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Open Access Highly Accessed Research

Right ventricular function impaired in children and adolescents with severe idiopathic scoliosis

Shujuan Li1, Junlin Yang2, Yunquan Li1, Ling Zhu1, Yuese Lin1, Xuandi Li1, Zifang Huang2 and Huishen Wang1*

Author Affiliations

1 Department of Paediatric Cardiology, the First Affiliated Hospital of Sun Yat-sen University, No.58 2nd Zhongshan Road, Guangzhou 510080, China

2 Department of Spinal Surgery, the First Affiliated Hospital of Sun Yat-sen University, No.58 2nd Zhongshan Road, Guangzhou, 510080, China

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Scoliosis 2013, 8:1  doi:10.1186/1748-7161-8-1

Published: 14 January 2013

Abstract

Background

Although it is speculated that scoliosis may induce cardiac dysfunction, there is no report about evaluation of cardiac function, especially right cardiac function in patients with scoliosis. Therefore, we evaluated right ventricular function in idiopathic scoliotic patients with mild to severe curves and compared them with healthy children and adolescents matched in age, then explored relationship between scoliosis and right ventricular function.

Methods

Thirty-seven patients diagnosed with idiopathic scoliosis with a mean age of 16y/o (range, 8-25y/o) and an average spine curve of 77.5°Cobb (range, 30-157°) were studied by echocardiography. TAD was obtained using M-mode echocardiography. Similar examination was performed in a control group of 17 healthy individuals in matched-age. According to the different curve degree, all patients were divided into 3 groups (mild, moderate and severe). Comparison was done among the groups and the relationship between TAD and spine curve of Cobb was analyzed.

Results

Patients with severe scoliosis showed depressed TAD. There was good correlation between TAD and spine curve of Cobb.

Conclusions

Patients with severe scoliosis showed a significant lower right ventricular systolic function.

Keywords:
Tricuspid annular displacement; Idiopathic scoliosis; Right ventricular function; Children and adolescents