Važnost srčanog šuma kod djece i adolescenata u skrbi ambulante školske medicine s obzirom na bavljenje sportskom aktivnošću

professional thesis

• Title (english): The importance of heart murmur in children and adolescents in care school medicine clinics with regard to sports activity
• Author: Branka Huljev
• Mentor: Zdravko Babić (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2018-03-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Public Health

Abstract

Cilj ovog istraživanja bio je procijeniti važnost srčanog šuma u djece školske dobi koja
sudjeluju u sportskim aktivnostima na školskim natjecanjima. -----
Metode: Proveli smo retrospektivno istraživanje s kontrolnom skupinom koja je izjednačena
prema dobi i spolu (eng. case-control study ). Raspon dobi uključene djece je bio od 8 do 19
godina, a medicinski podaci, uključujući dijagnozu srčanog suma prikupljani su na redovitom
sistematskom pregledu liječnika školske medicine. -----
Rezultati: U istraživanje je uključeno ukupno 160 djece školske dobi: 80 djece sa srčanim
šumom i 80 djece bez srčanog šuma koja su odgovarala po dobi i spolu. Djeca bez šuma su
češće imala u obiteljskoj anamnezi iznenadnu srčanu smrt i strukturnu bolest srca prije 50.
godine (39 vs 17, p = 0.021). Međutim djeca sa šumom su značajno češće imala pozitivnu
osobnu anamnezu na kardiološke bolesti ( 17 vs 1, p<0.001) Sistolički šum je utvrđen u 79
djece, a jedno dijete je imalo dijastolički šum. Nije bilo statistički značajne razlike između
djece sa i bez šuma vezano uz nalaza EKG-a (p=0.325). U skupini sa šumom 83,7% djece je
imalo fiziološki šum, s potpuno urednim ehokardiografskim nalazom.
Najveći broj djece obje skupine je dobilo dozvolu za sudjelovanje u sportskim školskim
aktivnostima i natjecanjima i nema statistički značajne razlike u mišljenju liječnika o
sposobnosti bavljenja sportom između sudionika s šumom i bez šuma (p=0,929)
Zaključak: Srčani šum u djece školske dobi najčešće je fiziološki. Potrebna je pažljiva
procjena svakog djeteta sa šumom, no u većini slučajeva ne predstavlja zapreku sportskim
aktivnostima.

Abstract (english)

The aim of this study was to evaluate the significance of heart murmur in children
participating in sports activities at schools’ competitions.
Methods: We conducted a retrospective case-control study with a control group consisting of
children matched by gender and age. The age span of children included was 8-19 years, and
the medical data including the postive diagnosis of heart murmur was collected by the school
medicine doctor during the regular systematic examination.
Results: The study was conducted on a sample of 160 school-age children of matching age
and gender: 80 children with heart murmur and 80 without murmur.
Children without murmur more often had a family history of sudden cardiac death and
structural heart disease before the age of 50 (39 vs 17; p=0.021).
However, children with murmur had considerbly higher rate of positive personal anamnesis
regarding cardio diseases (17 vs 1, p<0.001).
Systolic murmur was present in 79 children (98%), and one had diastolic murmur. There was
no statistically significant difference between children with or without murmur regarding the
ECG findings (p=0.325).
In the murmur group 83.7% of children have innocent murmurs, with a normal
echocardiogram.
The majority of children from both groups are allowed to participate in sports activities in
school and in doctor's opinion there is no considerable statistic differance in the sport
capability between participants with or without murmur (p=0,929).
Conclusion: Heart murmur in school-age children is most often innocent. Careful evaluation
is required, however, in most cases it does not present an obstacle to pursue sports.

• Keywords: srčani šum; djeca; školska dob; sportske aktivnosti; školska natjecanja
• Keywords (english): heart murmur; children; school age; sport activities; school competitions
• Language: croatian
• URN:NBN: urn:nbn:hr:105:915835
• Study programme: Title: Leadership and management of health services; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra menadžmenta u zdravstvu (sveučilišni/a magistar/magistra menadžmenta u zdravstvu)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-05-07 08:28:21