Effects of community-acquired pneumonia on biventricular cardiac functions in children

Rehab Elmeazawy1, Esraa Abd Al-Fattah Sorour2, Al Shimaa Badreldeen3

  • 1Department of Pediatrics, Faculty of Medicine, Tanta University, Tanta, Egypt. rehab.elmeazawy@med.tanta.edu.eg.

PubMed

Insights

Community-acquired pneumonia (CAP) in children can impair biventricular cardiac function. Advanced echocardiography techniques like tissue Doppler imaging (TDI) and 2D speckle tracking echocardiography (2D-STE) effectively detect this early cardiac dysfunction.

Area of Science:

  • Pediatric Cardiology
  • Echocardiography
  • Cardiovascular Imaging

Background:

  • Community-acquired pneumonia (CAP) can lead to cardiac complications in children.
  • Early detection of biventricular cardiac dysfunction is crucial for managing pediatric CAP.
  • Conventional echocardiography may not always detect subtle cardiac changes in pediatric CAP.

Purpose of the Study:

  • To evaluate the impact of CAP on cardiac function in children.
  • To compare the effectiveness of TDI and 2D-STE with conventional echocardiography for early detection of biventricular dysfunction in pediatric CAP.

Main Methods:

  • The study included 50 children hospitalized with CAP and 50 healthy controls.
  • Cardiac function was assessed using conventional echocardiography, TDI, and 2D-STE.
  • Key echocardiographic parameters of biventricular function were analyzed.

Main Results:

  • Children with CAP exhibited significantly impaired left ventricular systolic function and right ventricular diastolic function compared to controls.
  • Both ventricles showed significantly higher myocardial performance index (MPI) in the CAP group.
  • Two-dimensional longitudinal strain (2D LS) was significantly reduced in children with CAP.

Conclusions:

  • TDI and 2D-STE are valuable tools for detecting early biventricular dysfunction in pediatric CAP.
  • These advanced echocardiographic methods offer improved sensitivity for identifying cardiac involvement in pediatric CAP.
  • The findings support the use of TDI and 2D-STE in the routine evaluation of children with CAP.
Abstract

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