Vnitr Lek 1993, 39(2):198-202

[Cardiovascular changes in Turner's syndrome].

J Musilová, F Kölbel, J Král, D Simper, K Michalová: III. interní klinika 1. LF UK a FN 2 Praha.

Klíčová slova: Adult; Cardiovascular Diseases, complications, ; Echocardiography; Electrocardiography; Female; Humans; Turner Syndrome, complications,

25 adult asymptomatic patients with Turner's syndrome were evaluated by clinical examination, ECG, M-mode and two-dimensional echocardiography and 24 h Holter monitoring. Patients with Turner's syndrome had a significantly higher resting heart rate (83.3 versus 73.7/min in controls, p < 0.01) and a shorter PQ interval (122.3 ms versus 147.1 in controls, p < 0.01). The short PQ interval was not associated with the karyotype (45,X vs. mosaic karyotypes and structural abnormalities of X and Y chromosome), hypertension, estrogen treatment, or congenital valvular abnormalities. No significant arrhythmias were present. On 24 hours ambulatory ECG monitoring the frequency of ectopic supraventricular and ventricular activity was identical as in published controls. The congenital heart abnormalities were detected in 8 (32%) women with T.sy, however, during the follow-up they became significant in only two (8%) of them.