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Influence of acute respiratory diseases on hemodynamic in school-age children

Oleksandr H Buriak1, Yurii M Nechytailo1

  • 1BUKOVINIAN STATE MEDICAL UNIVERSITY, CHERNIVTSI, UKRAINE.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|December 23, 2024
PubMed

Insights

Children with acute respiratory diseases experience reduced blood pressure and cardiac output, potentially due to diastolic dysfunction and autonomic regulation issues. This impacts central hemodynamics in pediatric patients.

Area of Science:

  • Pediatric Cardiology
  • Respiratory Medicine
  • Hemodynamics

Background:

  • Acute respiratory diseases are common in children.
  • Central hemodynamic changes can occur during respiratory illness.
  • Understanding these changes is crucial for pediatric patient management.

Purpose of the Study:

  • To evaluate alterations in blood pressure and central hemodynamics in children diagnosed with acute respiratory diseases.
  • To compare hemodynamic parameters between children with respiratory conditions and healthy controls.

Main Methods:

  • A study involving 40 children (10-12 years) with community-acquired pneumonia or acute bronchitis during recovery.
  • Comparison with a control group of 30 healthy children.
  • Measurement of blood pressure, systolic, and minute blood output volumes.

Main Results:

  • Children with respiratory diseases exhibited significantly lower systolic, pulse, and average dynamic blood pressure compared to controls.
  • A decrease in stroke volume was observed, with minute blood output compensated by increased heart rate.
  • Findings suggest potential diastolic dysfunction and increased pulmonary blood flow resistance.

Conclusions:

  • Hemodynamic reduction in children with acute respiratory pathology is linked to diastolic dysfunction.
  • Disorders of autonomic regulation may also contribute to these hemodynamic changes.
  • Further research into autonomic regulation in pediatric respiratory illness is warranted.
Abstract

Keywords:
childrenacute bronchitisblood pressurepneumonia

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