[Evolution of lesser circulation hypertension in patients with congenital heart defects based on the example of an

Kardiologiia
|February 1, 1979
PubMed

Insights

Ventricular septal defect can lead to elevated pulmonary circulation pressure, especially in large defects. Surgical rehabilitation may help reduce pressure, but it can increase throughout life in some cases.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Pulmonary Hypertension

Context:

  • Pulmonary circulation pressure is a critical indicator in patients with ventricular septal defect (VSD).
  • Understanding pressure dynamics is essential for managing VSD and its complications.
  • Normal pulmonary circulation values are established using data from healthy individuals.

Purpose:

  • To analyze direct pressure measurements in the pulmonary circulation of VSD patients.
  • To establish normal pulmonary circulation pressure values for comparison.
  • To evaluate the long-term effects of surgical rehabilitation on pulmonary pressure in VSD patients.

Summary:

  • Direct pressure measurements were analyzed in 452 VSD patients (12 months to 37 years) and compared to 150 healthy individuals.
  • Repeated measurements in 46 VSD patients (18 months to 23 years) and follow-up in 85 post-surgery patients (up to 7 years) were assessed.
  • Systolic pressure decreases with age in VSD patients up to 7 years, but large defects often lead to lifelong pressure increase.

Impact:

  • Findings provide insights into the natural history of pulmonary circulation pressure in VSD.
  • The study highlights the challenges in managing pulmonary hypertension associated with large VSDs.
  • Results inform clinical decisions regarding surgical intervention and long-term monitoring of VSD patients.

Related Concept Videos

Development of the Heart01:27

Development of the Heart

The development of the human heart, a crucial organ, commences from the mesoderm on the 18th or 19th day after fertilization. This process initiates in the cardiogenic area, a group of mesodermal cells at the embryo's head end, which evolves into elongated strands known as cardiogenic cords. These cords undergo a transformation to form hollow-centered endocardial tubes.
As the embryo undergoes lateral folding, these paired tubes approach each other, merging into a single primitive heart tube by...
Pulmonary Hypertension: Classification and Pathogenesis01:30

Pulmonary Hypertension: Classification and Pathogenesis

Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...