Cardiac congestive insufficiency in children with Fallot Tetralogy in pre- and postoperative period

Departamentul Pediatrie USMF „Nicolae Testemiţanu”The aim of the research was to study the clinico-evolutive Fallot Tetralogy (FT) features analyzing the cardiac congenital insufficiency (CCI) and pre- postoperative cases. The results of 27 patients with FT due to CCI, divided in two groups, were presented in the study. The patients complaints and clinical manifestation presented in the study, marked an improvement of the patients’ general condition, decreasing the fatigability, dyspnea, cyanosis and postoperative cardiac insufficiency functional class signs (p<0.05). The laboratory analysis underlined the Hb postoperative level decrease (123,06±4,79 g/dl), in comparison with the preoperative group (139,75 ±9,73 g/dl). As a result of the electrocardiography obtained data, in patients who did not have a surgical intervention, signs of the right ventricle and right atrium hypertrophy were present, but these signs decrease is noticed after the operation (surgical intervention). The hemodynamic and structural parameters analysis after the electrocardiography, determined a decreased number of the patients with RV and LV dilatation and hypertrophy after the surgical intervention. Lucrarea prezentă şi-a propus drept scop studierea particularităţilor clinico-evolutive în Tetralogia Fallot (TF) asociată cu insuficienţa cardiacă congestivă pre- şi postoperator. În studiu sunt reflectate rezultatele examinării a 27 de pacienţi cu Tetralogia Fallot pe fundal de insuficienţă cardiacă congestivă, divizaţi în două loturi. În baza studierii acuzelor şi manifestărilor clinice ale pacienţilor s-a notat ameliorarea stării generale a pacienţilor, micşorarea semnelor de fatigabilitate, dispnee, cianoză şi clasa funcţională a insuficienţei cardiace postoperator (p<0,05). Analizele de laborator în dinamică postoperator au evidenţiat scăderea nivelului de hemoglobină (123,06±4,79 g/dl), comparativ cu perioada preoperatorie (139,75 ±9,73 g/dl) (p