129 -2 (88) 2026 - Isaxanova N.X. - EVALUATION OF CLINICAL AND LABORATORY PARAMETERS IN ASSESSING THE ADAPTIVE STATUS OF CHILDREN WITH CONGENITAL HEART DEFECTS
EVALUATION OF CLINICAL AND LABORATORY PARAMETERS IN ASSESSING THE ADAPTIVE STATUS OF CHILDREN WITH CONGENITAL HEART DEFECTS
Isaxanova N.X. - Tashkent State Medical University
Resume
This study is aimed at evaluating clinical and laboratory parameters in assessing the adaptive status of children with congenital heart defects (CHDs). A total of 294 children aged 1 to 7 years were examined and divided into two groups according to cyanotic and acyanotic forms of CHDs. Growth and development indicators, acid–base balance, electrolyte levels, and biochemical markers were assessed in the preoperative and postoperative periods. The results demonstrated that children with cyanotic CHDs exhibited more pronounced metabolic and molecular alterations associated with chronic hypoxia, including significantly elevated HIF-1α levels. In contrast, children with acyanotic CHDs showed milder and more rapidly compensated changes. The findings highlight the importance of early diagnosis, continuous monitoring, and individualized management strategies for improving outcomes in children with congenital heart defects.
Keywords: cyanotic congenital heart defects, acid–base parameters, biochemical markers.
First page
684
Last page
690
For citation:Isaxanova N.X. - EVALUATION OF CLINICAL AND LABORATORY PARAMETERS IN ASSESSING THE ADAPTIVE STATUS OF CHILDREN WITH CONGENITAL HEART DEFECTS //New Day in Medicine 2(88)2026 684-690 https://newdayworldmedicine.com/en/new_day_medicine/2-88-2026
List of References
- Shumakova OV, Morozova NYa, Burov AA, Podurovskaya YuL, Bokeria EL, Nefedova IE, Berishvili DO, Degtyarev DN. Features of hemostasis in children with congenital heart defects during the first 12 hours of life. Problems of Hematology/Oncology and Immunopathology in Pediatrics. 2019;18(3):29–34.
- Dahaba AA. Thinking outside the box. Off-label use of Bispectral Index within context and limitations for conditions other than depth of anesthesia. Minerva Anestesiologica. 2019;85(2):189–193. doi:10.23736/S0375-9393.18.12821-3
- Tsepokina AV, Khutornaya MV, Shabaldin AV, et al. Distribution patterns of genotypes of polymorphic variants rs2234246 and rs4711668 of TREM-1 in children with ductus-dependent congenital heart defects. Translational Medicine. 2019;6(4):5–12.
- Stepanova AI, Alekhin MN. Capabilities and limitations of speckle-tracking stress echocardiography. Siberian Journal of Clinical and Experimental Medicine. 2019;34(1):10–17.
- Tairova SB, Mukhtorov AA, Ziyodullaeva MS. Neurocognitive disorders in children with congenital heart defects (a literature review). Scientific Education and Practice. 2024;3(28):174–179.
- Sprong MCA, van Brussel M, de Vries LS, et al. Longitudinal motor developmental outcomes in infants with a critical congenital heart defect. Children (Basel). 2022;9(4):570. doi:10.3390/children9040570
- Tairova SB, Khushvaktova BB. Clinical features of comorbid pathology in children with congenital septal heart defects (a literature review). Scientific Education and Practice. 2024;3(28):169–173.
- Tokmakova KA, Shilkin DN, Kupryashov AA. Hemodynamic activation of von Willebrand factor in children with congenital heart defects. Obstetrics, Gynecology and Reproduction. 2024;18(5):693–705. doi: 10.17749/2313-7347/ob.gyn.rep.2024.693-705
- Favier FB, Britto FA, Freyssenet DG, Bigard XA. HIF-1-guided adaptation of skeletal muscle to chronic hypoxia: a molecular understanding of muscle physiology. Cellular and Molecular Life Sciences. 2015;72(23):4681–4696. doi:10.1007/s00018-015-2025-9
- Gregory MB, Prouhet PM, Russell CL, Pfannenstiel BR. Quality of life for parents of children with congenital heart defect: a systematic review. Journal of Cardiovascular Nursing. 2018;33(4):363–371. doi:10.1097/JCN.0000000000000460
- Liu Y, Chen S, Zühlke L, et al. Global birth prevalence of congenital heart defects 1970–2017: updated systematic review and meta-analysis of 260 studies. International Journal of Epidemiology. 2019;48(2):455–463. doi:10.1093/ije/dyz009
- Messerli-Bürgy N, Kakebeeke TH, Meyer AH, et al. Walking onset: a poor predictor for motor and cognitive skills in healthy preschool children. BMC Pediatrics. 2021;21(1):367. doi:10.1186/s12887-021-02828-4
file
download