Li Shujuan, Yang Junlin, Li Yunquan, Zhu Ling, Lin Yuese, Li Xuandi, Huang Zifang, Wang Huishen
Department of Paediatric Cardiology, the First Affiliated Hospital of Sun Yat-sen University, No,58 2nd Zhongshan Road, Guangzhou 510080, China.
Scoliosis. 2013 Jan 14;8(1):1. doi: 10.1186/1748-7161-8-1.
Although it is speculated that scoliosis may induce cardiac dysfunction, there is no report about evaluation of cardiac function, especially right cardiac function in patients with scoliosis. Therefore, we evaluated right ventricular function in idiopathic scoliotic patients with mild to severe curves and compared them with healthy children and adolescents matched in age, then explored relationship between scoliosis and right ventricular function.
Thirty-seven patients diagnosed with idiopathic scoliosis with a mean age of 16y/o (range, 8-25y/o) and an average spine curve of 77.5°Cobb (range, 30-157°) were studied by echocardiography. TAD was obtained using M-mode echocardiography. Similar examination was performed in a control group of 17 healthy individuals in matched-age. According to the different curve degree, all patients were divided into 3 groups (mild, moderate and severe). Comparison was done among the groups and the relationship between TAD and spine curve of Cobb was analyzed.
Patients with severe scoliosis showed depressed TAD. There was good correlation between TAD and spine curve of Cobb.
Patients with severe scoliosis showed a significant lower right ventricular systolic function.
尽管推测脊柱侧弯可能诱发心脏功能障碍，但尚无关于脊柱侧弯患者心脏功能评估的报道，尤其是右心功能。因此，我们评估了轻至重度脊柱侧弯特发性脊柱侧弯患者的右心室功能，并将其与年龄匹配的健康儿童和青少年进行比较，然后探讨脊柱侧弯与右心室功能之间的关系。
对37例诊断为特发性脊柱侧弯的患者进行超声心动图研究，平均年龄16岁（范围8 - 25岁），平均脊柱侧弯角度为77.5°Cobb（范围30 - 157°）。使用M型超声心动图获得TAD。在17名年龄匹配的健康个体组成的对照组中进行了类似检查。根据不同的侧弯程度，将所有患者分为3组（轻度、中度和重度）。对各组进行比较，并分析TAD与Cobb脊柱侧弯角度之间的关系。
重度脊柱侧弯患者的TAD降低。TAD与Cobb脊柱侧弯角度之间存在良好的相关性。
重度脊柱侧弯患者的右心室收缩功能明显较低。
