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par ku Wo va ni kom p leq sis ter mi na lu ri na wi -
lis eleq t ro kar dio-gra fi u li cvli le be bis
six Si re da da xa si a Te ba bav S veb Si,er Ter Ti um -
niS v ne lo va ne sia.
Cve ni mo na ce me bis sa bo loo in ter p re ta ci am -
de auci leb lad mig vaC nia ST seg men ti sa da T
kbi lis cvli le ba Ta mi mo xil vi Ti ana li zi nor -
mi sa da pa To lo gi is zRvar ze.
un da aRi niS nos, rom dad ge ni lia pe ri fe ri -
ul gan x reb Si ST in ter va lis 1 mm-iT cdo ma Se -
e sa ba me ba 400 000 mi o kar di u li boW kos da zi a -
ne bas (gul m ker dis gan x reb Si ki 4000-s). am mo -
na ce me bis (Scha ef fer H., Haas H., 1962) gaT va lis wi -
ne biT sa Wi roa da auci le be lia uf ro me ti yu -
radRe ba da eT mos ST‐T um niS v ne lo dar R ve veb -
sac, rom le bic aRi niS ne ba stan dar tul da mo -
no po la rul gan x reb Si, rad gan es cvli le be bi
Se iZ le ba iyos uf ro mniS v ne lo va ni, vid re iSe -
mi is uf ro in ten si u ri ga mov li ne be bi gul m ker -
dis gan x reb Si. mra va li sta tis ti ku ri mo na ce -
me bis Ta nax mad msu bu qi eleq t ro kar di og ra fi -
,fdidsf rfhlbjkjubf
SUMMARY
EKG PARAMETERS( ST AND T WAVE ) AND CAPILLAROSCOPIC
PARAMETERS DURING DIABETES MELLITUS TYPE I IN CHILDREN
G. CHAKHUNASHVILI, N. JOBAVA, K. CHAKHUNASHVILI, D.CHAKHUNASHVILI
Association of Georgian Pediatric Cardiology, New Children’s Hospital, Health Center (Tbilisi,Georgia)
Diabetes is associated with high risk of cardiovascular diseases. The disease increases the chance of developing cardiovascular
pathologies by 2-4 times, compared to healthy population. Aim of the research: Evaluate EKG parameters during diabetic
cardiomyopathies; Detecting changes in Capillaroscopic parameters.
Methods: Cases of 32 children(6-15 years old, 17 boys,15 girls) diseased with diabetes type I were studied, who were
hospitalized In TSMU pediatric clinic’s endocrine department. 13 of them were diagnosed and their cases were studied at
once, 10 of them had been diagnosed 2-5 years before, 9 0f them – 5-10 years before.
We did capillarosopic examinations. we determined carpillarospopic background (pink, pale, cyanosis), transparency
(transparent, dimmed), number of capillaries (6-7 in sight, more or less), diameter of capillaries ( dilated, contracted), shape
of capillaries (hair like, anastomosis, loop like), Order/Disposition of capillaries (shows some order, does not show any
order), blood flow type (homogenous, fast, slow), capillaries( homogenous, non-homogenous). 8 types of ST and T wave
changes were determined (G. Chakhunashvili, N jobava 2005-2012)
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
e.k.g. pa ra met re bi (ST seg men ti da T kbi li)
Saq ri a ni di a be tis ti pi I - sa, zo gi er Ti
an Te ba di da sxva ara an Te ba di da a va de be bis
dros bav S v Ta asak Si
g.Ca xu naS vi li,n.jo ba va,k.Ca xu naS vi li,d.Ca xu naS vi li
sa qar T ve los bav S v Ta kar di o log Ta aso ci a cia, ir.ci ciS vi lis sax.
pe di at ri u li kli ni ka,jan m r Te lo bis cen t ri
u li dar R ve ve bi war mo ad ge nen ko ro na lu ri
ris kis aS ka ra faq to rebs (Ross S.R., 1970). zo gi -
er Ti ga mok v le vis Ta nax mad ma ma ka cebs sik v di -
li a no ba da ba li, dak bi lu li mci red uar yo fi -
Ti T kbi liT 2-jer me tia, vid re sa kon t ro lo
jguf Si (Friegberg H.D., 1969), rac mi u Ti Tebs, rom
msgav si dar R ve ve bis Sem Tx ve va Si auci le be lia
va war mo oT da ma te bi Ti ga mok v le ve bi am cvli -
le be bis mniS v ne lo bis da sad ge nad.
ST in ter va lis da T kbi lis pa ta ra cvli le -
be bi eleq t ro kar dio-gra fi a Si in ter p re ta ci -
i saT vis yve la ze rTu li sfe roa. ami tom ioli
ar aris ST‐T dar R ve ve bis mniS v ne lo bis gan sazR -
v ra iSe mi u ri kar di o pa Ti is ad re u li di ag nos -
ti re bis miz niT. am Tval saz ri siT, ST‐T cvli -
le be bis in ter p re ta ci is mniS v ne lo van kri te -
ri ums war mo ad gens am dar R ve va Ta “lo ka li za -
cia” da ma Ti Se u Tan x me be li evo lu cia sxva das -
x va gan x reb Si. re po la ri za ci is “me o ra di” aS -
li lo ba (daR ma va li, Se ne le bu li, prog re si re -
ba di ST in ter va liT da ara si met ri u li uar yo -
2013 weli