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Arch Iran Med. 2021;24(11): 804-810.
doi: 10.34172/aim.2021.120

Scopus ID: 85121031478
  Abstract View: 1759
  PDF Download: 861

Original Article

Age-adjusted Reference Values and Z-scores of the Coronary Sinus Diameter among Healthy Children and Adolescents in Southern Iran

Hamid Amoozgar 1 ORCID logo, Vahid Bazyari 2, Mohammadreza Edraki 3* ORCID logo, Nima Mehdizadegan 3, Hamid Mohammadi 1, Amir Naghshzan 1, Gholamhossein Ajami 1, Puoria Moradi 2, Elham Dehghani 2, Tahere Hajian 2

1 Neonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2 Pediatric Department, Shiraz University of Medical Sciences, Shiraz, Iran
3 Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
*Corresponding Author: *Corresponding Author: Mohammadreza Edraki MD, Pediatric Cardiology Ward, Namazi Hospital, Shiraz, Iran. Tel: 071 36125660, Email: , Email: edrakidr@yahoo.com

Abstract

Background: Coronary sinus dimension is an important factor for diagnosing some types of cyanosis as well as congenital heart diseases and insertion of some devices into the coronary sinus if required. This study was designed to access the diameter and Z-score of the coronary sinus among children under 18 years of age.

Methods: In this cross-sectional study on 95 individuals, the coronary sinus diameter was measured by transthoracic echocardiography in the four-chamber view at the connection to the right atrium, middle part, and distal end. The linear regression equation was utilized to determine age-adjust reference values, Z-scores, and the relationship between the individuals’ coronary sinus diameter age, height, and body surface area. The study was conducted from March to July 2020 in Namazi hospital clinic of Shiraz University of Medical Sciences, Shiraz, Iran.

Results: The mean age of the persons who entered this study was 5.87±4.25 years. The mean coronary sinus diameter was 4.91±1.29 mm at the site of connection to the right atrium, 4.50±1.44 mm at the middle part, and 3.74±1.32 mm at the distal end. Coronary sinus diameter correlates positively with the participants’ age, weight, height, and body surface area (P<0.001).

Conclusion: Coronary sinus diameter significantly correlates with the age, height, and body surface area of the cases. These features are useful in diagnosing some congenital heart diseases and insertion of suitable devices through it.



Cite this article as: Amoozgar H, Bazyari V, Edraki M, Mehdizadegan N, Mohammadi H, Naghshzan A, et al. Age-adjusted reference values and z-scores of the coronary sinus diameter among healthy children and adolescents in southern iran. Arch Iran Med. 2021;24(11):804-810. doi: 10.34172/aim.2021.120
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Submitted: 30 Aug 2020
Revision: 29 Dec 2020
Accepted: 10 Jan 2021
ePublished: 01 Nov 2021
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