black">نتیجه گیری</span></span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""><span style="color:black">: </span></span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">بر اساس یافته‌های ما، شواهدی مبنی بر الزام به بررسی روتین آئورت شکمی در طی پیگیری کودکان مبتلا به</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> BAV </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">وجود ندارد</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">.</span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Background and aims: Bicuspid aortic valve (BAV) is the most common congenital cardiac anomaly, with a prevalence of approximately 0.8% in the general population and a predilection for males. BAV may be complicated by aortic valvular stenosis or regurgitation and is also associated with aortic wall abnormalities such as dilation, coarctation, dissection, and aneurysm. Studies before the COVID-19 pandemics did not show any abdominal aorta dilation in patients with BAV. Reports about aortic wall injury during the pandemics, and lack of investigations on the Iranian population led to conduct this study.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Materials and methods: This cross-sectional case-control study included 49 children with BAV, aged 5 to 16 years, who were referred to the cardiology clinic of Children&#39;s Medical Center in 2023. The control group consisted of 49 age-, sex-, and weight-matched children who presented with cardiovascular complaints but had normal echocardiographic findings. Abdominal aortic diameters were measured and compared at three levels.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Results: No significant differences were observed in abdominal aortic diameters at any level between the two groups.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="color:black"><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Conclusion: Based on our results, there is no evidence to mandate routine abdominal aortic interrogation during the follow-up of children with BAV.</span></span></span></span></span></span></span></span><br> &nbsp; آئورت شکمی, دریچه آئورت دو لتی, آنوریسم, کودکان abdominal aorta, bicuspid aortic valve, children 0 0 http://journal.bums.ac.ir/browse.php?a_code=A-10-3848-1&slc_lang=fa&sid=1 Seyed Mahmud Shekarian سید محمود شکریان mahmoud.sh.md@gmail.com 8700319475328460052117 8700319475328460052117 No Mojtaba Gorji مجتبی گرجی dr.gorji.ped@gmail.com 8700319475328460052118 8700319475328460052118 No Keyhan Sayadpour Zanjnai کیهان صیادپور زنجانی ksayadpour@gmail.com 8700319475328460052119 8700319475328460052119 Yes