Flat footedness as a marker of systemic connective tissue and cardiac involvement in young patients with Marfanoid habitus
Aim. To assess the potential of plantography indices in the diagnostics of flatfootedness, as a manifestation of Marfanoid habitus, systemic connectivetissue involvement (SCTI), and cardiac involvement.Material and methods. In total, 50 young patients (mean age 22,5±2,1 years) were examined. In some...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
«FIRMA «SILICEA» LLC
2013-02-01
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| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/341 |
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| Summary: | Aim. To assess the potential of plantography indices in the diagnostics of flatfootedness, as a manifestation of Marfanoid habitus, systemic connectivetissue involvement (SCTI), and cardiac involvement.Material and methods. In total, 50 young patients (mean age 22,5±2,1 years) were examined. In some participants, Marfanoid habitus and/or signs of SCTI were registered. All patients underwent phenotypic examination, polyposition echocardiography, and plantography (Scan complex). The predictive potential of the visual method and plantography indices (PI) for flat footedness diagnostics in individuals with Marfanoid habitus and SCTI was assessed. The correlation between minor cardiac abnormalities and PI was also examined.Results. The visual method was inadequately specific in the SCTI diagnostics, whilePI were highly specific in diagnosing SCTI and Marfanoid habitus. Moreover, therewas a strong correlation between the number of pathologic PI and the number ofminor cardiac abnormalities, as well as an inverse correlation between PI andejection fraction.Conclusion. The visual method is highly sensitive, but inadequately specific in thediagnostics of SCTI and Marfanoid habitus, while PI are highly specific. The strongcorrelation between PI and minor cardiac abnormalities suggests that flat footednesscould be regarded as an additional marker of cardiac extracellular matrix pathology inhereditary syndromes with Marfanoid phenotype. |
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| ISSN: | 1560-4071 2618-7620 |