Evaluation of frequency and severity of pulmonary hypertension in children with tonsillar hypertrophy who referred

Background & Aims: Enlarged adenoids are a common problem in childhood and the most common cause of upper airway obstruction and sleep apnea in children.If untreated, they can cause widespread cardiovascular complications.This study aimed to investigate the prevalence and severity of increased pulmonary artery pressure in children with enlarged adenoids who were referred to the Asthma and Allergy Clinic of Shahid Motahari Hospital in Urmia from 2022 to 2023. Material and MethodsIn this descriptive-analytical study, all children referred to the Asthma and Allergy Clinic of Urmia University of Medical Sciences during 2022 with a diagnosis of enlarged adenoids, confirmed by a doctor using a special mirror or a flexible camera (nasal endoscopy), were evaluated.Information such as age, gender, place of residence, clinical symptoms of the patients (sleep disturbance, frequent colds, etc.), and previous medical history were collected in special data collection forms.The collected data were entered into SPSS version 22 software and statistically analyzed. Results:The mean age of the 19 patients in the study was 7.4 years, and 63.2% were girls.The mean pulmonary artery pressure was 11.36 mmHg, and the mean ANR among the patients was 0.78.Most patients had severe adenoid enlargement (63.2%).There was no significant difference in pulmonary artery pressure between patients with severe, moderate, and mild adenoid enlargement (P = 0.53).There was no significant association between ANR and pulmonary artery pressure (r = 0.02, p = 0.92). Conclusion:The prevalence of increased pulmonary artery pressure in children with enlarged adenoids was 5.2%, and there was no significant relationship between the severity of enlarged adenoids and pulmonary artery pressure.