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heart rhythm was significant in group II
patients and in 1/3 of them heart rate was
47-53.
Sinus, atrial and ventricular
extrasystoles were found rarely and
equally in both groups. However, only
in group II we had interatrial,
atrioventricular and interventricular
damages of conduction.
Supraventricular paroxysmal
tachycardia was found only in 2 patients
who had pulse rate of 133-155. We had
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Table #2
not met paroxysmal ventricular
tachycardia, what consents with
literature data.(7,10)
In both groups we studied changes of
ST and T wave. The changes were
more often in group II. However,
alterations in group I were case which
were also significant ( See detailed
information in Table #3). Analyzing all
above said we can say, that discussing
ST and T wave changes in Children with
Diabetes type I is quite important.
Table #3
the data from group I were following (Table #4):
Group II (table #5)
numbers of capillaries were vastly
decreased(3-4). cyanosis was detected in
the background, transparency was
decreased, capillaries tended to
contraction and dilation of venous part.
Shape changes were also significant
(loop like and bended). Disposition was
also out of order, blood flow was slow.
detailed information is shown in table #4.
capillaroscopic data in children gives
us important additional information
even for differencial diagnosis. Also it
is cheap, non-invasive method, which
can be used not only for diagnosis but
the prognosis of disease development.
CONCLUSIONS:
1. In group I EKG is less informative.
2. Hypertrophies of left ventricle and
atrium and disorders of repolarizations
were mainly found in group II
3. In 64% of cases EKG showed
rhythm and conduction disorders, which
were more often in group II
4. To achieve early diagnosis of
cardiomyopathy and start early therapy, EKG
must be recorded in every diabetes type I.
5. Determining types of changes in
ST and T wave is important in children
with type I diabetes.
6. Capillaroscopic data are quite
important to get the right prognosis of
disease progression.
Nowadays there are several
medications for treating cardiomyopathy,
which can improve the quality of life
LITERATURE:
1. L. Kacharava, K. Koplatadze, D.
Varsaladze “”Methods of treating
Diabetes Type I in Georgian Diabetics”
- Journal “Cardiology and Medicine”
2005,#2 page 59-61
2. Dedoev I.I. – Endocrinology –
Moscow 2000 Publication “Medicine”
3. Kasatkina E.P. – Prophylactic of
complication of Diabetes Type I in
Children and Youth – Sugar diabetes
2003 p. 9-12
4. Kuznetsova I.G., Philartova O.V.
–Problems of Endocrinology – 2003
T.491 p12-15
5. Sobolev A.V. – Problems of
Cardiac Rhythm Assessment During
EKG monitoring – Vestnik of
Arhythmology 2002, 26 p21-26
6. Ch. Dimitar. R. – Clinical
Cardiology – 1993 vol. 15 p784-790
7. Fang ZY Diabetic Cardiomyopathy
– Endocrine Reviewers, 2004 V25 N4
P543-567
8. Schmaltz A.A. Aptiz I. Hort W. –
Europ. Heart. – J – 1987 N8 P100-105
9. Sovers JR. – Insulin and Insulinlike
growth factor in normal and
pathological cardiovascular
Hypertension 29:681-699. 1997
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