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Association between Cardiac Malformations and Karyotype in Turner Syndrome - a Single Centre Study Cover

Association between Cardiac Malformations and Karyotype in Turner Syndrome - a Single Centre Study

Open Access
|May 2022

Figures & Tables

Figure 1

Transthoracic echocardiogram in parasternal short-axis view illustrating bicuspid aortic valve.
Transthoracic echocardiogram in parasternal short-axis view illustrating bicuspid aortic valve.

Figure 2

Transthoracic echocardiogram in suprasternal view illustrating narrow aortic isthmus (A) and high blood flow speed – continuous wave Doppler (B) in a patient with coarctation of the aorta.
Transthoracic echocardiogram in suprasternal view illustrating narrow aortic isthmus (A) and high blood flow speed – continuous wave Doppler (B) in a patient with coarctation of the aorta.

Figure 3

Transthoracic echocardiogram in subcostal long-axis view illustrating an ostium secundum atrial septal defect.
Transthoracic echocardiogram in subcostal long-axis view illustrating an ostium secundum atrial septal defect.

Figure 4

Transthoracic echocardiogram in parasternal long-axis view illustrating a dilated coronary sinus in a patient with persistent left superior vena cava.
Transthoracic echocardiogram in parasternal long-axis view illustrating a dilated coronary sinus in a patient with persistent left superior vena cava.

The karyotype in TS patients

KaryotypeNumber%
45,X5868.3
45,X/46,XX1821.2
45,X/47,XXX11.2
46,Xi (Xq)33.5
46,del Xq33.5
46,del Xp22.3

Baseline characteristics of patients with TS

Patients n (%)Group 158 patientsGroup 227 patientsTotal85 patientsp
Mean age at diagnosis (years)8.688.60.077
MalformationsHeart22 (38)4 (14.8)26 (31)0.031
Renal7 (12)7 (25.9)14 (16)0.108
Skeletal21 (36)6 (22.2)27 (32)0.197
Neuropsychological manifestationsIntellectual disability7 (12)3 (11.1)10 (11.7)0.898
Behavioural problems1 (1.7)1 (3.7)2 (2.3)0.575
Neurosensorial deafness2 (3.4)1 (3.7)3 (3.5)0.952
Cutaneous manifestationsPsoriasis2 (3.4)1 (3.7)3 (3.5)0.952
Vitiligo01 (3.7)1 (1.2)NA
Alopecia1 (1.7)01 (1.2)NA
Thyroid dysfunction13 (22.4)5 (18.5)18 (21.2)0.682
Cardiovascular risk factorsObesity11 (18.9)3 (11.1)14 (16.5)0.363
Dyslipidaemia5 (8.6)1 (3.7)6 (7.1)0.765
Insulin resistance1 (1.7)01 (1.2)NA

Types of cardiac abnormalities in patients with TS

Cardiac abnormalities n (%)Group 158 patientsGroup 227 patientsTotal85 patientsp
Bicuspid aortic valve13 (22.4)1 (3.7)14 (16.5)0.028
Coarctation of the aorta9 (15.5)1 (3.7)10 (11.8)0.115
Aortic stenosis3 (5.1)1 (3.7)4 (4.7)0.765
Atrial septal defect4 (6.9)04 (4.7)NA
Aortic regurgitation4 (6.9)1 (3.7)5 (5.8)0.560
Mitral valve prolapse2 (3.4)1 (3.7)3 (3.5)0.952
Ventricular septal defect1 (1.7)01 (1.2)NA
Patent ductus arteriosus01 (3.7)1 (1.2)NA
Persistent left superior vena cava01 (3.7)1 (1.2)NA
DOI: https://doi.org/10.47803/rjc.2020.31.4.847 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
Language: English
Page range: 847 - 854
Published on: May 5, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Cecilia Lazea, Simona Bucerzan, Camelia Al-Khzouz, Victoria Cret, Mirela Crisan, Diana Miclea, Paula Grigorescu-Sido, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.