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: A. L. Korshunova, N. N. Parfenova, E. G. Malev, L. M. Smirnova, E. V. Zemtsovsky
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2013-02-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/341
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author A. L. Korshunova
N. N. Parfenova
E. G. Malev
L. M. Smirnova
E. V. Zemtsovsky
author_facet A. L. Korshunova
N. N. Parfenova
E. G. Malev
L. M. Smirnova
E. V. Zemtsovsky
author_sort A. L. Korshunova
collection DOAJ
description 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
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language Russian
publishDate 2013-02-01
publisher «FIRMA «SILICEA» LLC
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spelling doaj-art-975f4788fcd247abb097bc19a9a846072025-08-20T02:59:39Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202013-02-0101333610.15829/1560-4071-2013-1-33-36341Flat footedness as a marker of systemic connective tissue and cardiac involvement in young patients with Marfanoid habitusA. L. Korshunova0N. N. Parfenova1E. G. Malev2L. M. Smirnova3E. V. Zemtsovsky4Санкт-Петербургский государственный педиатрический медицинский университет, Санкт-Петербург; ФГБУ ФЦ СКЭ им В. А. Алмазова» Минздравсоцразвития, Санкт-ПетербургСанкт-Петербургский государственный педиатрический медицинский университет, Санкт-Петербург; ФГБУ ФЦ СКЭ им В. А. Алмазова» Минздравсоцразвития, Санкт-ПетербургФГБУ ФЦ СКЭ им В. А. Алмазова» Минздравсоцразвития, Санкт-ПетербургФГУ Санкт-Петербургский научно-практический центр медико-социальной экспертизы, протезирования и реабилитации инвалидов им. Г. А. Альбрехта Министерства труда и социальной защиты РФ, Санкт-Петербург, РоссияСанкт-Петербургский государственный педиатрический медицинский университет, Санкт-Петербург; ФГБУ ФЦ СКЭ им В. А. Алмазова» Минздравсоцразвития, Санкт-ПетербургAim. 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.https://russjcardiol.elpub.ru/jour/article/view/341marfanoid habitussystemic connective tissue involvementcardiac involvementflat footednessplantography indices
spellingShingle A. L. Korshunova
N. N. Parfenova
E. G. Malev
L. M. Smirnova
E. V. Zemtsovsky
Flat footedness as a marker of systemic connective tissue and cardiac involvement in young patients with Marfanoid habitus
Российский кардиологический журнал
marfanoid habitus
systemic connective tissue involvement
cardiac involvement
flat footedness
plantography indices
title Flat footedness as a marker of systemic connective tissue and cardiac involvement in young patients with Marfanoid habitus
title_full Flat footedness as a marker of systemic connective tissue and cardiac involvement in young patients with Marfanoid habitus
title_fullStr Flat footedness as a marker of systemic connective tissue and cardiac involvement in young patients with Marfanoid habitus
title_full_unstemmed Flat footedness as a marker of systemic connective tissue and cardiac involvement in young patients with Marfanoid habitus
title_short Flat footedness as a marker of systemic connective tissue and cardiac involvement in young patients with Marfanoid habitus
title_sort flat footedness as a marker of systemic connective tissue and cardiac involvement in young patients with marfanoid habitus
topic marfanoid habitus
systemic connective tissue involvement
cardiac involvement
flat footedness
plantography indices
url https://russjcardiol.elpub.ru/jour/article/view/341
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AT egmalev flatfootednessasamarkerofsystemicconnectivetissueandcardiacinvolvementinyoungpatientswithmarfanoidhabitus
AT lmsmirnova flatfootednessasamarkerofsystemicconnectivetissueandcardiacinvolvementinyoungpatientswithmarfanoidhabitus
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