ISSN 1016-5169 | E-ISSN 1308-4488
pdf
Correlation between Haller index and echocardiographic and spirometric findings in children with pectus excavatum [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2014; 42(3): 259-264 | DOI: 10.5543/tkda.2014.21845

Correlation between Haller index and echocardiographic and spirometric findings in children with pectus excavatum

Alper Hazım Gürsu1, Barbaros Şahin Karagün2, Özlem Korkmaz3, Sarper Şükrü Gürsu4, Mehmet Ali Uçar5
1Sivas Numune Hospital, Paediatric Cardiology, Sivas/ Turkey
2Sivas Numune Hospital, Paediatric Hematology, Sivas/ Turkey
3Sivas Numune Hospital, Paediatric Endocrinology, Sivas/ Turkey
4Baltalimanı Bone Diseases Education And Research Hospital, İstanbul/ Turkey
5Sivas Numune Hospital, Chest Diseases, Sivas/ Turkey


OBJECTIVES
In this study, we evaluated the correlation between severity of deformity and cardiopulmonary function with regards to echocardiographic and spirometric findings.

STUDY DESIGN
Twenty-five children, mean age 13.6 years, presenting with pectus excavatum between August 2012 and May 2013, were included. Haller index (HI) was calculated for each patient. Patients with an index of <2.5 were accepted as Group 1, 2.5-3.6 as Group 2, and >3.6 as Group 3. Left ventricle dimension, ejection fraction, and shortening fraction were evaluated with echocardiography. Using spirometry, forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), and FEV1/FVC ratio were calculated. Groups were compared using these parameters.

RESULTS
There were 18 males and 7 females. The mean index was 3.48±0.78. Though there was no significant difference in the index with regards to sex, the index increased with age. Eight percent of patients were in Group 1, 52% in Group 2 and 40% in Group 3. A significant decrease in ejection and shortening fractions was evident as the index increased. A statistically significant relation between HI and cardiac dysfunction was evident (p<0.01). As the index increased, there was significant decrease in FEV1 and the FEV1/FVC ratio, while there was no significant difference in FVC. As the deformity worsened, incidence of pulmonary dysfunction was found to be higher.

CONCLUSION
This study revealed that pectus excavatum leads to cardiac and pulmonary problems, and functions of the left ventricle may be affected by the deformity. Furthermore, the relation between the severity of the deformity and cardiovascular function is evident.

Keywords: Funnel chest, transthoracic echocardiography; respiratory function tests.

How to cite this article
Alper Hazım Gürsu, Barbaros Şahin Karagün, Özlem Korkmaz, Sarper Şükrü Gürsu, Mehmet Ali Uçar. Correlation between Haller index and echocardiographic and spirometric findings in children with pectus excavatum. Turk Kardiyol Dern Ars. 2014; 42(3): 259-264

Corresponding Author: Alper Hazım Gürsu, Türkiye
Manuscript Language: Turkish


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

Quick Search



Copyright © 2024 Archives of the Turkish Society of Cardiology



Kare Publishing is a subsidiary of Kare Media.