Questions for children's cardiologist

The most frequent questions of parents are answered by the children's cardiologist, the doctor of functional diagnostics, the head of the diagnostic department of the children's clinic MEDSI in Blagoveshchensky pereulok YEKATERINA LEVINA

To a daughter 3 months. After bathing and feeding, her nasolabial triangle becomes blue. How serious is this? The girl is gaining weight, developing normally, having fun. Irina, Rostov-on-Don

The blue nasolabial triangle after bathing and feeding in newborns and infants can be explained by the fact that the cardiovascular system has not yet been reconstructed after the birth of the baby and the structures that should gradually close after the birth of the baby remain open. For example, the anatomical closure of the oval window usually occurs on the 5th-7th day of life, the venous duct - at the 3rd week of life; arterial duct - on the 2-3th month of life. Usually this condition is temporary and passes by itself. However, it should be borne in mind that in each specific case, only a pediatric cardiologist can diagnose after receiving the results of additional studies - ECG and ECHO-KG (ultrasound of the heart).

To the son of 10 months. The pediatrician heard noises in the heart, the ultrasound of the heart revealed an open oval window. Does this mean that the child needs to have surgery? Lyudmila, Moscow

The oval window is a temporary opening in the middle part of the interatrial septum that divides the right and left auricles. After the birth of the baby, it should close. If this does not happen, then crying, screaming, feeding, the pressure in the right parts of the heart rises and venous blood begins to flow through the oval window. It is possible to suspect such a violation if the baby, for example, has a nasolabial triangle blue.

An open oval window refers to small anomalies of the development of the heart (MARS) and is not an indication for surgery, because, as a rule, there are no complaints, complications are rare, treatment is not required.

If the child does not have other disorders in the work of the heart, then there is no reason for concern. Nevertheless, the baby should be shown to the pediatric cardiologist to clarify the size of the open oval window and the state of the heart chambers. At such diagnosis the kid should be observed at this expert, and, besides the child it is necessary to do or make on a regular basis an electrocardiogram and EHO-KG.

Now we are drawing up the documents in the kindergarten. Have made an electrocardiogram. Has shown a moderate tachycardia. What does this mean? Can a child with such a diagnosis visit a kindergarten? Could the result affect the result that during the ECG the child strongly rotated? Marina, Pushkino

Tachycardia is called an increase in heart rate. It can arise both for physiological reasons: a child's anxiety, fear, excitement, stagnant indoors, physical stress, and due to irregularities in the work of various organs and systems. Therefore, if there is even a moderate tachycardia, a consultation of a pediatric cardiologist is needed. In your case, the result could be affected by the fact that during the examination the child was spinning. Make the ECG in a relaxed state and show the baby to the pediatric cardiologist. All further recommendations, including the possibility of visiting the kindergarten, and the amount of physical exertion, will depend on the results of the examination.

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