Acute coronary syndrome as a current issue of pediatric cardiology. Outcomes and prognosis: Clinical case

Background. Acute coronary syndrome is widespread in the adult population and has clear diagnostic criteria. In pediatric practice, this pathology is rare, and often implies difficulties in diagnosis. Case description. A 16-year-old male with negative paternal history, hypercholesterolemia, dyslipidemia, and excessive body weight developed myocardial infarction on the background of acute tonsillitis. In the onset of the disease, the adolescent demonstrated clinical signs of acute respiratory infection and coronary spasm. Electrocardiogram revealed ST segment elevation above the baseline in leads I, II, III, aVF, V4–V6 and biochemical markers of myocardial necrosis. Echocardiography revealed signs of focal hypokinesis of the left ventricle, newly detected degree 2 mitral regurgitation. Percutaneous coronary angiography revealed no signs of coronary artery stenosis. The patient received conventional medical treatment of acute myocardial infarction as well as antibacterial therapy. He was discharged in satisfactory condition. After 1 year of follow-up after the myocardial infarction the patient showed no pathologic changes both on stress-echocardiography and electrocardiogram. Three-year catamnesis appeared to be favorable. Conclusion. The presented clinical case demonstrates the individual mechanism of acute coronary syndrome development in children. Pediatricians should be aware of the risk of developing acute coronary syndrome against the background of infectious pathology

Optical Properties and Upconversion Luminescence of BaTiO3 Xerogel Structures Doped with Erbium and Ytterbium

Erbium upconversion (UC) photoluminescence (PL) from sol-gel derived barium titanate (BaTiO3:Er) xerogel structures fabricated on silicon, glass or fused silica substrates has been studied. The fabricated structures under continuous-wave excitation at 980 nm and nanosecond laser excitation at 980 and 1540 nm demonstrate room temperature PL with the bands at 410, 523, 546, 658, 800 and 830 nm, which correspond to the 2H9/2 → 4I15/2, 2H11/2 → 4I15/2, 4S3/2 → 4I15/2, 4F9/2→ 4I15/2 and 4I9/2→ 4I15/2 transitions in Er3+ ions. The intensity of erbium UС PL increases when an additional macroporous layer of strontium titanate is used beneath the BaTiO3 xerogel layer. It is enhanced for BaTiO3 xerogel films codoped with erbium and ytterbium (BaTiO3:Er,Yb). The redistribution of the intensity of the PL bands is observed for the latter and it depends on the excitation conditions. Finally, a Bragg reflector and a microcavity structure comprising of alternating (BaTiO3:Er,Yb) and SiO2 xerogel layers were fabricated with the cavity mode near the red PL band of Er3+ ions. Enhancement of UC PL from the microcavity was observed for the sample annealed from 450°C to 600°C. The fabricated cavity structures annealed at 450°C allow us to tune the cavity mode with 10 nm shift within the temperature range from +20°C to +130°C. Photonic application of BaTiO3 xerogel structures doped with lanthanides is discussed

A CASE OF HEART TRANSPLANTATION TO A CHILD AGED 10 YEARS WITH DILATED CARDIOMYOPATHY

The article presents a case of conservative treatment of heart failure and successful heart transplantation to the child aged 10 years with a dilated cardiomyopathy