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Murine Model of Allergen Induced Asthma
Published on: May 14, 2012
Pulmonary arterial pressure in children with allergic rhinitis
Ismail Reisli1, Bulent Oran, Osman Baspinar
1Department of Pediatrics, Meram Medical Faculty, University of Selcuk, Konya, Turkey.
Insights
Children with allergic rhinitis have elevated pulmonary arterial pressure. Nasal corticosteroid treatment effectively reduced this pressure, highlighting a reversible link between nasal blockage and heart health.
Area of Science:
- Pediatric Pulmonology
- Allergy and Immunology
- Cardiovascular Health
Background:
- Chronic upper airway obstruction in children can elevate pulmonary arterial pressure.
- Allergic rhinitis, a common cause of nasal blockage, is linked to this obstruction.
- Understanding this connection is crucial for pediatric cardiovascular health.
Purpose of the Study:
- To assess pulmonary arterial pressures in children with allergic rhinitis.
- To investigate the impact of topical corticosteroid therapy on these pressures.
- To explore the reversibility of elevated pulmonary arterial pressure.
Main Methods:
- Doppler echocardiography used to measure pulmonary arterial pressures.
- Study included 49 children with seasonal (27) and perennial (22) allergic rhinitis.
- Mometasone furoate (100 microg/day) administered for 8 weeks.
Main Results:
- Children with allergic rhinitis showed significantly higher pulmonary arterial systolic, mean, and diastolic pressures than controls.
- Treatment with mometasone furoate led to significant reductions in systolic and mean pulmonary arterial pressures.
- Diastolic pressure reduction was not statistically significant post-treatment.
Conclusions:
- Allergic rhinitis is associated with increased pulmonary arterial pressure in children.
- Nasal topical corticosteroids can reverse elevated pulmonary arterial pressure caused by allergic rhinitis.
- Further research is needed to clarify the clinical implications of this finding.
Background:
Chronic upper airway obstruction may lead to increased pulmonary arterial pressure in childhood. Allergic rhinitis is one of the frequent causes of upper airway obstruction by nasal blockage. The aims of the study were to evaluate the pulmonary arterial pressures in children with allergic rhinitis and the effect of topical corticosteroid therapy.
Methods:
Forty-nine children composed of 27 subjects with seasonal and 22 subjects with perennial allergic rhinitis were enrolled in this study. The pulmonary arterial pressures were measured by using Doppler echocardiography.
Results:
The pretreatment pulmonary arterial systolic, mean, and diastolic pressures of study group were significantly higher than in healthy controls (p < 0.05). The pulmonary arterial systolic and mean pressures of the patient group significantly decreased at the end of study (p < 0.05), whereas the decrease of the diastolic pressure was not statistically significant (p > 0.05) after the treatment of a topical corticosteroid, mometasone furoate (100 microg per day), for 8 weeks.
Conclusion:
Our results showed that children with allergic rhinitis have higher pulmonary arterial pressure levels compared with healthy controls and that increased pulmonary arterial pressure levels due to allergic rhinitis are reversible by using nasal topical corticosteroids. Further studies are needed to determine the clinical aspect of increased pulmonary arterial pressure.
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